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A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which of th
e following actions by the AP demonstrate an understanding of the teaching? - correct answer-
The AP keeps the object he is lifting close to his body
. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which o
f the following actions should the nurse take? - correct answer-Assess the red area for blanching
. a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of the fo
llowing veins should the nurse select when initiating an IV therapy? - correct answer-
The cephalic vein in the left distal forearm
a nurse is preparing to administer a medication into a client by the intradermal route after applying glo
ves and cleaning the site with an antiseptic swab. In what order should the nurse take the steps to admi
nister the medication? (move steps into box 1- 4 priority) - correct answer-
. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the f
ollowing recommendations should the nurse include? - correct answer-Reduce intake of red meats
a nurse is planning care to prevent skin breakdown for a client who is immobile and is urinary inconti
nent. Which of the following actions should the nurse include in the plan of care? - correct answer-
Request a prescription for an indwelling urinary catheter
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the followi
ng actions should the nurse plan to take? - correct answer-Place adhesive tape directly on the penis
a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the follow
ing information should the include in the teaching? (select all that apply) - correct answer--
Apply pressure just below artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
, 9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify wh
ich of the following examples as a violation of HIPPA? - correct answer-
Discussing the clients transfer to a long-term care facility with a nurse from another unit
10. a nurse is caring for a client who is 2 days postoperative following bowel resection and reports sud
den severe abdominal pain. Which of the following actions should the nurse take first? -
correct answer-Expose the clients abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the followi
ng interventions is the nurses priority? - correct answer-
For the client explain the techniques of esophageal speech
12. a home care
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client isx teaching
x anxxaunderstanding
x clientx aboutxxhome x safety.
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x (select allxxfollowing x statements
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-Ix needx tox checkx myx medicationsx forx expirationx dates
-Ix needx tox havex ax firex escapex planx withx myx family
13.x ax nursex isx assessingx ax client'sx cranialx nervex VII.x Whichx ofx thex followingx responsesx shouldx thex nur
se
expect? x -x correctx answer-Thex clientx hasx ax symmetricalx smile
14.x ax nursex inx anx emergencyx departmentx isx assessingx ax clientx whox reportsx ax rightx lowerx quadrantx pain,
x n x andx vomitingx forx thex pastx 48x hours?x Whichx ofx thex followingx actionsx shouldx thex nursex takex first
ausea
?x -
correctx answer-Auscultatex bowelx sounds
15.x ax nursex isx caringx forx ax clientx whox recentlyx receivedx ax diagnosisx ofx terminalx cancer.x Whichx ofx thex
fol x statementsx byx thex clientsx partnerx indicatesx maladaptivex coping?x -
lowing
x correctx answer-
Ix amx goingx tox askx myx daughterx tox comex andx stayx forx ax week
16.x ax nursex isx planningx carex forx ax clientx whox hasx ax stagex 1x pressurex ulcerx onx thex rightx heel.x Thex nur
sex s x anticipatex applicationx ofx whichx ofx thex followingx dressings?x -x correctx answer-
hould
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17.x ax nursex isx caringx forx ax clientx whox hasx brainx cancerx andx isx transferringx tox hospicex care.x Thex client'
onsxxstellsx thex nursex "Ix don'tx knowx whatx tox tellx myx dadx ifx hex asksx howx hex isx goingx tox die".x Whichx ofx t
hex f