A client admitted to the hospital for depression is escorted to a private room. Prior
to leaving the room, what intervention is most important for the nurse to implement?
a. Explain the programs guidelines
b. Search all personal belongings
c. Initiate psychosocial assessment
d. Review the healthcare's provider's prescription
Give this one a try later!
, b. Search all personal belongings
An adult male who admits to abusing IV drugs obtains the results of HIV testing.
When informed that the results are positive, he states that he does not want his wife to
know. What action should the nurse take?
c) Tell the client he is required by law to inform his sexual partners of his HIV status
d) Counsel the client about the importance of notifying his sexual partner
e) Inform the wife of her health risk related to her husband's HIV results
f) Report the client's as a sexually transmitted case to the health department
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d) Counsel the client about the importance of notifying his sexual partner
Which behavior is most likely to result in a breach of client confidentiality?
a. Discussing a client's condition during a teaching conference for nursing staff caring
for the client
b. Two nurses planning a client's care while having lunch in the hospital
cafeteria
c. Nursing students on the same team discussing their assigned client's
conditions
d. A registered nurse privately sharing personal feelings about a client with
another nurse on the team.
Give this one a try later!
b. Two nurses planning a client's care while having lunch in the hospital
cafeteria
,One hour after delivery the nurse is unable to palpate the uterine fundus of a client
and notes a large amount of lochia on the perineal pad. Which intervention should
the
nurse implement first?
a. Empty the bladder using an indwelling urinary catheter
b. Increase the rate off the IV containing oxytocin (Pitocin)
c. Assess for shock by determining the blood pressure
d. Perform gentle massage at the level of the umbilicus
Give this one a try later!
d. Perform gentle massage at the level of the umbilicus
which assessment finding should indicate to the nurse that client with arterial
hypertension is expericing a cardiac complication?
a. complaints of occipaital headache
b. palpable dorsal is pedis pulse bilaterally
c. complaints of SOB on exertion
d. bp of 160/90
Give this one a try later!
c. complaints of SOB on exertion
at a community health fair, 50 yo female tells the nurse that she has an annual physical
exam that includes a breast exam and an annual mammogram. how should the nurse
respond?
a. encourage the woman to explore her fears about breast cancer
b. ask the woman if she performs monthly breast self exams
c. recommend the women for adhering to the recommend cancer detection
, guidelines
d. advise the woman that mammogram are only needed every two yrs of age
Give this one a try later!
b. ask the woman if she performs monthly breast self exams
A female client presents to the emergency department in the early evening
complaining of abdominal cramping, watery diarrhea, and vomiting. She tells the
nurse
that she was at a picnic and ate barbeque that afternoon. What question is most
important for the triage nurse to ask this client?
a. "Have you recently traveled outside the United States"?
b. "How high was your temperature when you returned home?"
c. "have you taken any medication to treat this problem?
d. " Is anyone else sick who was also at the picnic?"
Give this one a try later!
d. " Is anyone else sick who was also at the picnic?"
When obtaining a urine specimen from a female infant, which intervention
should the nurse implement?
a. Place the wet diaper in a biohazard specimen bag
b. Obtain the urine sample using a straight sixe 4 French catheter
c. Collect the urinary stream in mid-air when the infant cries
d. Secure the pediatric urine collector bag to the perineum
Give this one a try later!
to leaving the room, what intervention is most important for the nurse to implement?
a. Explain the programs guidelines
b. Search all personal belongings
c. Initiate psychosocial assessment
d. Review the healthcare's provider's prescription
Give this one a try later!
, b. Search all personal belongings
An adult male who admits to abusing IV drugs obtains the results of HIV testing.
When informed that the results are positive, he states that he does not want his wife to
know. What action should the nurse take?
c) Tell the client he is required by law to inform his sexual partners of his HIV status
d) Counsel the client about the importance of notifying his sexual partner
e) Inform the wife of her health risk related to her husband's HIV results
f) Report the client's as a sexually transmitted case to the health department
Give this one a try later!
d) Counsel the client about the importance of notifying his sexual partner
Which behavior is most likely to result in a breach of client confidentiality?
a. Discussing a client's condition during a teaching conference for nursing staff caring
for the client
b. Two nurses planning a client's care while having lunch in the hospital
cafeteria
c. Nursing students on the same team discussing their assigned client's
conditions
d. A registered nurse privately sharing personal feelings about a client with
another nurse on the team.
Give this one a try later!
b. Two nurses planning a client's care while having lunch in the hospital
cafeteria
,One hour after delivery the nurse is unable to palpate the uterine fundus of a client
and notes a large amount of lochia on the perineal pad. Which intervention should
the
nurse implement first?
a. Empty the bladder using an indwelling urinary catheter
b. Increase the rate off the IV containing oxytocin (Pitocin)
c. Assess for shock by determining the blood pressure
d. Perform gentle massage at the level of the umbilicus
Give this one a try later!
d. Perform gentle massage at the level of the umbilicus
which assessment finding should indicate to the nurse that client with arterial
hypertension is expericing a cardiac complication?
a. complaints of occipaital headache
b. palpable dorsal is pedis pulse bilaterally
c. complaints of SOB on exertion
d. bp of 160/90
Give this one a try later!
c. complaints of SOB on exertion
at a community health fair, 50 yo female tells the nurse that she has an annual physical
exam that includes a breast exam and an annual mammogram. how should the nurse
respond?
a. encourage the woman to explore her fears about breast cancer
b. ask the woman if she performs monthly breast self exams
c. recommend the women for adhering to the recommend cancer detection
, guidelines
d. advise the woman that mammogram are only needed every two yrs of age
Give this one a try later!
b. ask the woman if she performs monthly breast self exams
A female client presents to the emergency department in the early evening
complaining of abdominal cramping, watery diarrhea, and vomiting. She tells the
nurse
that she was at a picnic and ate barbeque that afternoon. What question is most
important for the triage nurse to ask this client?
a. "Have you recently traveled outside the United States"?
b. "How high was your temperature when you returned home?"
c. "have you taken any medication to treat this problem?
d. " Is anyone else sick who was also at the picnic?"
Give this one a try later!
d. " Is anyone else sick who was also at the picnic?"
When obtaining a urine specimen from a female infant, which intervention
should the nurse implement?
a. Place the wet diaper in a biohazard specimen bag
b. Obtain the urine sample using a straight sixe 4 French catheter
c. Collect the urinary stream in mid-air when the infant cries
d. Secure the pediatric urine collector bag to the perineum
Give this one a try later!
