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A nurse is caring for a client who has cervical cancer and a sealed radiation
implant. Which of the following actions should the nurse take?
a. place long-hauled forceps at the client's bedside
b. attach a dosimeter badge to the client's gown
c. leave unused equipment in the client's room until discharge
d. move the client's soiled linens to a designated container outside the room ------
---CORRECT ANSWER-----------------a. place long-hauled forceps at the client's
bedside
A nurse is teaching a client who has Grave's disease about recognizing the
manifestations of the thyroid storm. Which of the following findings should the
nurse include in the teaching?
a. increased temperature
b. decreased HR
c. hypotension
d. lethargy ---------CORRECT ANSWER-----------------a. increased temperature
A nurse is caring for a client who is postoperative following a complete
thyroidectomy. Which of the following findings is the priority for the nurse to
report to the provider?
,a. serosanguineous drainage
b. muscle twitching
c. client report of nausea
d. client reports incisional pain ---------CORRECT ANSWER-----------------b. muscle
twitching
A nurse is reveiwing ECG rhythm strips for a group of clients. The nurse should
identify that which of the following rhythms indicates bradycardia? ---------
CORRECT ANSWER-----------------pick the brady strip
A nurse is caring for a client who is receiving epidural analgesics. Which of the
following assessment findings is the nurse's priority?
a. bladder distention
b. hypoactive bowel sounds
c. hypotension
d. weakness to lower extremities ---------CORRECT ANSWER-----------------c.
hypotension
A nurse is planning care for a client who has status epilepticus. Which of the
following interventions is the nurse's priority to include?
a. turn the client to the lateral position during seizure activity
b. provide the client oxygen at 6 L/min using a nasal cannula
c. administer phenytoin IV bolus to the client
,d. administer diazepam intravenously to the client ---------CORRECT ANSWER-------
----------a. turn the client to the lateral position during seizure activity
A nurse is caring for a client following a below-the-knee amputation. The client
states "my life is over." Which of the following responses should the nurse make?
a. you are upset. we can talk about this later.
b. would you like to meet with another client who is an amputee?
c. why do you think your life is over?
d. most people can adjust followin surgery ---------CORRECT ANSWER-----------------
b. would you like to meet with another client who is an amputee?
A nurse in a clinic is providing preventative teaching to an older adult client during
a well visit. The nurse should instruct the client that which of the following
immunizations are recommended for healthy adults after the age of 60? Select all
that apply?
a. herpes zoster
b. influenza
c. meningococcal
d. human papillomavirus
e. pneumococcal polysaccharide ---------CORRECT ANSWER-----------------a. herpes
zoster
b. influenza
e. pneumococcal polysaccharide
, A nurse is planning care for a client who has dementia. Which of the following
interventions should the nurse plan to include?
a. turn off all the lights in the client's room at night
b. place the client's bed at the lowest height
c. request a prescription for a nightly sedative
d. assist the client with toileting at least once every 4 hour ---------CORRECT
ANSWER-----------------b. place the client's bed at the lowest height
A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates that the client is experiencing
hypoglycemia?
a. abdominal cramping
b. increased perspiration
c. dehydration
d. fruity odor to breath ---------CORRECT ANSWER-----------------b. increased
perspiration
A nurse in the PACU is assessing a client who is postoperative following general
anesthesia. Which of the following findings is the priority to address?
a. vomiting upon arousal
b. decreased body temperature
c. indistinct, rambling speech