A nurse at a long-term care facility is caring for a client who
requires oral suctioning. Which of the following supplies should
the nurse plan to use for this task?
Yankauer catheter
A nurse in a long-term care facility is serving on the ethics
committee, which is addressing a client care dilemma. Which of
the following strategies will facilitate resolving the dilemma?
(Select all that apply)
Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-
vehicle crash 2 weeks ago. The client states, "I really thought
I'd be back to my usual routines by now, but I can't think of
anything else except that my son is gone." Which of the
following responses should the nurse make?
"Grieving for your son is hard work. It will take as much time as
you need to come to terms with your loss."
A nurse is collecting data from a client who is experiencing a
situational crisis following the loss of a job. The client states, "I
,don't think I can go through this again." Which of the following
actions is the nurse's priority?
Determine if the client is experiencing psychotic thinking
A nurse is contributing to the plan of care for a client following a
transurethral resection of the prostate (TURP). Which of the
following interventions should the nurse include?
Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for
dehydration. Which of the following should the nurse recognize
as a positive response to therapy?
Moist mucous membranes
A nurse is assisting with the admission of a client who is
experiencing alcohol withdrawal. Which of the following
medications should the nurse expect the provider to prescribe for
the client?
Chlordiazepoxide
,A nurse is caring for a client who is scheduled for surgery in
the morning. The nurse learns that the client has decided not
to have surgery even though they have already signed the
informed consent form. Which of the following actions should
the nurse take?
Report the situation to the provider who obtained the informed
consent
A nurse is collecting data from a client who is in severe pain.
Which of the following questions should the nurse ask first?
"Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a client
who has a new prescription for ferrous sulfate elixir. Which of the
following statements by the client should indicate to the nurse
an understanding of the teaching?
"I will rinse my mouth after taking this medication"
A nurse is contributing to the plan of care for a client who is
postoperative following a rhinoplasty. Which of the following
interventions should the nurse recommend?
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who had a
vaginal birth 2 days ago. Which of the following findings is the
nurse's priority to report to the provider?
Client reports burning with urination
A nurse is preparing to administer digoxin to a client who has heart
, failure. Which of the following findings should indicate to the nurse
that the medication has been effective?
Cardiac workload decreases
A nurse is reinforcing teaching about stress management
techniques with a client who has moderate anxiety disorder.
Which of the following responses by the client indicates an
understanding of the teaching?
"I will imagine myself in a calm place when I can't concentrate"
A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent consumption of
which of the following foods increases the risk for developing
cancer?
requires oral suctioning. Which of the following supplies should
the nurse plan to use for this task?
Yankauer catheter
A nurse in a long-term care facility is serving on the ethics
committee, which is addressing a client care dilemma. Which of
the following strategies will facilitate resolving the dilemma?
(Select all that apply)
Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-
vehicle crash 2 weeks ago. The client states, "I really thought
I'd be back to my usual routines by now, but I can't think of
anything else except that my son is gone." Which of the
following responses should the nurse make?
"Grieving for your son is hard work. It will take as much time as
you need to come to terms with your loss."
A nurse is collecting data from a client who is experiencing a
situational crisis following the loss of a job. The client states, "I
,don't think I can go through this again." Which of the following
actions is the nurse's priority?
Determine if the client is experiencing psychotic thinking
A nurse is contributing to the plan of care for a client following a
transurethral resection of the prostate (TURP). Which of the
following interventions should the nurse include?
Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for
dehydration. Which of the following should the nurse recognize
as a positive response to therapy?
Moist mucous membranes
A nurse is assisting with the admission of a client who is
experiencing alcohol withdrawal. Which of the following
medications should the nurse expect the provider to prescribe for
the client?
Chlordiazepoxide
,A nurse is caring for a client who is scheduled for surgery in
the morning. The nurse learns that the client has decided not
to have surgery even though they have already signed the
informed consent form. Which of the following actions should
the nurse take?
Report the situation to the provider who obtained the informed
consent
A nurse is collecting data from a client who is in severe pain.
Which of the following questions should the nurse ask first?
"Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a client
who has a new prescription for ferrous sulfate elixir. Which of the
following statements by the client should indicate to the nurse
an understanding of the teaching?
"I will rinse my mouth after taking this medication"
A nurse is contributing to the plan of care for a client who is
postoperative following a rhinoplasty. Which of the following
interventions should the nurse recommend?
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who had a
vaginal birth 2 days ago. Which of the following findings is the
nurse's priority to report to the provider?
Client reports burning with urination
A nurse is preparing to administer digoxin to a client who has heart
, failure. Which of the following findings should indicate to the nurse
that the medication has been effective?
Cardiac workload decreases
A nurse is reinforcing teaching about stress management
techniques with a client who has moderate anxiety disorder.
Which of the following responses by the client indicates an
understanding of the teaching?
"I will imagine myself in a calm place when I can't concentrate"
A nurse is reinforcing teaching with a client about cancer
prevention. The nurse should include that frequent consumption of
which of the following foods increases the risk for developing
cancer?
