A client has a platelet count of 9800. What action by the nurse is
most appropriate? Correct Answers instruct the client to call for
help to get out of bed
A client has a serum potassium level of 6.5 mmol/L, a serum
creatinine level of 2 mg/dL, and a urine output of 350 mL/day.
What is the best next action by the nurse? Correct Answers
place the client on a cardiac monitor
A client is assessed by the nurse after a hemodialysis session.
The nurse notes bleeding from the client's nose and around the
intravenous catheter. What action by the nurse is the priority?
Correct Answers Prepare protamine sulfate for administration
A client is in the family practice clinic. Today the client weighs
186.4 pounds (84.7 kg). Six months ago the client weighed
211.8 pounds (96.2 kg). What action by the nurse is best?
Correct Answers ask the client if the weight loss was intentional
A client is placed on fluid restrictions because of chronic kidney
disease (CKD). Which assessment finding would alert the nurse
that the client's fluid balance is stable at this time? Correct
Answers no adventitious lung sounds
A client is receiving chemotherapy through a peripheral IV line.
What action by the nurse is most important? Correct Answers
assessing the IV site every hour
, A client is taking furosemide (Lasix) 40 mg/day for
management of chronic kidney disease (CKD). To detect the
positive effect of the medication, what action of the nurse is
best? Correct Answers obtain daily weights
A hospital is concerned with nurse retention and realizes that job
satisfaction is a major influence. To best enhance employee
satisfaction related to staffing, what intervention should the
management team implement? Correct Answers Adopt the
concept of participatory staff involvement
A nurse cares for a client who has a pleural chest tube. Which
action should the nurse take to ensure safe use of this
equipment? Correct Answers Keep padded clamps at the
bedside for use if the drainage system is interrupted
A nurse cares for a client who has developed esophagitis after
undergoing radiation therapy for lung cancer. Which diet
selection should the nurse provide for this client? Correct
Answers omelet, soft whole wheat bread
A nurse cares for an older adult client who has Salmonella food
poisoning. The client's vital signs are heart rate: 102 beats/min,
blood pressure: 98/55 mm Hg, respiratory rate: 22 breaths/min,
and oxygen saturation: 95%. Which action should the nurse
complete first? Correct Answers administer IV fluids
A nurse collaborates with an unlicensed assistive personnel
(UAP) to provide care for a client who is prescribed a 24-hour
urine specimen collection. Which statement should the nurse
include when delegating this activity to the UAP? Correct