A nurse is caring for a client who has heart failure and reports difficulty
with limiting sodium in their diet. Which of the following
recommendations should the nurse provide? Replace bottled salad dressing
with homemade vinegar and oil dressing.
A nurse is contributing to the plan of care for a newborn who is
experiencing heroin withdrawal. The nurse should anticipate a
prescription for which of the following medications?
Methadone
Meperidine
Hydromorphone
Fentanyl
A nurse is reinforcing teaching with a group of expectant parents
regarding the proper use of a car seat. Which of the following statements
by a parent indicates an understanding of the teaching? "I can place a rolled
towel on each side of my newborn's head until he can hold his head up."
A nurse is contributing to the discharge plans for four clients. The nurse
should identify that which of the following clients requires an
interdisciplinary care conference? A client who has hemiparesis and lives
alone
A nurse is reinforcing discharge teaching with a client who has
type 1 diabetes mellitus. Which of the following client statements
indicates an understanding of the teaching?
"I will dispose of insulin needles in a puncture-proof container."
"I will store opened insulin vials in my refrigerator."
,"I will shake the insulin vial before drawing it into the syringe."
"I will expect my regular insulin to appear cloudy."
A nurse is planning to reinforce teaching with a preschooler who is
about to undergo an incision and drainage for cellulitis on the left arm.
Which of the following techniques should the nurse use?
Take the child on a tour of the surgery and recovery areas.
A nurse in a pediatric clinic is reviewing the urine laboratory results for
an adolescent. For which of the following results should the nurse notify
the provider?Ketones positive
A nurse is visiting with the family of a client who has just died. Which of
the following actions should the nurse take to promote comfort for the
family? Allow the family as much time as they want with the client.
A nurse on a maternal newborn unit is assisting with the preparation
of an in-service presentation about infection control. Which of the
following information should the nurse recommend to include?
Visitors who have an upper respiratory infection should
wear a mask.
A nurse is collecting data from a client who is postoperative and
received hydromorphone 4 mg PO 15 min ago. The client tells the nurse,
"My pain level is still 8 on a 0 to 10 scale." Which of the following
actions should the nurse take first? Reevaluate the client's response to the
medication in 30 min.
A nurse in a provider's office is reinforcing teaching with the parents of
a school-age child who has an active case of Pediculosis humanus
capitis. Which of the following should the nurse include in the
teaching? Wash the bed linens in hot water.
A nurse from a medical-surgical unit is floating to a postpartum unit.
Which of the following clients is an appropriate assignment for the nurse
,to accept? A client who had a cesarean delivery 24 hr ago
A nurse is assisting with the care of a client who is in active labor. Which
of the following data is the priority for the nurse to collect following an
amniotomy?Fetal heart rate
A nurse is assisting in the preparation of an in-service for a group of
unit nurses about ethical principles. Which of the following nursing
actions should the nurse include as an example of fidelity? A nurse
keeps a promise made to a client.
A nurse is contributing to the plan of care for a 12-month-old infant
following cleft palate repair. Which of the following actions should the
nurse include? Maintain elbow restraints on the infant.
A nurse administered an IM injection to a client. Which of the
following actions should the nurse take to reduce the risk of a
needlestick injury? Dispose of the used needle immediately in a sharps
container.
A nurse is collecting data from a client who has hepatitis A. Which of the
following findings should the nurse expectAbdominal pain
A nurse is reinforcing teaching with a client about caring for a new
colostomy. Which of the following statements should the nurse make? "You
should empty the colostomy bag when it is three-fourths full."
A charge nurse is explaining the role of a licensed practical nurse to an
assistive personnel (AP). Which of the following responsibilities should
the charge nurse include?
Assessing a client's health status
A nurse is assisting with the admission of a client who has
mononucleosis. Which of the following isolation precautions
should the nurse initiate? Droplet
, A nurse is reinforcing teaching with a client who was diagnosed with
diabetes mellitus and requires insulin injections. Which of the following
client statements indicates an understanding of the teaching?
"I should dispose of my used syringes in the household trash."
"I will store my current bottle of insulin in the refrigerator." "I will hold the needle
at a 15° angle to my skin."
"I should use an injection site that is 1 inch from the previous site."
PAUSE
A nurse is reinforcing teaching about home safety with the parent of an
8-month-old infant. Which of the following statements by the parent
indicates an understanding of the teaching?
"I will keep the door to the bathroom closed."
A nurse is collecting data from a newly admitted client. Which of the
following questions should the nurse ask to assess the client's abstract
thinking ability?
"Who is the current President of the United States?"
"What does the phrase 'butterflies in my stomach' mean?" "Can you count
backward from 20 to 1?"
"Can you draw a clock that shows the hands at 4:30?"
A nurse is collecting health history data from a client who has
hemorrhoids. Which of the following findings should the nurse expect?
Chronic constipation