Term
A nurse is caring for a client who is receiving continuous enteral
feedings. Which of the following nursing interventions is the highest
priority when the nurse suspects aspiration of the feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy
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B.
Tucking when swallowing allows
B. Stop the feeding
food to pass down esophagus more
easily.
B. B.
routine health screenings are A high-fiber diet promotes normal
, important at any age bowel elimination
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2 of 99
Term
A nurse has noticed several occasions in the past week when
another nurse on the unit seemed drowsy & unable to focus on the
issue at hand. Today, she found the nurse asleep in a chair in the
break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same
behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
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A, D
A, C, E
The nurse should prevent shivering & encourage the client to increase fluids.
Why E-Oral hygiene helps prevent cracking of dry mucous membranes of the
mouth & lips.
, C.
Any nurse who notices behavior that could possibly jeopardize client care
or indicate a substance abuse problem has a duty to report the situation
immediately to the nurse manager
B
Perform a pain assessment would be the appropriate action to take next
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3 of 99
Term
A nurse is preparing to administer methylprednisolone acetate
(Depo-Medrol) 10 mg by IV bolus. The amount available is 40
mg/mL. How many mL should the nurse administer? (round to
nearest tenth)
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0.2 ml 0.5 ml
0.4 ml 0.3 mL
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4 of 99
Term
A nurse is assessing a client who takes haloperidol (Haldol) for the tx
of schizophrenia. Which of the following findings should the nurse
, document as extrapyramidal symptoms (EPS)? Select all.
A. Orthostatic hypotension
B. Fine motor tremors
C. Acute dystonias
D. Decreased level of consciousness
E. Uncontrollable restlessness
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C.
B. Fastening a bra from behind
A high-fiber diet promotes normal requires internal rotation of the
bowel elimination shoulder, so this activity will illicit
pain
B, C, E
A.
this is a common symptom people
A and D are adverse effects,
have when experiencing pain
but not EPS
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5 of 99
Term
Can an RN delegate to the LPN to provide tracheostomy care to a
client with pneumonia?
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