Term
A nurse observes a student nurse taking a copy of a client's
medication administration record. When questioned, the student
states, "Another student is scheduled to administer medications for
this client tomorrow, so I am going to make a copy to help my
friend prepare for tomorrow's clinical." What response should the
nurse provide first?
Ask the nursing supervisor to meet with the students.
Notify the student's clinical instructor of the situation.
Ask the student if permission was obtained from the client.
Explain that the records are hospital property and may not be
removed.
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B D
, A,B,D,F C
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2 of 91
Term
What client statement indicates to the nurse that the client
requires assistance with bathing?
"I wasn't able to pack a bag before I left for the hospital."
"I don't understand why I'm so weak and tired."
"I only bathe every other day."
"I left my eyeglasses at home."
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A D
C B
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3 of 91
Term
As the nurse prepares the equipment to be used to start an IV on a
4-year-old boy in the treatment room, he cries continuously. What
intervention should the nurse implement?
Take the child back to his room.
,Recruit others to restrain the child.
Ask the mother to be present to soothe the child.
Show the child how to manipulate the equipment.
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D B
C A
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4 of 91
Term
A male client with venous incompetence stands up and his blood
pressure subsequently drops. Which finding should the nurse
identify as a compensatory response?
Bradycardia.
Increase in pulse rate.
Peripheral vasodilation.
Increase in cardiac output.
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C B
, A D
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5 of 91
Term
While preparing to insert a rectal suppository in a male adult
client, the nurse observes that the client is holding his breath while
bearing down. What action should the nurse implement?
Advise the client to continue to bear down without holding his
breath.
Gently insert the lubricated suppository four inches into the rectum.
Perform a digital exam to determine if a fecal impaction is present.
Instruct the client to take slow deep breaths and stop bearing down.
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B C
A D
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6 of 91
Term
The nurse is discussing dietary preferences with a client who
adheres to a vegan diet. Which dietary supplement should the