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A nurse is reinforcing teaching with an adolescent who Depression
has a new prescription for cefazolin.
For which of the following findings should the nurse
instruct the adolescent to monitor and report to the
provider?
A nurse is caring for a school-age child who has epistaxis. Apply pressure at the bridge of the child's nose
Which of them following actions should the nurse take?
A nurse is reinforcing teaching with a group of expectant I can place a rolled towel on each side of my newborns head until he can hold his
parents regarding the proper use of a car seat. Which of head up
the following statements by a parent indicates an
understanding of the teaching?
A nurse working in an inpatient mental health facility is Maintain continuity of staff members.
assisting with the plan of care for a client who has
anorexia nervosa. Which of the following should the
nurse recommend to include in the plan of care?
A nurse is assisting with an admission interview for a client hallucination
who has schizophrenia. He tells the nurse that he is
receiving special audible messages from the Central
Intelligence Agency that no one else is able to hear. The
nurse should identify that the client is having which of the
following alterations in perception?
A nurse is reinforcing teaching with a postpartum client "Wash your newborn's head under a stream of running water."
about bathing her newborn. Which of the following
statements should the nurse include?
A nurse is caring for a client who has heart failure and Replace bottled salad dressing with homemade vinegar and oil dressing.
reports difficulty limiting sodium in his diet. Which of the
following recommendations should the nurse provide?
, A nurse is reinforcing teaching with a client who is Refrain from using deodorant on the morning of the test
scheduled for a mammogram. Which of the following
instructions should the nurse include in the teaching?
A nurse is preparing a clients insulin regimen. Which of Insulin aspart, regular insulin, insulin lispro
the following insulin's can be mixed?
A nurse is reinforcing discharge teaching with a client I will take a stool softener to prevent constipation
who is postoperative following laser surgery for open-
angle glaucoma. Which of the following statements by
the client indicates an understanding of the instructions?
A nurse is collecting data from a child who has acute Periorbital edema
Glomerulonephritis. Which of the following findings
should the nurse expect?
A nurse is preparing to administer a liquid medication to a Administer using a needless syringe in the buccal cavity
6-month-old infant who is crying.
Which of the following actions should the nurse take to
reduce the risk of aspiration?
A nurse is reinforcing teaching with a client who plans to I will feed my baby six to eight times a day
bottle feed her newborn. Which of the following
statements indicates an understanding of the
instructions?
A nurse is administering a cleansing enema to a client Slow the rate of instillation
who reports mild cramping during instillation of the
solution. Which of the following actions should the nurse
take?
A nurse receives report on four clients. The nurse should A decreased level of consciousness and vomiting
first collect data about the client who has which of the
following?
A nurse is setting up a sterile field prior to performing a Open the outermost flap of the wrapper toward the body
dressing change. Which of the following actions should
the nurse take?
A nurse in long-term care facility has received change- A client who has COPD and dementia and was agitated during the night shift
of-shift report about four clients.
Which of the following clients should the nurse attend to
first?
A nurse is collecting data from a client who has pinpoint pupils
substance use disorder and reports recently taking
opioids. Which of the following findings should the nurse
identify as a manifestation of opioid intoxication?