Ambulatory Care Nursing Flashcards
7 cards from real Ambulatory Care Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Ambulatory Care Nursing flashcards as text
An ambulatory care nurse is preparing a patient for discharge after an outpatient procedure. The patient's adult child, who will drive the patient home, has not yet arrived. The patient reports feeling well. What is the correct action?
Answer: Keep the patient in the recovery area until a responsible adult escort arrives
Patients who received sedation or anesthesia must be discharged into the care of a responsible adult; feeling well does not override this safety requirement.
Which pain scale is MOST appropriate for assessing pain in a non-verbal older adult patient in the ambulatory care setting?
Answer: PAINAD (Pain Assessment in Advanced Dementia) scale
The PAINAD scale uses behavioral indicators such as breathing, vocalization, and body language to assess pain in patients who cannot self-report.
A nurse working in an ambulatory infusion center is administering rituximab to a patient with rheumatoid arthritis. After 15 minutes, the patient develops flushing, chills, and hypotension. What is the priority intervention?
Answer: Stop the infusion immediately, maintain IV access, and notify the provider
These signs indicate an infusion reaction or anaphylaxis; stopping the infusion immediately while maintaining IV access allows for emergency medication delivery.
An ambulatory care nurse receives a call from a patient who reports taking twice the prescribed dose of warfarin by mistake. The patient's last INR was 3.2. What is the nurse's best action?
Answer: Instruct the patient to come in immediately for an INR check and assessment
A supratherapeutic INR combined with an accidental double dose creates significant bleeding risk; urgent assessment and INR rechecking are required.
Which element is included in the Ambulatory Care Nursing Conceptual Framework developed by AAACN?
Answer: The interdependent functions of clinical nursing, care coordination, and telehealth
The AAACN Conceptual Framework identifies clinical nursing, care coordination and advocacy, and telehealth/technology as the three core interdependent nursing practice dimensions.
A clinic nurse is assessing health literacy in a new patient. Which approach is most effective and least stigmatizing?
Answer: Use the 'Newest Vital Sign' or ask 'How confident are you filling out medical forms?' screening questions
Validated screening tools like the Newest Vital Sign or a single confidence question identify low health literacy without embarrassing the patient.
A patient with hypertension has a blood pressure of 178/106 mmHg at a routine follow-up visit in the ambulatory clinic. The patient denies symptoms. What is the nurse's priority action?
Answer: Recheck the blood pressure in the opposite arm after the patient has rested 5 minutes, then notify the provider
Confirming the reading with a repeat measurement after rest, then notifying the provider, is the evidence-based ambulatory response to an unexpectedly elevated BP before further action is taken.