Retake Latest Update
A nurse in a mental health clinic is caring for an older adult client who has
depression and has stopped taking their medication. The client tells the nurse, "I
want to die now that my partner is gone." Which of the following responses should
the nurse make? - ✔✔✔ANSWER-"Have you thought about harming yourself?"
A nurse is preparing to provide tracheostomy care for a client. Which of the
following action should the nurse plan to take? - ✔✔✔ANSWER-Wear clean
gloves while cleaning the inner cannula.
Nurse is caring for a client who has severe rheumatoid arthritis in her hands and is
unable to feed herself. For which of the following healthcare team members should
the nurse request a referral from the provider? - ✔✔✔ANSWER-Occupational
therapist
, A nurse is caring for a postoperative client who has an IV PCA delivering opioids.
The client rates the pain as 2 on a scale of 0 to 10 and has not pressed the button to
deliver a bolus dose in over 2 hours. Which of the following action should the
nurse take? - ✔✔✔ANSWER-Instruct the client to push the button more
frequently.
The nurse is prioritizing care for a client. Which of the following procedures
should the nurse perform first? - ✔✔✔ANSWER-Endotracheal suctioning.
The nurse manager overhears a nurse telling a client, "I will administer your
medication by injection if you don't swallow your pills." The nurse manager should
identify that the nurse is committing which of the following torts? -
✔✔✔ANSWER-Assault
The nurse is preparing to administer several medications via an NG tube to a client
who is receiving continuous to feeding. Which of the following action should the
nurse take? - ✔✔✔ANSWER-Dilute each crushed medication with warm water.
A nurse he's preparing to provide postmortem care for a client. Which of the
following action should the nurse plan to take? - ✔✔✔ANSWER-Turn the
overhead lights to a bright setting.
A nurse is obtaining a health history from a client. The nurse should recognize
which of the following data as placing the client a higher risk for osteoporosis? -
✔✔✔ANSWER-The client has a sedentary lifestyle.
A nurse is caring for a client who is postoperative and is in bedrest. Which of the
following action should the nurse take to decrease the clients risk of developing a
pressure injury? - ✔✔✔ANSWER-Ensure the client's heels are not touching the
mattress.