NURSINGjTESTjBANK
Thejlaborjandjdeliveryjnursejwouldjmakejitjajpriorityjtojassessjwhichjofjthejfollowingjtwojnewbornjbodyjsystemsjimmediatelyj
afterjbirth?
GastrointestinaljandjhepaticjUrinary
jandjhematologic jNeurologicjandjte
mperaturejcontroljRespiratoryjandj
cardiovascular
Thejmentaljhealthjnursejworkingjwithjchildrenjanticipatesjthatjunrealisticjexpectationsjorjajsensejofjfailurejtojmeetjstandardsj
wouldjcausejaj10-year-oldjchildjtojdevelopjajsensejofjwhichjofjthejfollowing?
ShamejGuil
tjInferiorit
y
Rolejconfusion
Thejnursejisjtakingjajnursingjhistoryjfromjthejmotherjofjajchildjbeingjadmittedjwithjflare-
upjofjceliacjdisease.jWhatjpiecejofjinformationjwouldjthejnursejexpectjthejmotherjtojreport?
SteatorrheajIncrea
sedjappetitejCheerf
uljbehaviorjSoft,jfor
medjstools
Duringjwhichjofjthejfollowingjproceduresjshouldjthejlaborjandjdeliveryjnursejwearjprotectivejgogglesjinjadditionjtojgloves?
Changingjajsoakedjdisposablejbedjpadj
AssistingjduringjanjamniotomyjStarti
ngjanjintravenousjline
Washingjdirtyjinstruments
Ajclientjwithjcancerjhasjajcalciumjleveljofj11.8jmg/dL.jWhichjofjthejfollowingjsymptomsjwouldjindicatejajneedjforjthejnu
rsejtojcalljthejphysicianjforjtreatmentjorders?
Increasedjgastricjmotilityj Peake
djTjwavesjonj12-
leadjECGjMusclejspasms
Musclejweakness
Whenjevaluatingjthejeffectivenessjofjnursingjcarejplansjusedjforjanjanxiousjclient,jitjisjimportantjtojvalidatejthatjthejclient
junderstandsjthat:
Defensejmechanismsjshouldjnotjbejused.
Somejanxietyjcanjbejhelpful.
Hejshouldjstrivejtojneverjexperiencejanxiety.
Hejshouldjtryjtojavoidjthejfightjorjflightjresponse.
,NURSINGjTESTjBANK
Ajnursejisjdiscussingjthejhomejmaintenancejregimenjwithjajclientjwhojhasjirritablejboweljsyndrome.jWhichjofjthejfollowingjst
atementsjindicatesjclientjunderstanding?
“I’lljtakejajwalkjafterjdinnerjeachjevening.”
“I’lljhavejajcigarettejafterjmealsjtojrelax.”
“I’lljchewjgumjbetweenjmealsjtojcurbjmyjappetite.”j“I’llj
eatjajlotjofjfreshjvegetablesjandjfruits.”
Ajfemalejclientjstatejthatjshejwilljnotjundergojanyjinvasivejtestingjforjherj“stomachjpain.”jThejnursejexplainsjthatjwhichjo
fjthejfollowingjtestsjcouldjbejcompletedjtojassessjthejabdomenjandjstilljmeetjthejclient’sjwishes?
Abdominaljultrasoundj
BariumjswallowjColonos
copy
CTjscanjwithjcontrast
Certainjthatjherjstomachjpainjisjajsymptomjofjcancer,jajfemalejclientjwithjsomatizationjdisorderjexhibitsjpressured,jrapidj
speech;jelevatedjpulsejandjbloodjpressure;jpalpitations;jandjpreoccupationjwithjherjpain,jdespitejnegativejresultsjfromjaj
gastroscopy.jThejnursejformulatesjwhichjofjthejfollowingjasjthejpriorityjnursingjdiagnosis?
Pain
Anxietyj Hopelessnes
sjDisturbedjbodyjimag
e
Thejnursejsuspectsjthatjhepatotoxicityjisjdevelopingjinjajdark-
skinnedjclientjwhojisjonjanjantibiotic.jInjwhatjareajofjthejbodyjshouldjthejnursejassessjforjjaundice?
