The nurse cares for the client diagnosed as being in the manic phase
of bipolar disorder. Which behavior indicates to the nurse the client
condition is improving?
a. The client offers suggestions to other clients on the unit
b. The client begins to write a book about life
c. The client sits and eats with other clients on unit
d. The client talks with other clients a group meeting
C
,The health care provider orders a continuous intravenous
aminophylline infusion for a two year old client. It is most important for
the nurse to intervene for which situation?
a. The client heart rate is 100 bpm
b. The clients blood pressure is 100/60 mmHg
c. The clients serum theophylline level is 25 mcg/mL
d. The client is sleepy
C
Therapuetic range is 10-20
,The nurse teaches the client about the schedule cardiac
catheterization. Which statement, if made by the client to the nurse,
indicates that the teaching was effective?
a. "I understand that there is little or no risk associated with this
procedure."
b. "I may experience a little pounding sensation in my chest during the
procedure."
c. "I will be in and out of the procedure room in about 30 minutes."
d. "I will be able to walk in the hall soon after the procedure is
completed."
B
, During the second stage of labor, the client's partner asks the nurse,
"Can I go get a cup of coffee from the cafeteria?" Which response by
the nurse is best?
a. "I will get you a cup of coffee."
b. "It would be best if you stayed here at this time."
c. "Ask your partner if it is acceptable to leave."
d. "Why do you want to leave the room?"
B
of bipolar disorder. Which behavior indicates to the nurse the client
condition is improving?
a. The client offers suggestions to other clients on the unit
b. The client begins to write a book about life
c. The client sits and eats with other clients on unit
d. The client talks with other clients a group meeting
C
,The health care provider orders a continuous intravenous
aminophylline infusion for a two year old client. It is most important for
the nurse to intervene for which situation?
a. The client heart rate is 100 bpm
b. The clients blood pressure is 100/60 mmHg
c. The clients serum theophylline level is 25 mcg/mL
d. The client is sleepy
C
Therapuetic range is 10-20
,The nurse teaches the client about the schedule cardiac
catheterization. Which statement, if made by the client to the nurse,
indicates that the teaching was effective?
a. "I understand that there is little or no risk associated with this
procedure."
b. "I may experience a little pounding sensation in my chest during the
procedure."
c. "I will be in and out of the procedure room in about 30 minutes."
d. "I will be able to walk in the hall soon after the procedure is
completed."
B
, During the second stage of labor, the client's partner asks the nurse,
"Can I go get a cup of coffee from the cafeteria?" Which response by
the nurse is best?
a. "I will get you a cup of coffee."
b. "It would be best if you stayed here at this time."
c. "Ask your partner if it is acceptable to leave."
d. "Why do you want to leave the room?"
B
