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A nurse from a medical surgical unit is floating to a postpartum unit which of the
following clients is an appropriate assignment for the nurse to accept? - Answer- A
client who had a cesarean delivery 24 hours ago
A nurse is sustained with planning care for a group of clients which of the following task.
Should the nurse delegate to an assistant personnel? - Answer- Administering a large
volume edema to a client
A nurse is caring for a client and suspects they are experiencing transference which of
the following client statement should the nurse identify as an indication of preference? -
Answer- I feel really close to you because you reminded me of my sibling
A nurse on a mental health unit is discussing clients rights with a group of coworkers
which of the following statement should the nursing include? - Answer- A client must
withdraw consent for treatment in writing if he is competent to do so
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal
tube which of the following actions should the nurse take? - Answer- Perform oral care
every 2 hr.
A nurse is preparing to administer purified protein derivative to a client. The nurse
should use which of the following routes? - Answer- Intradermal
A nurse is collecting data from a client who has substance used disorder and reports
recently taking opioids which of the following findings should the nurse identify as a
manifestation of opioid intoxication? - Answer- Pinpoint pupils
A nurse is discussing complementary therapy with a group of clients. The nurse should
identify that massage therapy is indicated for the treatment of which of the following
mental health disorders. - Answer- Depression
, A nurse is assisting with planning of care for a newly admitted client who has anorexia
Rosa, which of the following interventions should the nurse recommend to include in the
plan of care - Answer- Monitor the client for 15 minutes after meals
A nurse is caring for a client who is in mechanical restraints after becoming violent with
a staff member which of the following actions should the nurse take? - Answer-
Document in the client's medical record every 15 mins
A nurse is reinforcing teaching about the purpose of quadruple screening for a client
who is at 16 weeks of gestation which of the following statements should the nurse
make? - Answer- this test identifies indicators for birth defects
A nurse is collecting data from a client who has preeclampsia and is receiving
magnesium sulfate via continuous IV infusion. Which of the following findings. Should
the nurse report to the provider? - Answer- Urine output 20 mL/hr
A nurse is collecting data from a three month old infant who is six hours postoperative
following a cliff pallet repair which of the following pain rating tool should the nurse use?
- Answer- FLACC scale
A nurse is assisting in the preparation of an in-service from a group of unit nurses about
ethical principles which of the following nurses action should the nurse include as an
example of fidelity? - Answer- A nurse keeps a promise made to the client
A nurse in the clinic is reinforcing teaching with a client who has a new prescription for a
combination contraceptive transdermal patch which of the following should the nurse
include in the teaching? - Answer- I'll apply the patch at the lower abdomen
A nurse is caring for a child who has a terminal cancer. Which of the following
responses by the child's siblings should the nurse expect? - Answer- The school age
sister is concern about the impact of her siblings death on herself
A nurse is verifying the advance directive status for a client who has prescription written
for a full code. The client states, I do not want to be resuscitated. Which of the following
action should the nurse take? - Answer- ask the provider to consult with the clients
And there is this collecting data who is experiencing alcohol withdrawal. For which of
the following findings should the nurse administer a PRN dose of chlordiazepoxide? -
Answer- Tremors
I'm nursing assisting with teaching a prenatal class. Which is the following clients should
the nurse identify as having a potential prenatal complications? - Answer- A client to
follows a vegetarian diet