Instruct the family to refrain from pushing the button for the client while the client is
A nurse is caring for a client who is receiving asleep.
pain medication through a PCA pump.
Which of the following actions should the
nurse take?
Tell the client to keep the head of the bed elevated at least 30 degrees
A nurse is caring for a client who has a NG
tube and is receiving intermittent feeding
through the open system. Which of the
following actions should the nurse take first?
"People in middle adulthood often find satisfaction in nurturing and guiding young
A middle adult client tells the nurse, "I feel so people."
useless now that my children do not need
me anymore." Which of the following
responses should the nurse make?
"You should receive a pneumococcal vaccine when you are when you are 65 years
old"
A nurse is planning an educational program
for a group of older adults at a senior living
center. Which of the following
recommendations should the nurse include?
Stand close to the cabinet when lifting it
A nurse is lifting a bedside cabinet to move it
closer to a client who is sitting in a chair. To
prevent self-injury, which of the following
actions should the nurse take when lifting
this object?
"Would you like it if we discussed the transfer with your family memeber"
A nurse is caring for a client who is
scheduled to be transferred to a long-term
care facility. The client's family questions the
nurse about the reasons for the transfer.
Which of the following responses made by
the nurse is appropriate.
Subtract the amount of irrigant used from the client's urine output.
A nurse is using an open irrigation technique
to irrigate a client's indwelling urinary
catheter. Which of the following actions
should the nurse take?
Assist the client to an upright position
A nurse is caring for a client who is having
difficulty breathing. The client is supine and
is receiving supplemental oxygen via a nasal
cannula. Which of the following interventions
should the nurse take first?
Ensure the bladder of the blood pressure cuff surrounds 80% of the clients arm.
A nurse is assessing four adult clients.
Which of the following physical assessment
techniques should the nurse use?
Arrange food in consistent pattern on the client's plate.
A nurse is planning care for a client who has
vision loss. Which of the following
interventions should the nurse include in the
plan of care to assist the client with feeding?
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Role overload
A nurse is talking with the partner of a client
who has dementia. The client's partner
expresses frustration about finding time to
manage household responsibilities while
caring for their partner. The nurse should
identify that the partner is experiencing
which of the following types of role-
performance stress.
Compare the client's home medications with the provider's prescriptions.
A nurse is admitting a new client. Which of
the following should the nurse take while
performing medication reconciliation?
"It might help me to listen to music while I'm lying in bed"
A client who is postoperative is verbalizing
pain as a 2 pain scale of 0-10. Which of the
following statements should the nurse
identify as an indication that the client
understands the preoperative teaching they
received about pain management.
Droplet
A nurse is admitting a client who has
rubella.Which of the following types of
transmission-based precautions should the
nurse initiate.
"Use the complete name of the medication magnesium sulfate"
A nurse manager is preparing to review
medication documentation with a group of
newly licensed nurses. Which of the
following statements should the manager
plan to include in the teaching.
During the admission process
A nurse is admitting a client who is having
an exacerbation of HF. In planning this
client's care, when should the nurse initiate
discharge planning?
Administer pain medicine 45 min before changing the client's dressing.
A nurse is caring for a client who is
postoperative. When the nurse prepares to
change the client's dressing, they say, "
Every time you change my bandage, it hurts
so much." Which of the following
interventions is the nurse's priority action?
-Delegate the application of sequential compression devices to assistive personnel
A nurse is checking a patient in a med-surg -Assist the client to dangle their legs at the bedside prior to standing
unit. After reviewing the assessment -Administer analgesic prior to planned activities
findings, which of the following actions
should the nurse plan to take?
The nurse should first address the client's physical safety followed by the clients
A nurse is caring for a client who has a new positioning.
diagnosis of seizure disorder. Complete the
following sentence by using the list of
options.
The nurse should first review medications that might cause confusion followed by using
A nurse is an emergency departments is other methods to keep the client safe.
caring for a client. Complete the following
sentence by using the link of options.
-Place the client on droplet isolation precautions
A nurse is admitting a client. The nurse is -apply oxygen at 2L/min via nasal cannula
reviewing the client's medical record. Which -Request a prescription for an antipyretic medication
of the following actions should the nurse -Remain 1m (3 feet) from the client
take? Select all.
-Eat probiotic, such as yogurt
A nurse in a provider's clinic is caring fro a -Avoid alcohol while experiencing diarrhea
client who has diarrhea. The nurse is -Avoid caffeine while experiencing diarrhea
providing teaching for the client who has -Follow a low-fiber diet
diarrhea. Select 4 instructions that the nurse
should include in teaching.
- "I am limiting my sodium intake to 2 grams daily"
A nurse in a provider's clinic is caring for a -"I am eating fewer potato chips and more fruit for snacks"
client who has HF. A nurse is evaluating -"I know to call my doctor if I gain 3 pounds or more in 2 days"
teaching for a client who has HF. Which of
the following 3 statements by the client
indicates an understanding of the teaching.
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