A nurse manager is developing a facility policy about the use of a fax machine to
communicate information from a client's electronic medical record (EMR). What should
the nurse include in the policy? - 🖋Use a coversheet when sending a fax from the
health care unit
A nurse is caring for a client who is 2 days post operative following an above the knee
amputation. The client states he is experiencing a dull, burning pain in the leg that was
amputated. What should the nurse do to treat the patient neuropathic pain? - 🖋
Administer a beta-blocking medication to the client.
A nurse is assessing a client who has fibromyalgia. What treatment modality
prescription should the nurse expect for the clients mixed pain? - 🖋Pregabalin PO twice
daily
A nurse is planning a menu for a client who practices Seventh-Day Adventism. What
food selection should the nurse take? - 🖋Scrambled-eggs
A nurse is providing teaching to a client who has chronic-fatigue syndrome, what should
the nurse say? - 🖋Take NSAIDs for body aches and pains.
A nurse is using therapeutic communication to attempt de-escalation with a client who is
yelling at staff members. What statement should the nurse make? - 🖋Tell me what is
causing your anger at this moment.
A home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. What actions should the nurse manager
take the promote interoperability. - 🖋Recommend a single coding system for each
department to use.
A nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. The client reports experiencing chemotherapy-induced nausea and
vomiting (CINV) during her previous round of treatment. What intervention should the
nurse include in the patient's plan of care? - 🖋Administer ondansetron to the client prior
to chemotherapy administration.
A nurse is teaching a client about strategies to prevent constipation. What instructions
should the nurse include? - 🖋"Perform moderate exercises daily"
"Add more whole grains to you diet"
"Increase your fluid intake"
A nurse is documenting an assessment in a client's electronic health record who an
assistive personnel (AP) asks to enter the morning blood glucose for the client. What
, actions should the nurse take? - 🖋Request that the AP use another computer to enter
the data.
A nurse is performing a focused assessment on a client who has chronic pain die to
fibromyalgia. What should the nurse ask to assess the quality of the client's pain? - 🖋
Can you describe what your pain feels like?
A nurse is preparing to leave the room of a client who is on isolation precautions. What
action should the nurse take when removing a tied surgical mask? - 🖋Remove the
mask by securely holding the ties and moving it away from the face.
A nurse is assessing for acute pain in a client who is postoperative. The client has
dementia and is nonverbal. What finding should the nurse identify as a need for
administration of a PRN pain medication? - 🖋Rapid breathing.
A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis.
What action should the nurse take? - 🖋Have the patient lie supine
A nurse is preparing a client for an elective vaginal hysterectomy when the client states,
"My doctor said there are more conservative ways to treat my problem. I realize now
that I don't want this surgery, but I already singed that consent form" What response
should the nurse make? - 🖋You have the right to refuse this and any other procedure,
even after you have signed the consent form.
A nurse in a mental health facility is preparing an educational program for a group of
staff nurses about the proper use of restraints. What information should the nurse plan
to include? - 🖋An adult client may be in a mechanical restraint for up to 4 hours.
A nurse is preparing to administer intermittent enteral nutrition via a client's NG tube. In
what order should the nurse take action? - 🖋1.Assist the client to an upright position
2.Aspirate 5mL of gastric content
3.Test the pH of gastric aspirate
4.Measure gastric residual volume
5. Flush the NG tube with 30 mL of water.
A nurse is planning a community health program about substance use disorders. What
information should the nurse include when discussing the guidelines for safe limits of
alcohol consumption? - 🖋A healthy woman of any age should consume no more than 7
drinks in a week.
A nurse in a mental health facility is caring for a client who is exhibiting violent behavior
and has been placed in seclusion. What actions should the nurse take? - 🖋Document
the client's status every 15 min.