GCC 226 - 250

The nurse is reviewing a history on a new admission for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?

• Prednisone
• Lisinopril (Zestril)
• Docusate (Colace)
• Calcium carbonate (Oscal D)

A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:

• Apply a lanolin-based lotion to the skin
• Wash the skin with water and pat dry
• Cover the area with a petroleum gauze
• Apply an occlusive dressing to the site

A nurse states to a nurse coworker, "The education coordinator and the charge nurse keep asking me for my new CPR and ACLS cards. I suppose that they will let me know when those certifications are about to expire." What is the appropriate response by the nurse coworker regarding the nurse's responsibility for continuing education?

• They have a list of when your certifications expire and they continue to remind you until you recertify and bring them the new cards as proof of recertification.
• You will not be allowed to work if those certifications expire.
• Yes, they remind all of the nurses about certifications that are due to be renewed. You would think that they had more important things to accomplish.
• Renewal of certifications required for employment and your nursing license are your responsibility as a nurse. You are fortunate that they care and that they reminded you that your certifications were due for renewal.

A client is being discharged to a rehabilitation facility. The primary nurse caring for the client on the day of discharge carefully inventories the client's belongings and checks the list against the admission list of belongings for accuracy. The nurse then makes a client report for the nurse assuming client care at the receiving rehabilitation facility and answers the receiving nurse's questions before concluding the report. The nurse has demonstrated which element of a safe client care environment?

• Continuity of care.
• Case management.
• Quality improvement.
• Courteous and respectful care.

Which component of the multidisciplinary health care team has been shown, in multiple studies, to decrease clients' length of stay in health care facilities, decrease the cost of health care to the client, and improve continuity of care?

• Outcomes management.
• Risk management.
• Case management.
• Infection control.

A client with myasthenia gravis is admitted with a diagnosis of cholinergic crisis. The nurse can expect the client to have:

• Decreased blood pressure and pupillary meiosis
• Increased heart rate and increased respirations
• Increased respirations and increased blood pressure
• Anoxia and absence of the cough reflex

According to traditional Chinese medicine, what is defined as the vital energy of the human body?

• Meridians
• Yin and yang
• Acupoints
• Qi

The nurse is teaching the pregnant client ways to prevent heartburn. The nurse should tell the client to:

• Sleep on her right side
• Eat dry crackers at bedtime
• Sleep on a small pillow
• Avoid caffeinated beverages

The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:

• Speak using words that rhyme
• Repeat words or phrases used by others
• Include irrelevant details in conversation
• Make up new words with new meanings

A patient with thrombocytopenia secondary to leukemia develops epistaxis. What should the nurse instruct the patient to do?

• Lie supine with his neck extended
• Sit upright, leaning slightly forward
• Blow his nose and then put lateral pressure on it
• Hold his nose while bending forward at the waist