Form A
Terms in this set (196)
A client who has a diagnosis of complete Prepare the client for a cesarean section
placenta previa is admitted to the labor and
delivery suite
at 36 weeks gestation with contractions 5
min in frequency and 1 min in duration.
Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
,A nurse enters a client's room and finds the Client found lying on the floor near the bedside table
client lying on the floor in a puddle of
water. Which of
the following statements should the nurse
document in an incident report?
A. Client fell out of bed because an
assistive personnel left the rails of the bed
down
B. Client's roommate thinks the client is
confused and fell when getting out of bed
C. Client appears to have slipped in water
but reports no injuries
D. Client found lying on the floor near the
bedside table
,A charge nurse on a pediatric unit is making A 10-year-old client who has pneumonia and is receiving
assignments for a float nurse from the respiratory treatments
medical unit.
Which of the following clients is
appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia
and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms
tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled
for a surgical repair of a ventricular septal
defect tomorrow
D. A 14-year-old client who is scheduled for
discharge today following placement of a
Herrington rod
, A nurse is preparing to administer Ototoxicity
vancomycin to a client who has an infected
wound. The nurse
should plan to monitor for which of the
following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension
A nurse is assessing an infant who has water Generalized edema
intoxication. Which of the following findings
should the
nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit