SOLUTION 100% GRADED A+
An assistive personnel tells the charge nurse that her assignment is too demanding. She
angrily tells the nurse to reassign one of her tasks to another AP. Which of the following
actions should the nurse take to resolve the conflict? ~ Correct Answer ~Ask the AP to
discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's
room? ~ Correct Answer ~Oral Suction Equipment
A charge nurse on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse
intervene? ~ Correct Answer ~Tells a client he will lose his phone privileges if he does
not take his medication
A nurse is caring for a client who follows a kosher diet. Which of the following menu
items should the nurse include in the meal tray? ~ Correct Answer ~Roasted Salmon
A nurse is reviewing information about advance directives with a newly admitted
client. Which of the following statements by the client indicates an understanding of the
information? ~ Correct Answer ~"Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's disease.
The caregiver reports the client has difficulty sleeping at night and wanders throughout
the house. Which of the following interventions should the nurse recommend? ~
Correct Answer ~Encourage the client to take frequent walks during the day
,A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony
with increased bleeding. Which of the following actions should the nurse take? (Select
all that apply) ~ Correct Answer ~Assist the client to empty her bladder
A nurse is reinforcing teaching with the support person of a client who is in the first
stage of labor. Which of the following instructions should the nurse include regarding
effleurage? ~ Correct Answer ~"Gently stroke her abdomen during contractions"
A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The client is incontinent of stool and urine. Which of the following actions
should the nurse take to prevent skin breakdown? ~ Correct Answer ~Use a moisture
barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions
should the nurse take to promote the client's autonomy? ~ Correct Answer ~Allow the
client to choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a
sudden gush of vaginal fluids. Which of the following findings is evidence of an
obstetric complication? ~ Correct Answer ~Appears greenish-brown in color
A nurse is assisting with the care of an adolescent client immediately following a
lumbar puncture. Which of the following actions should the nurse take? ~ Correct
Answer ~Inform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a client who has end-
stage heart failure. Which of the following statements by the client indicates an
understanding of the teaching? ~ Correct Answer ~"I should discuss this document
with my family after I sign it"
, A nurse is caring for a client who has continuous bladder irrigation following a
transurethral resection of the prostate. The nurse notices clots and dark red blood in the
catheter collection bag. Which of the following actions should the nurse take? ~ Correct
Answer ~Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac
dysrhythmias. Which of the following actions should the nurse plan to take? ~ Correct
Answer ~Instruct the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of the
following information should the nurse include in the teaching? ~ Correct Answer
~"You should increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative client's closed-wound drainage system.
Which of the following actions should the nurse plan to take? ~ Correct Answer
~Compress the container before replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of
asthma and a prescription for montelukast. Which of the following instructions should
the nurse include in the teaching? ~ Correct Answer ~Administer the medication to the
toddler each evening
A nurse in an acute mental health facility is caring for a newly admitted client. Which of
the following should occur during the orientation phase of the nurse-client
relationship? ~ Correct Answer ~Defining responsibilities
A nurse is caring for a client who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the
right occiput anterior position. The nurse should place the fetal heart monitor on which
of the following sites to auscultate the fetal heart rate? ~ Correct Answer ~Lower left