Fundamentals of Nursing Quiz (56-60)

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56. A client receives cardiopulmonary resuscitation in the emergency department, but it is unsuccessful. The wife of the client indicates that the client is an organ donor and that they want to donate the client's eyes. Which should the nurse implement first to promote organ transplantation?

a) confirm that the client is a valid donor with an organ registry
b) cover the eyes with wet saline gauze pads and small ice packs
c) place the client in a supine position with the head on one pillow
d) ask the wife to produce the legal documents supporting the donation

57. The nurse prepares a client for discharge who needs intermittent antibiotic infusions through a peripherally inserted central catheter (PICC) line. Which should the nurse include in client teaching about daily infusion care in the home?

a) keep the affected arm immobilized
b) aspirate 3 ml of blood from the PICC line
c) maintain a continuous intravenous infusion
d) check the insertion site for redness and swelling

58. The nurse is in orientation for a full-time position as a case manager. Which should the nurse implement related to professional liability insurance?

a) obtain his own malpractice insurance
b) wait for six months to a year to decide
c) rely on the agency for liability insurance
d) discontinue his own malpractice insurance

59. In the role of a caregiver, the nurse's primary responsibility is to assess the client's ability to:

a) protect self
b) set own goals
c) decide the best approach(es) for care
d) restore physical, emotional, and social well-being

60. The nurse prepares a client who has a right pleural effusion for a thoracentesis; however, the client experiences severe dizziness when sitting upright, into which alternate position does the nurse assist the client to maintain safety during the procedure?

a) right side-lying with the head of the bed flat
b) prone with the head turned toward the affected side
c) sim's position with the head of the bed elevated 45 degrees
d) left side-lying with the head of the bed elevated 45 degrees








Fundamentals of Nursing Quiz
Answers and Rationale

56) B

- When a corneal donor dies, the eyes are closed, covered with sterile gauze pads wet with saline, and cooled with small ice packs. Within 2 to 4 hours the eyes are harvested, and the cornea is usually transplanted within 24 to 48 hours after harvesting. The head of the bed is elevated 30 to 45 degrees to prevent edema and tissue damage. Calling an organ registry and asking the wife to produce documents does not promote organ transplantation.

57) D

- A PICC is designed for long-term intravenous infusions and, usually, is inserted into the median cubital vein with the terminal end of the catheter in the superior vena cava. Although the risk of infection is less with a PICC line than with a central venous catheter, it is possible for phlebitis or infection to develop. Clients must inspect the insertion site and affected arm daily and report any discharge, redness, swelling, or pain to the nurse or provider immediately. A PICC line does not require the affected arm to be immobilized and can be used for intermittent or continuous fluid infusion. Although a PICC line can be used to obtain a blood specimen, the risk of occlusion from aspirating blood as part of the related daily care is greater than any potential benefit.

58) A

- Nurses need individual liability insurance policies for protection against malpractice lawsuits beginning on the first day of employment. Many agencies discourage nurses from obtaining professional malpractice insurance because, if a plaintiff brings a suit against the nurse or the hospital, the agency prefers to have their attorneys in control. However, this may not be in the best interests of an individual nurse, and, if the nurse breached any agency policy, the hospital can deny legal protection to the nurse. Still, nurses should be aware that carrying malpractice insurance increases the likelihood of being named in a suit at the onset of the case, especially when the plaintiff is seeking monetary compensation.

59) D

- A primary role of the caregiver is to assess the client's ability to restore well-being. Options A, B, and C identify the nurse's role as a client advocate.

60) D

- Positioning can help isolate the fluid in a pleural effusion; generally, the client sits at the edge of the bed, leaning over the bedside table, allowing the fluid to collect in a dependent body area. If the client is unable to sit up, the nurse turns the client to the unaffected side and elevates the head of the bed 30 to 45 degrees. Turning to the affected side, the prone, and the Sims' positions are unsuitable positions for this procedure because these do not facilitate fluid removal.


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Fundamentals of Nursing Quiz (1-5)


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Fundamentals of Nursing Quiz (61-65)