a home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the
following instructions should the nurse provide for the client? - CORRECT ANSWER move the clients bed
to the main floor of the house
a nurse is collecting data from a client who received oxytocin 10 units IM 30 mins ago for excessive
vaginal bleeding. Which of the following findings should the nurse expect? - CORRECT ANSWER client
report of uterine cramping
a nurse in a providers office is reinforcing teaching about skin care with a client who has new diagnosis of
systemic lupus erythematousus. Which of the following statements by the client indicates an
understanding of the teaching? - CORRECT ANSWER i will dry my skin by patting it with a towel
a nurse is collecting data from a 4 month old infant at a well child visit. For which of the following
findings should the nurse notify the provider? - CORRECT ANSWER presence of grasp reflex
a nurse is collecting data from a client who is 8 hours postoperative following an appendectomy. Which
of the following manifestations is the best indications that the client needs a PRN analgesic - CORRECT
ANSWER the client reports pain as 7 on a scale of 0-10
a nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. WHich
of the following instructions should the nurse include regarding effleurage? - CORRECT ANSWER gently
stroke her abdomen during contractions
a nurse is assisting with the admission of an adolescent client who is suspected to have bacterial
meningitis. Which of the following findings should the nurse expect? - CORRECT ANSWER nuchal rigidity
a nurse is about to administer an intermittent enteral feeding to a client who has an NG tube in place.
Besides obtaining an xray, which of the following methods should the nurse use to verify placement -
CORRECT ANSWER test the ph of the gastric asparate
, a nurse working in a clinic is reinforcing with a client who has hep a. which of the following client
statements indicates an understanding of the teaching? - CORRECT ANSWER i will use different hand
towels than others in my home
a nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir. Which of the
following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER i will
mix the medication with a full glass of water
a nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a history of
dysphagia. Which of the following instructions should the nurse include in the teaching? - CORRECT
ANSWER place oral suction equipment next to the client's bedside
a nurse is assisting with the care of a client who is 6 hour postoperative following a right total knee
arthoplasty. which of the following actions should the nurse take? - CORRECT ANSWER maintain the
head of the bed in high fowlers position
a nurse is providing a client with IV fluids and finds that the iv pump screen is malfunctioning. Which of
the following actions should the nurse take? - CORRECT ANSWER discontinue use and tag the iv pump
a nurse in an acute mental health facility is caring for an adolescent who is exhibiting destructive
behavior. Which of the following actions should the nurse take after applying physical restraints to the
client? - CORRECT ANSWER monitor the client's range of motion every 60 min
a nurse is collecting data from a client who is 1 day post op following a TURP. which of the following
findings should the nurse report to the provider? - CORRECT ANSWER dark red urine
a nurse is contributing to the plan of care for a client who is scheduled to receive ECT for the treatment
of depression. Which of the following actions should the nurse recommend to include in the plan? -
CORRECT ANSWER c. provide frequent reorientation after ECT
A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a
client's medical information. Which of the following individuals should the charge nurse identify as
appropriate with whom to share client information? - CORRECT ANSWER a social worker who is assigned
to an involuntary committed school age client