CC PROCTOR 2 (C)

A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps) A. Activate the facility's fire alarm system B. Use the unit's fire extinguisher to attempt to put out the fire C. Close all nearby windows and doors D. Transport the client to another area of the nursing unit - a. Transport the client to another area of the nursing unit (1) b. Activate the facility's fire alarm system (2) c. Close all nearby windows and doors (3) d. Use the unit's fire extinguisher to attempt to put out the fire (4) A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect? A. Heightened perceptual field B. Rapid speech C. Feelings of dread D. Purposeless activity - A. Heightened perceptual field A nurse is caring for a client who has type 1 diabetes mellitus. The client reports that she is not feeling well. Which of the following findings should indicate to the nurse that the client is hypoglycemic? (Select all that apply.) A. Tremors B. Polydipsia C. Acetone Breath Odor D. Diaphoresis E. Inability to concentrate. - A. Tremors D. Diaphoresis E. Inability to concentrate. A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding? A. Upper extremity hypotension B. Increased ICP C. Frequent nosebleeds D. Weak femoral pulses - D. Weak femoral pulses A community health nurse is planning primary prevention activities to reduce the occurrence of abuse. Which of the following strategies should the nurse include in the plan? a. Instruct healthcare professionals to identify abusive situations b. Locate financial support to open a shelter for abuse survivors. c. Teach parenting skills to families at risk for abuse. d. Connect abuse survivors with legal counsel - c. Teach parenting skills to families at risk for abuse. A nurse and an assistive personnel (AP) are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate to the AP? A. Documenting the report of pain for a client who is postoperative B. Administering oral fluids to a client who has dysphagia C. Applying a condom catheter for a client who has a spinal cord injury. D. Reviewing active range of motion exercise with a client who had a stroke - C. Applying a condom catheter for a client who has a spinal cord injury. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take sucralfate with meals three times per day" B. "I will avoid food and beverages that contain caffeine" C. "I will decrease my daily protein intake of 15 grams per day" D. "I will use ibuprofen as needed to control abdominal pain" - B. "I will avoid food and beverages that contain caffeine" A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse? A. Offer the client saltine crackers between meals B. Suggest rinsing his mouth with an alcohol-based mouthwash C. Provide humidification of the room air D. Instruct the client on the use of esophageal speech - C. Provide humidification of the room air?? A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel? a. Assess effectiveness of antiemetic medicationb. Perform chest compressions during cardiac resuscitation. c. Perform a dressing change for a new amputeed. Apply a transdermal nicotine patch- - b. Perform chest compressions during cardiac resuscitation. A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender? a. The client takes vitamin C daily b. The client has a history of alcohol use disorder c. The client has a history of asthma d. The client takes furosemide twice daily - c. The client has a history of asthma A nurse is caring for a client who has major depressive disorder and a new prescription for amitriptyline. The nurse should monitor for which of the following adverse effects? a. Increased salivation b. Weight loss c. Urinary retentiond. Hypertension- - c. urinary retention A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use? a. Asthma b. Hypertension c. Fibromyalgia d. Fibrocystic breast condition - b. Hypertension A nurse is preparing to witness a client's signature on a consent form for a colon resection. The nurse should recognize that which of the following information should be provided to the client by the provider before signing the form? (SATA) a. explain the procedure b. expected outcome of the procedure c. potential complications d. possible alternative treatments e. Cost of the procedure - a. explain the procedure b. expected outcome of the procedure c. potential complications d. possible alternative treatments A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan. Which of the following statements is appropriate to include in the teaching? a. "You should not have this procedure if you are allergic to iodine." b. "You should not have this procedure if you have a tattoo." c. "The nurse will ask you to wear protective eyewear during this procedure." d. "The nurse will ask you to remove any transdermal patches prior to the procedure." - a. "You should not have this procedure if you are allergic to iodine."