A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification? Correct Answer: Reducing the risk of newborn abduction
A nurse is reinforcing teaching with a client who plans to bottle feed her newborn.
Which of the following statements indicates an understanding of the instructions?
Correct Answer: I will feed my baby six to eight times a day
A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who
reports joint pain,swelling, and stiffness. Which of the following client statements
indicates understanding of the teaching? Correct Answer: I will exercise my joints
as much as i can when they are inflamed
A nurse is reinforcing teaching with a client who is scheduled for a mammogram.
Which of the following instructions should the nurse include in the teaching?
Correct Answer: Refrain from using deodorant on the morning of the test
A nurse is preparing a clients insulin regimen. Which of the following insulin's can
be mixed? Correct Answer: Insulin aspart, regular insulin, insulin lispro
A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following
statements by the client indicates an understanding of the instructions? Correct
Answer: I will take a stool softener to prevent constipation
A nurse is caring for a client who had a stroke and is having difficulty swallowing.
The nurse should recommend a referral to which of the following members of the
interprofessional team? Correct Answer: Speech therapist
A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an
episiotomy. Which of the following instructions should the nurse include? Correct
Answer: Change the perineal pad with each void
A nurse is collecting data from a child who has acute Glomerulonephritis. Which
of the following findings should the nurse expect? Correct Answer: Periorbital
edema
,A nurse is preparing to administer a liquid medication to a 6-month-old infant who
is crying. Which of the following actions should the nurse take to reduce the risk of
aspiration? Correct Answer: Administer using a needless syringe in the buccal
cavity
A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which
of the following statements by the client indicates an understanding of the
teaching? Correct Answer: I will plan to have my meals at regular intervals
A nurse in long-term care facility has received change-of-shift report about four
clients. Which of the following clients should the nurse attend to first? Correct
Answer: A client who has COPD and dementia and was agitated during the night
shift
A nurse is collecting data from a client who has substance use disorder and reports
recently taking opioids. Which of the following findings should the nurse identify
as a manifestation of opioid intoxication? Correct Answer: Pinpoint pupils
A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia? Correct Answer: Muscle weakness
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? Correct Answer: A client who has hemiparesis and lives alone
A nurse is reinforcing teaching with an adolescent who has a new prescription for
cefazolin. For which of the following findings should the nurse instruct the
adolescent to monitor and report to the provider? Correct Answer: Depression
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? Correct Answer: I can place a rolled towel on each
side of my newborns head until he can hold his head up
A nurse is caring for a school-age child who has epistaxis. Which of them
following actions should the nurse take? Correct Answer: Apply pressure at the
bridge of the child's nose
, A nurse is caring for four clients. Which of the following clients statements should
the nurse attend to first? Correct Answer: My heartburn pain is going into my jaw
now
A nurse in a providers office is talking on the phone with the parent of a school-
age child who has varicella. Correct Answer: All vesicles have crusted over
A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the
following statements should the nurse expect? Correct Answer: I feel tired all the
time
A nurse is administering a cleansing enema to a client who reports mild cramping
during instillation of the solution. Which of the following actions should the nurse
take? Correct Answer: Slow the rate of instillation
A nurse receives report on four clients. The nurse should first collect data about the
client who has which of the following? Correct Answer: A decreased level of
consciousness and vomiting
A nurse is setting up a sterile field prior to performing a dressing change. Which of
the following actions should the nurse take? Correct Answer: Open the outermost
flap of the wrapper toward the body
A nurse is caring for a client who has bipolar disorder and is experiencing mania.
Which of the following actions should the nurse take? Correct Answer: Frequently
remind the client of the expectations for her behavior
A nurse is caring for a client who has viral pneumonia. Which of the following
actions should the nurse take? Correct Answer: Administer Azithromycin
A nurse who orienting to a medical-surgical unit is having difficulty finishing
client care tasks during his shift. Which of the following suggestions should the
nurse's preceptor make to help the nurse with time management? Correct Answer:
Try to complete a task before moving on to the next.
A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The nurse is preparing to change the client's dressing. Which of the
following actions should the nurse take to demonstrate sensitivity to age-related
changes? Correct Answer: Use paper tape for securing the new dressing.