CORRECT ANSWERS Already Graded A
A charge nurse is discussing the responsibility of nurses caring for clients who has
Clostridium Difficile infection. Which of the following information should the nurse
include in the teaching? - ANSWER>>Have family members wear a gown and gloves
when visiting.
A nurse is giving change-of-shift report about a client they admitted earlier that day
who has pneumonia. Which of the following pieces of information is the priority for the
nurse to provide? - ANSWER>>Breath sounds
A nurse is preparing to delegate client care tasks to an assistive personnel. Which of
the following tasks should the nurse delegate? - ANSWER>>Ambulatory a client who is
postoperative
A nurse enters a clients room and finds her on the floor. The clients roommate reports
that the client was trying to get out of bed and fell over the side rail onto the floor.
Which of the following statements should the nurse document about this incident? -
ANSWER>>Client found lying on floor
A nurse is caring for a client who has a prescription for wound irrigation. Which of the
following actions should the nurse take? - ANSWER>>Cleanse the wound from the
center outward
A nurse is admitting a client who has rubella. Which of the following types of
transmission based precautions should the nurse initiate? - ANSWER>>droplet
A nurse is providing discharge teaching for a client who has a new prescription for a
home oxygen concentrator. Which of the following instructions should the nurse
provide to the client and his family? - ANSWER>>Check the cord routinely for grays or
tearing
Consider purchasing a generator for power backup
, Observe for signs of hypoxia
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following
should the nurse plan to document on the client's intake and output record as 120 mL
of fluid? - ANSWER>>8 oz of ice chips
A nurse is caring for a client who has tuberculosis. Which of the following actions
should the nurse take? - ANSWER>>Place the client in a room with negative-pressure
airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The clients partner wants the client to have the blood transfusion. Which of the
following actions should the nurse take? - ANSWER>>Withhold the blood transfusion.
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of
the following statements should the nurse identify as an indication that the client
understands the teaching? - ANSWER>>when descending stairs, I will first shift my
weight to my right leg
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? - ANSWER>>0.3
mg
A nurse is caring for a client who has an in dwelling urinary catheter. Which of the
following findings indicates that the catheter requires irrigation? - ANSWER>>Bladder
scan shows 525 mL of urine
A nurse is assessing an adult who has been immobile for the past 3 weeks. For which
of the following findings should the nurse intervene? - ANSWER>>Erythema on
pressure points