A nurse is caring for a client who reports difficulty falling asleep. Which of the following
recommendations should the nurse make?
Drink a cup of hot coca before bedtime
Maintain a consistent time to wake up each day
Exercise 1 hour before going to bed
Watch a television program in bed before going to sleep
Maintain a consistent time to wake up each day
A nurse is caring for a client who has diarrhea due to shigella. Which of the following
precautions should the nurse implement for this client?
Have the client wear a mask when receiving visitors
Wear a gown when caring for a client
Assign a client to a room with negative-pressure airflow exchange
Limit a client's time with visitors to more than 30 min per day
Wear a gown when caring for a client
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
A nurse is assessing a client who reports increased pain following physical therapy. Which of
the following questions should the nurse ask when assessing the quality of the client's pain?
- Is your pain constant or intermittent?
- What would you rate your pain on a scale of 0 to 10?
- Does the pain radiate?
- Is your pain sharp or dull?
Is your pain sharp or dull?
,A nurse in a surgical suit documentation on a client's medical record that they have a latex
allergy. In preparation for the client's procedure, which of the following precautions should the
nurse take?
Ensure sterilization of nondisposable items with ethylene oxide
Wrap monitoring cords with stockinette and tap them in place
Cleanse latex ports on IV tubing with chlorhexidine before injecting medication
Wear hypoallergenic latex gloves that contain powder
Wrap monitoring cords with stockinette and tap them in place
Many monitor devices and cords contain latex. The nurse should prevent any contact of these
cords and devices with the client's skin by covering them with a nonlatex barrier material, such
as stockinette, and using nonlatex tape to secure them
The nurse should use a stopcock for injecting medication. Cleansing a latex item will not remove
the latex protein
A nurse is caring for a client who has a sodium level of 125 mEq/L. Which of the following
findings should the nurse expect?
Numbness of the extremities
Bradycardia
Positive Chvostek's sign
Abdominal cramping
Abdominal cramping
Normal range Na+: 135-145 mEq/L
Hyponatremia - abdominal cramping, weakness, confusion, lethargy, headache, and nausea
Tachycardia is manifestation of hyponatremia along with hypovolemia.
A nurse is admitting a client who has an abdominal wound with a large amount of purulent
drainage. Which of the following types of transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions
Contact precautions
Major wound infections require contact precautions, which means the nurse should admit the
client to a private room. All caregivers should wear a gown and gloves during direct contact with
this client
Clients who have a compromised immune system require a protective environment
Airborne precautions are a requirement for a client who have infections that spread via droplet
nuclei that are larger than 5 microns in diameter: tuberculosis and measles
, Droplet precautions are a requirement for a client who have infections that spread via droplet
nuclei that are larger than 5 microns in diameter: rubella, meningococcal pneumonia,
streptococcal pharyngitis
A nurse is caring for a client with a diagnosis of terminal cancer. Which of the following
statements by the client should indicate to the nurse that the client is ready to hear information
regarding palliative care?
I am ready to learn about chemotherapy to help cure my cancer
I just want you to give me something to get this over with soon
I know that many people have recovered fully from cancer, so will I
I want you to tell me about measures available to keep me comfortable
I want you to tell me about measures available to keep me comfortable
A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take? SATA
Place a client in the room with negative pressure airflow
Wear gloves when assisting the client with oral care
Limit each visitor two 2 hr increments
Wear surgical mask when providing client care
Use antimicrobial sanitizer for hand hygiene
Place a client in the room with negative pressure airflow
Wear gloves when assisting the client with oral care
Use antimicrobial sanitizer for hand hygiene
We have an expert-written solution to this problem!
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock.
The nurse notifies the surgeon, who tell the nurse to continue the client's vital signs every 15
min and to report back in 1 hr. Which of the following actions should the nurse take next?
Document the provider's statement in medical record
Complete an incident report
Consult the facility's risk manager
Notify the nurse manager
Notify the nurse manager
A nurse on a med-surg unit is caring for a client who has a new prescription for wrist restraints.
Which of. the following actions should the nurse take?