1. Nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following should the nurse include
in the teaching ANS : Use tracheostomy covers when outdoors
2. nurse is performing a follow-up visit for a client who has a G-tube
through which they receive intermittent feedings and medications. The
client has recently developed diarrhea. Which of the following findings
should the nurse identify as a cause of the diarrhea ANS : The client's
care giver washed out the feeding bag once every 24 hours with warm
water
3. nurse is talking with an older adult client who is contemplating
retirement. The client states, "I keep thinking about how much I enjoy my
job. I'm not sure I want to retire." Which of the following responses should
the nurse make ANS : Let's talk about how the change in your hob
status will affect you.
4. nurse is assessing a client who reports increased pain following pt.
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, Which of the following questions should the nurse ask hen assessing the
quality of the client's pain ANS : Sharp & Dull
5. nurse is caring for a client who is expressing anger about his
diagnosis of colorectal cancer. Which of the following actions should the
nurse take?-
: Reassure the client that this is an expected response to grief.
6. nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take ANS : Pad the client's wrist before applying the
restraints
7. A nurse is performing a home safety assessment for a client who is
receiving supplemental oxygen. Which of the following observations
should the nurse identify as proper safety protocol ANS : The client uses
no acetone nail polish remover.
8. Nurse caring for a client who has a respiratory infection. What technique
should she use when preforming nasotracheal suctioning ANS : Apply
intermittent suction when withdrawing he catheter.
9. Nurse is preparing for change of shift. Which document or tools should
the nurse use to communicate ANS : SBAR
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