1. Nurse is admitting a woman who has an arterial venous (AV) fistula in her right arm that is used for hemodialysis. She missed her last hemodialysis producing shortness of

breath and an irregular heartbeat. Which action should the nurse assigned to the UAP?

a. Updating body weight per bed scale

b. Measure vital signs (possible)

c. Check for fistula buit

d. Notified dialysis unit of admission

2. A nurse manager overhears an older female nurse complaining to a co-worker about the time

being used to attend an inservice…how should the nurse-manager responds?

a. Ask the older nurse that inservice is not optional and her scheduled

attendance is mandatory

b. Ask to send another nurse who is more receptive because the older nurse is

not interested

c. Ask the nurse to share her concerns and discuss ways to prepare for such

emergencies

d. Ask nurse why she thinks there is no need for an inservice program about

3.Which staff assignment, made by the primary nurse, requires the most immediate

follow up action by the charge nurse on___?..

a. An unlicensed assistive personnel assigned to check a client for fecal impaction.

b. Graduate nurse is assigned to obtain a unit of packed red blood cells from the blood

bank.

c. a practical nurse is assigned to transport a postop client to the rehab unit.

d. A practical nurse is assigned to monitor blood pressure of a client with hypertension.

4. A nurse who work in a long-term care facility wants to delegate the following  client care to UAP?

(Select all that apply)

a. Provide a complete bed bath for a comatose client

b. Perform foot care including toenail trimming and heel care

c. Identify location of skin lesions on a newly admitted client

d. Empty the ostomy bad for a client with an temporary canthotomy

e. Give mouth care to an elderly client who has a tracheostomy

Priority Diagnosis/Intervention for:

Abuse/neglect

Suicide

Anxiety

Depression

Bipolar (manic state)

Personality Disorders

ETOH

Drug Abuse

Schizophrenia

Anorexia

Bulimia

A family member asks you to explain bipolar disorder and how their loved one got it. How would you address?

What is the difference between abuse and neglect? How would you recognize? What is nurses responsibility for child/adult/elder?

12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take?

a. Place the child in a side-lying position

b. Instruct the child to drink fluids through a straw

c. Offer the child ice cream when alert

d. Encourage the child to deep breath and cough

13. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?

a. Contact the client’s parents to obtain phone consent

b. Obtain written consent from the client

c. Request verbal consent from the social worker

d. Postpone the testing until the client’s parents are present

14. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

a. A toddler who has a partial-thickness burn on his right hand and requires a dressing change

b. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin

c. An adolescent who has sickle cell anemia and slurred speech

d. An adolescent who is in skin traction and reports

15. A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?

a. Unable to hold a bottle

b. Absent grasp reflex

c. Exhibits head lag when pulled to a sitting position

d. Unable to roll from back to abdomen

19. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

a. Provide a pacifier coated with an oral sucrose solution prior to the injections

b. Use a 20-gauge needle for the injections

c. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections

d. Inject the immunizations into the deltoid muscle

How would you approach a depressed client who does not want to participate in group activities or shower?

36. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of following findings should the nurse expect?

a. Hypothermia

b. Ataxia

c. Hyperactive reflexes

d. Pinpoint pupils

37. A nurse is planning care for a school-age child who was admitted from the emergency department 2 hrs ago. Which of the following interventions should the nurse include to promote adequate sleep for the child?

a. Follow the child’s home sleep routine to reduce anxiety

b. Allow the child to adjust their bedtime to promote autonomy

c. Leave the lights on in the child’s room to promote safety

d. Provide the child with video games prior to bedtime to reduce stress

38. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?

a. Capillary refill for 2 seconds

b. Increased urine output

c. Increased respiratory rate

d. Hypertension

43. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actionjs should the nurse take?

a. Place a snug-fitting diaper over the drainage bag

b. Stretch the perineum taut when applying the bag

c. Apply lidocaine gel to the perineum before attaching the bag

d. Position the opening of the bag over the urethra and the

53. A nurse in the emergency department is caring for a child who has a temperature of 39.1^oC (102.4^oF) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?

a. Prepare the child for a lumbar puncture

b. Administer an antipyretic to the child

c. Implement droplet precautions for the child

d. Dim the lights in the child’s room

From a hormonal standpoint,why is the first day menstrual blending counted as the first day of a new cycle rather than as the end of the previous cycle?

1. Identify and evaluate examples of conflicts of interest raised in Part II of the Henrietta Lacks book   

1. What has cinema, TV news coverage, commentaries, and other media sources implied about Islam in regards to religious superiority? What is Engineer’s challenge in his essay?

Patient History

History: PAD (2004); Arterial Ulcer (2020); Smoker since 1990

Complaints: Pain to left foot and difficulty walking

•Based on the history and complaints, which body system (s) is/are being compromised?*

3 Nursing Diagnoses

3 Nursing Interventions

3 Patient Intervention

Patient History

History: Car crash resulting in brain Injury (2020)

Complaints: Generalized weakness; loss of bowel and bladder control; difficulty swallowing

•Based on the history and complaints, which body system (s) is/are being compromised?*

3 Nursing Diagnonses

3 Nursing Intervention

3 Patient Education

Patient History

History: Crohn’s Disease (2001) Complaints: Abdominal pain, 6-8 watery stools daily, weight loss, anemia, and refusing to eat

•Based on the history and complaints, which body system (s) is/are being compromised?*

3 Nursing Diagnoses

3 Nursing Intervention

3 Patient Education

This assignment requires that you write a policy memo.

Topic Marijuana

Review the following criteria for the policy memo:

1. Compose a letter in the form of a policy memo to the editor that conveys your concerns and proposed solution to the broader community.
2. Identify either a civil liberties, civil rights, foreign, social/economic policy issue or controversy.
3. Analyze how different people in our society may be affected by a specific issue.
4. Identify the government officials or community organizations responsible for that policy issue.
5. Research the issue (JSTOR) and find a constitutional solution to the problem.
6. Provide a recommendation/memo that can be used to help implement your policy solution.
7. In all instances support your position with knowledge from what we have learned throughout the semester and support it with evidence.

Here are possible topics (you can choose another, but I need to approve of it first)

1. What do you think is more important: liberty or security? The September 11 attacks have given us the rise of the US surveillance state. The United States constantly monitors your private life on social media.
2. Explain the War Powers Act on presidential powers and does the War on Terrorism change the Constitutional Order?
3. Write a policy memo in which you either support or object to the Supreme Court decision in Citizens United v FEC and why?
4. The wealth and income gaps have grown since the 1970s. There is a widened disparity between the middle class and the trillionaire class. Where does income inequality stem from and what do you propose to address it?
5. Americans cast their vote every four years thinking that they vote directly for the next president of the United States. The reality is that their vote doesn't count, it's the Electoral College's vote that matters. Should you abolish or preserve the Electoral College?

Student Learning Outcomes:

7) Identify the rights and responsibilities of citizens.

8) Analyze issues & policies in U.S. politics