Palmsjofjthejhandsjorjsolesjofjthejfeet
Hardjpalatejofjoraljcavity
SclerajConjunct
ivae
Ajprimigravidajclientjofj16jweeksjgestationjstatesjthatjshejhasjnotjyetjfeltjfetaljmovement.jThejnurse’sjbestjresponsejis:
“Yourjfetusjwilljmovejanyjdayjnow.jCalljmejinjajweekjifjyoujdon’tjfeeljit.”j“Yourjfet
usjwilljbeginjmovingjatjaboutj20jweek’sjgestation.”
“Youjshouldjhavejbeenjfeelingjthejmovementjalready.”
“Yourjfetusjhasjbeenjmovingjforjthejpastj9jweeksjwithoutjyoujfeelingjit.jYoujwilljfeeljitjwithinjajmonth.”
Thejmotherjofjanjinfantjwhojunderwentjsurgeryjtojrepairjhypospadiasjasksjthejnursejwhyjthejinfantjisjdiaperedjasjshown.j
Thejnursejwouldjrespondjthatjthisjmethodjofjdiaperingjwilljhelpjto:
Protectjthejurinaryjstentjthatjhasjbeenjputjinjplace.
Adequatelyjmeasurejthejurinaryjoutput.jProvi
dejforjmaximumjabsorptionjofjurine.
Providejoptimaljprotectionjofjperinealjskinjfromjinfectedjurine.
,NURSINGjTESTjBANK
Aj56-year-
oldjclientjreportsjtojthejnursejthatjhisjsleepjpatternsjarejdifferentjthanjwhenjhejwasjyounger.jThejnursejanticipatesjthatjthisjclien
tjisjlikelyjtojbejexperiencingjwhichjnormaljdevelopmentaljpattern?
6jtoj8jhoursjofjsleepjperjnightjwithjaboutj20jtoj25%jofjrapidjeyejmovementj(REM)jsleepjandjajmarkedjdecreasejin
jStagejIVjnon-REM j(NREM) jsleep.
6jtoj8jhoursjofjsleepjperjnightjwithjaboutj20%jREMjsleepjandjajdecreasejinjStagejIVjNREMjsleep.
Erraticjsleepjbecausejofjworkjschedulejwithjaboutj30%jofjREMjsleepjandjnojmarkedjdecreasejinjStagejIVjNREMjsle
ep.
LightjsleepjwithjequaljamountsjofjREMjsleepjandjNREMjsleep.
Whilejassessingjthejchestjtubejdrainagejsystemjofjajclient,jthejnursejobservesjajslightjrisejandjfalljinjthejwaterjleveljinjthej
waterjseal.jThejnursejshouldjtakejwhichjofjthejfollowingjactions?
Notifyjthejphysicianjimmediately.jHave
jthejclientjcough.
Continuejtojmonitorjthejsystem.
Repositionjthejchestjtube.
Whichjnutritionaljmeasurejwouldjhelpjajclientjwithjgastroesophagealjrefluxjdiseasej(GERD)jtojminimizejthejriskjofjsymptoms
?
Eatingj3jlargejmealsjajdayjwithjnojsnacks
Usingjajlotjofjgarlicjtojseasonjfoodjratherjthanjsalt
Limitingjintakejofjcoffeejdrinksjtoj2jorjfewerjcupsjajday
Usingjpeppermintjcandiesjtojtakejawayjthejbitterjtastejinjthejmouth
Ajclientjwhojisj20jweeksjgestationjisjconcernedjaboutjhowjtojtelljherj3-year-
oldjsonjaboutjherjpregnancy.jWhichjofjthejfollowingjwouldjbejthejbestjstatementjwhenjcounselingjthisjclient?
“Ifjhejisjnotjpleasedjwithjthejnewsjofjajnewjbaby,jyoujshouldjtelljhimjthatjyoujarejdisappointedjinjhim.”j“Telljhimj
thatjhejisjgoingjtojhavejajlotjofjresponsibilitiesjinjhelpingjcarejforjthejbaby.”
“Tryjtojprovidejextrajattentionjtojhimjandjincludejhimjinjplansjforjthejbaby.”
