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A nurse is reviewing the laboratory results of a client who is taking
cyclosporine following a kidney transplant. Which of the following
findings should the nurse report?
a. Urine specific gravity
1.023 b. Serium
creatinine 1.6 mg/dL
c. Urine pH 6.2
d. BUN 18 mg/dL
A nurse is providing discharge instructions about a newborn safety to a
client who is 2 days postpartum. Which of the following instructions
should the nurse include?
a. Use a car seat when traveling by airplane.
b. Lay the baby on his stomach to nap during the daytime.
c. Change smoke detector batteries every other year
d. Place a plastic waterproof sheet over the crib bedding
A nurse is caring for a client who has cancer of the throat findings is
receiving and is receiving radiation therapy. The nurse should monitor
for which of the following findings as an adverse effect of the
radiation?
a. Altered taste sensation
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b. Elevated platelet count
c. Insomnia
d. Excessive salvation
A nurse is caring for a client who has major depressive disorder. The
client tells the nurse, “No one cares about me. I’m completely alone”.
Which of the following responses should the nurse make?
a. “What makes you think that”?
b. “Can you give me an example of how others are making you feel this
way?”
c. “You should join a community support group.”
d. “Don’t worry. You should be feeling better in a couple weeks.”
A nurse on a medical-surgical unit is caring for a client who states that
she plans to leave the facility against medical advice. For which of the
following actions by the nurse should the charge nurse intervene?
a. Asks the client to sign a form releasing the hospital from
legal responsibility b. Asks security to detain the client until
the provider is notified
c. Show the client for abnormal laboratory results
d. Asks the client what her plans are for follow-up care
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A nurse is a prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client she will undergo which of
the following screening tests at 16 weeks of gestation?
a. Maternal serum alpha-fetoprotein
b. Nonstress test
c. Cervical cultures for chlamydia
d. Chorionic villus sampling
A nurse is admitting a client who has schizophrenia and experiences
occasional auditory hallucinations. The client states, “It’s hard not to
listen to the voices.” Which of the following questions should the nurse
ask the client?
a. “Have you tried going to a private place when this occurs?”
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b. “What helps you ignore what are you
hearing?” c. “Do you understand that
the voices are not real?”
d. “Why do you think the voices are talking to you?”
A nurse is planning care for a client who sustained a major burn over
20% of the body. Which of the following interventions should the nurse
include to support the client’s nutritional requirements?
a. Keep a calorie count for foods and
beverages b. Maintain calorie intake
at 1,500 per day
c. Schedule meals at 6-hr intervals
d. Provide a low-protein, high-carbohydrate diet
A charge nurse is preparing to lead negotiations among nursing staff
due to a conflict about overtime requirements. Which of the following
strategies should the charge nurse use to promote effective
negotiation?
a. Identify solutions prior to negotiation
b. Personalize the conflict
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