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A charge nurse is discussing the
responsibility of nurses carig for clients who
have C. difficile. 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 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 assessing an adult client who has
been immobile for 3 weeks. For which of the
,following findings should the nurse intervene
- (ANSWER)Erythema on pressure points
A nurse is preparing to administer multiple
medications to a client who has an enteral
feeding tube. Which of the following actions
should the nurse plan to take? -
(ANSWER)Flush the tube with 15 mL of
sterile water.
A nurse is caring for a client who reports
difficulty falling asleep. Which of the
following recommendations the nurse take -
(ANSWER)Maintain a consistent time to
wake up each day
A nurse is assessing a client who received an
IV fluid bills for dehydration. Which of the
following findings should the nurse identify
,as an indication of fluid volume wxcess -
(ANSWER)Distended neck veins
A nurse is caring for a client who has recently
started using a behind the ear hearing aid. -
(ANSWER)I will be sure to remove my
hearing aid before taking a shower
A nurse is competing an admission
assessment for a client who reports vomiting
and diarrhea for the last 3 days -
(ANSWER)Rapid heart rate
A nurse is providing discharge teaching for a
client who had a new prescription for a home
oxygen concentrator - (ANSWER)Check the
cord for grays or tearing
Consider purchasing a generator
Observe signs of hypoxia
, 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."Examination techniques of the Heart,
Lungs, and PV systems - (ANSWER)Methods
used to assess the Heart, Lungs, and
Peripheral Vascular systems
Examination findings of arterial blood flow
in infants - (ANSWER)Observations related
to the circulation of blood in infants
Examination findings of the heart and lungs
in a patient with illegal drug use -
(ANSWER)Observations related to the