Chapter 46 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 46 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse is caring for an 8-month-old infant. What is the best tool the nurse should use for evaluating pain in this infant?

1. FLACC scale
2. Wong-Baker FACES
3. Visual analog scale
4. Numeric rating scale

Correct Answer: 1

Rationale 1: The FLACC scale has been validated in children from 2 months to 7 years old.

Rationale 2: This pain scale would not be appropriate for a client of this age.

Rationale 3: This pain scale would not be appropriate for a client of this age.

Rationale 4: This pain scale would not be appropriate for a client of this age.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5. Identify subjective and objective data to collect and analyze when assessing pain.

MNL Learning Outcome: 4.11.4. Implement the nursing process in the care of the client experiencing pain.

Page Number: 1097

 

Question 2

Type: MCSA

The nurse is preparing to discharge a client home with a prescription for ibuprofen (Motrin). What should the nurse instruct as a common side effect of this medication?

1. Gastrointestinal (GI) distress
2. Shakiness
3. Tremors
4. Rash

Correct Answer: 1

Rationale 1: The most common side effect of NSAIDs, including ibuprofen, is gastrointestinal distress, such as heartburn or indigestion.

Rationale 2: Shakiness is not a common side effect of NSAIDs.

Rationale 3: Tremors are not a common side effect of NSAIDs.

Rationale 4: A rash is not a common side effect of NSAIDs.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10. Describe pharmacologic interventions for pain.

MNL Learning Outcome: 4.11.4. Implement the nursing process in the care of the client experiencing pain.

Page Number: 1107

 

Question 3

Type: MCSA

Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid medication to a client?

1. Pain level as stated by client
2. Any nausea the client may be feeling
3. Respiratory rate
4. Color of skin

Correct Answer: 3

Rationale 1: This is an example of subjective data.

Rationale 2: This is an example of subjective data.

Rationale 3: Opioids may depress the respiratory system, so the nurse should assess the respiratory rate before administering opioids.

Rationale 4: This is not applicable to assess prior to administering an opioid medication to a client.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5. Identify subjective and objective data to collect and analyze when assessing pain.

MNL Learning Outcome: 4.11.4. Implement the nursing process in the care of the client experiencing pain.

Page Number: 1110