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A staff nurse is teaching a newly hired nurse about alternatives to the
use of restraints on clients who are confused. Which of the following
instructions should the staff nurse include?
,a. Remove clocks from the client's room
b. Use full length side rails on the client's bed
c. Check on the client frequently while he is in the restroom
d. Encourage physical activity throughout the day to expend energy
c. Check on the client frequently while he is in the restroom
A nurse on a medical surgical unit is receiving a change-of-shift report
for four clients. Which of the following clients should the nurse see
first?
a.) A client who has new onset of dyspnea 24 hr after a total hip
arthroplasty0 can mean dvt
b.) A client who has acute abdominal pain of 4 on a scale from 0 to 10
c.) A client who has a UTI and low-grade fever
d.) A client who has pneumonia and an oxygen saturation of 96%
a.) A client who has new onset of dyspnea 24 hr after a total hip
arthroplasty0 can mean dvt
always look for new onset of anything, other findings are normal also
,A nurse is admitting a client who has tuberculosis. Which of the
following types of transmission precautions should the nurse plan to
initiate?
a. Contact
b. Droplets
c. Airborne
d. Protective environment
c. Airborne
A nurse is caring for a client who is nauseated and unable to eat after
taking her antibiotic. Identify the steps the nurse should take to address
the nausea.
a.) Identify possible nursing interventions that address the client's
nausea
b.) Review the potential benefits and consequences of each
intervention
c.) Select an intervention that provides the greatest benefit and least
risk
d.) Determine the probability of intervention-related complications
(3) a.) Identify possible nursing interventions that address the client's
nausea
, (1) b.) Review the potential benefits and consequences of each
intervention
(2) c.) Select an intervention that provides the greatest benefit and
least risk
(4) d.) Determine the probability of intervention-related
complications
A nurse is caring for an adolescent client who has full-thickness burns
on his leg. The client expresses concern about his future. Which of the
following is therapeutic response by the nurse?
a.) "You're concerned about what will happen when you leave the
hospital?"
b.) "If you work hard on your physical therapy, you won't need to
worry"
c.) "You shouldn't worry about the future so you can concentrate on
getting well"
d.) "Why are you concerned even though everyone is here to help
you?"