A nurse is a caring for a client who has borderline personality disorder. Which of the
following is a manifestation of the disorder? - Unstable interpersonal relationships
A nurse in a long-term care facility is assisting with an educational program regarding
common sites of health care associated infections for a group of newly hired assistive
personnel. Which of the following sites should be included in the teaching? (Select all
that apply.) - Blood stream, Urinary tract , Surgical wound, Respiratory tract
A nurse is assessing a client who is postoperative following a gastric bypass. Which of
the following findings indicates the client could be experiencing an anastomotic leak? -
Oliguria
A nurse is working with administration to enhance the quality of care provided to clients
during the prenatal period. In which of the following roles is the nurse functioning? -
Advocate
A nurse is reviewing the laboratory results of four clients. Which of the following should
be immediately reported to the provider? - A client who is prescribed digoxin (Lanoxin)
and furosemide (Lasix) with a potassium of 3.1 mEq/L
A nurse is caring for a client who is from a culture different than his own. Which of the
following actions by the nurse is most important in the provision of culturally competent
care? - Identify one's own beliefs and values.
A nurse is reinforcing teaching regarding foods containing complete protein to a client.
Which of the following should be included in the teaching? - Soybeans
A nurse is caring for a client who is prescribed lithium (Eskalith). Which of the following
clinical findings should be immediately reported to the provider? - Slurred speech
A nurse is caring for a client who is admitted with acute alcohol withdrawal. Which of the
following findings should the nurse report to the provider? - Tachycardia
A nurse is reinforcing teaching to a client who is newly diagnosed with hypertension and
has been prescribed captopril (Capoten). The nurse should reinforce that which of the
following medications has the potential to reduce the antihypertensive effect of
captopril? - Aspirin (Bayer)
A nurse caring for a client who has been off the unit for physical therapy for the past
hour notes that the infusion pump for the client's total parenteral nutrition (TPN) is
turned off. The client tells the nurse that the battery went dead while she was in physical