“Telljhimjthatjhejwilljhavejtojstayjwithjhisjgrandparentsjwhenjthejbabyjisjbornjbecausejyoujwilljbejbusywithjthejbab
y.”
Anjanxiousjclientjbeginsjtojyelljandjinterruptjotherjclients.jThejclient’sjspeechjisjrapidjandjpressured.jWhatjactionjshouldj
thejnursejtake?
Askjthejclientjtojspeakjmorejslowlyjandjsoftly.
Instructjthejotherjclientsjtojignorejthisjclient’sjbehavior.jPoint
joutjtojthejclientjthatjthejbehaviorjisjajsignjofjanxiety.
Remindjthejclientjofjthejneedjtojusejgoodjmannersjwhenjtalkingjwithjotherjpeople.
Hejnursejconcludesjthatjteachingjhasjbeenjeffectivejwhenjthejlaboringjclient’sjpartnerjshouts,j“She’sjcrowning!”jas:jThej
nursejfirstjstartsjtojseejajlittlejofjthejbaby’sjhead.
Thejbaby’sjheadjrecedesjupwardjbetweenjpushingjcontractions.
Thejperineumjisjthinjandjstretchingjaroundjthejocciput.
Thejmouthjandjnosejarejbeingjsuctioned.
, NURSINGjTESTjBANK
Anj86-year-
oldjclientjwilljbejundergoingjajsurgicaljprocedure.jWhichjofjthejfollowingjchangesjwouldjthejnursejmakejinjthejinfor
medjconsentjprocessjforjthisjelderlyjclient?
Providingjadequatejtimejforjthejclientjtojprocessjthejinformation
Encouragingjthejfamilyjmembersjtojmakejthejdecisionjforjthejclient
EncouragingjthejclientjtojsignjimmediatelyjbeforejthejclientjforgetsjthejpurposejofjthejsurgeryjPro
vidingjthejclientjwithjreadingjmaterialjaboutjthejsurgeryjandjthejpostoperativejinstructions
Aj76-year-
oldjwomanjvisitsjthejambulatoryjclinicjwithjreportsjofjhavingjdifficultyjreadingjandjdoingjneedleworkjbecausejofjvisualj
distortionsjwithjblurringjofjimagesjdirectlyjinjthejlinejofjvision.jThejperipheraljvisionjassessmentjbyjthejnursejyieldsjnor
maljfindings.jThejnursejsuspectsjthatjthisjclientjisjexperiencingjwhichjofjthejfollowingjvisualjproblems?
GlaucomajDeta
chedjretinajCata
racts
Macularjdegeneration
Ajclientjexperiencesjseverejnauseajforjupjtoj2jweeksjfollowingjherjchemotherapyjtreatment.jWhichjstatementjindicatesjaj
needjforjfurtherjinstructionjonjmanagementjofjnausea?
“IjneedjtojcalljmyjdoctorjifjIjlosejmorejthanj10jpercentjofjmyjbodyjweight.”
“Ijshouldjtryjtojeatjbland,jchilledjfoods,jandjdrinkjliquidsjseparatejfromjmyjmeals.”
“Ijneedjtojliejdownjforjanjhourjafterjeachjmeal.”
“Ijshouldjcalljthejdoctorjifjmyjnauseajdoesn’tjgojaway,jtojseejifjajdifferentjanti-emeticjcouldjprovidejbetterjrelief.”
Thejnursejisjcaringjforjthejclientjwhojisjrecoveringjfromjpartialjthicknessjburns.jWhichjofjthejfollowingjbreakfastjoptionsj
indicatesjclientjunderstandingjofjthejrecommendedjdiet?
Twojslicesjofjtoastjwithjbutter,jorangejjuice,jskimjmilkjTwojp
oachedjeggs,jhashjbrownjpotatoes,jwholejmilkjThreejpanc
akesjwithjsyrup,jtwojslicesjofjbacon,japplejjuicejOnejcupjofjoa
tmealjwithjskimjmilk,j1/2jgrapefruit,jcoffee
Ajclientjquestionsjthejsurgicaljnursejaboutjthejpersonneljinjthejoperatingjroom.jWhichjofjthejfollowingjinitialjresponsesjb
yjajnursejtojthejclient’sjconcernjisjmostjtherapeutic?
