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A nurse is caring for an older client who was alert and
oriented at admission, but now seems increasingly
restless and intermittently confused. Which of the following
actions should the nurse take to address the client's safety
needs? - ANSWER-Move the client to a room closer to the
nurses' station
. A nurse is assessing a client who has chronic bronchitis.
Which of the following percussion sounds should the
nurse expect? - ANSWER-dullness
,. A nurse is preparing to administer an intramuscular
injection of meperidine to a client. Which of the following is
the priority assessment the nurse should complete? -
ANSWER-Respiratory rate
. A nurse is caring for a client who is well-hydrated and
who demonstrates no evidence of anemia. Which of the
following laboratory values gives the nurse an assessment
of the adequacy of the client's protein uptake and
synthesis? - ANSWER-Albumin
A nurse is preparing to perform hand hygiene. Which of
the following actions should the nurse take? - ANSWER-
Hold the hands higher then the elbows.
,A nurse is assessing a client's radial pulse and
determines that the pulse is irregular. Which of the
following cations should the nurse take? - ANSWER-
Access the apical pulse for a full minute
A nurse is teaching a client who is obese and has
obstructive sleep apnea how to decrease the number of
nightly apneic episodes. Which of the following client
statements indicates and understanding up the teaching? -
ANSWER-"If I could lose 50 pounds, I might stop having
so many apneic episodes."
62. A nurse is admitting a client who has a partial hearing
loss. Which of the following is the priority action by the
, nurse? - ANSWER-Determine if the client has hearing
aids.
63. A nurse is assessing a client who has hypoxia. Which
of the following findings should the nurse expect? -
ANSWER-tachycardia
64. A nurse is caring for a client who has an infection. The
nurse should use which of the following strategies to
prevent the transition of the client's infection? - ANSWER-
Perfoming hand hygiene before, during, and after contact
with the patient.
65. Unknown - ANSWER-