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?
Methadon
e
Meperidin
e
Hydromorpho
ne 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
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?
Methadon
e
Meperidin
e
Hydromorpho
ne 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
