A nurse is a caring for a client who has borderline person-
ality disorder. Which of the following is a manifestation of Unstable interpersonal relationships
the disorder?
A nurse in a long-term care facility is assisting with an
educational program regarding common sites of health
Blood stream, Urinary tract , Surgical wound, Respiratory
care associated infections for a group of newly hired as-
tract
sistive personnel. Which of the following sites should be
included in the teaching? (Select all that apply.)
A nurse is assessing a client who is postoperative following
a gastric bypass. Which of the following findings indicates Oliguria
the client could be experiencing an anastomotic leak?
A nurse is working with administration to enhance the
quality of care provided to clients during the prenatal
Advocate
period. In which of the following roles is the nurse func-
tioning?
A nurse is reviewing the laboratory results of four clients.
A client who is prescribed digoxin (Lanoxin) and
Which of the following should be immediately reported to
furosemide (Lasix) with a potassium of 3.1 mEq/L
the provider?
A nurse is caring for a client who is from a culture ditterent
than his own. Which of the following actions by the nurse
Identify one's own beliefs and values.
is most important in the provision of culturally competent
care?
A nurse is reinforcing teaching regarding foods contain-
ing complete protein to a client. Which of the following Soybeans
should be included in the teaching?
A nurse is caring for a client who is prescribed lithium
(Eskalith). Which of the following clinical findings should Slurred speech
be immediately reported to the provider?
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