“Thejnursesjarejwell-
qualifiedjforjthejjobjtheyjdo.”j“Havejyoujhadjajbadjexper
iencejinjthejOR?”
“You’rejconcernedjaboutjthejpersonnel,jbutjyoujhavejnojneedjtojworry.”
“Canjyoujtelljmejaboutjwhyjyoujarejinterestedjinjthejpersonnel?”
Thejnursejisjassignedjtojthejcarejofjajclientjreceivingjradiationjtherapyjforjcancer.jWhichjofjthejfollowingjactivitiesjneede
djinjthejcarejofjajclientjreceivingjexternaljbeamjradiationjtherapyjcouldjbejsafelyjdelegatedjtojanjunlicensedjassistivejper
sonj(UAP)jworkingjonjthejnursingjunit?jSelectjalljthatjapply.
Observejthejskinjsitejfollowingjajtreatmentjsession.
Documentjintakejfromjthejmealjtrays.
Assessjvariationsjinjleveljofjfatiguejduringjthejshift.jExpl
orejhowjthejclientjisjcopingjwithjtreatment.
Assistjthejclientjtojambulatejinjthejhall.
Thejlaborjandjdeliveryjnursejwouldjmakejitjajpriorityjtojassessjwhichjofjthejfollowingjtwojnewbornjbodyjsystemsjimmediatelyj
afterjbirth?
GastrointestinaljandjhepaticjUrinary
jandjhematologic jNeurologicjandjte
mperaturejcontroljRespiratoryjandj
cardiovascular
Thejmentaljhealthjnursejworkingjwithjchildrenjanticipatesjthatjunrealisticjexpectationsjorjajsensejofjfailurejtojmeetjstandardsj
wouldjcausejaj10-year-oldjchildjtojdevelopjajsensejofjwhichjofjthejfollowing?
ShamejGuil
tjInferiorit
y
Rolejconfusion
Thejnursejisjtakingjajnursingjhistoryjfromjthejmotherjofjajchildjbeingjadmittedjwithjflare-
upjofjceliacjdisease.jWhatjpiecejofjinformationjwouldjthejnursejexpectjthejmotherjtojreport?
SteatorrheajIncrea
sedjappetitejCheerf
uljbehaviorjSoft,jfor
medjstools
Duringjwhichjofjthejfollowingjproceduresjshouldjthejlaborjandjdeliveryjnursejwearjprotectivejgogglesjinjadditionjtojgloves?
Changingjajsoakedjdisposablejbedjpadj
AssistingjduringjanjamniotomyjStarti
ngjanjintravenousjline
Washingjdirtyjinstruments
Ajclientjwithjcancerjhasjajcalciumjleveljofj11.8jmg/dL.jWhichjofjthejfollowingjsymptomsjwouldjindicatejajneedjforjthejnu
rsejtojcalljthejphysicianjforjtreatmentjorders?
Increasedjgastricjmotilityj Peake
djTjwavesjonj12-
leadjECGjMusclejspasms
Musclejweakness
Whenjevaluatingjthejeffectivenessjofjnursingjcarejplansjusedjforjanjanxiousjclient,jitjisjimportantjtojvalidatejthatjthejclient
junderstandsjthat:
Defensejmechanismsjshouldjnotjbejused.
Somejanxietyjcanjbejhelpful.
Hejshouldjstrivejtojneverjexperiencejanxiety.
Hejshouldjtryjtojavoidjthejfightjorjflightjresponse.
,NURSINGjTESTjBANK
Ajnursejisjdiscussingjthejhomejmaintenancejregimenjwithjajclientjwhojhasjirritablejboweljsyndrome.jWhichjofjthejfollowingjst
atementsjindicatesjclientjunderstanding?
“I’lljtakejajwalkjafterjdinnerjeachjevening.”
“I’lljhavejajcigarettejafterjmealsjtojrelax.”
“I’lljchewjgumjbetweenjmealsjtojcurbjmyjappetite.”j“I’llj
eatjajlotjofjfreshjvegetablesjandjfruits.”
Ajfemalejclientjstatejthatjshejwilljnotjundergojanyjinvasivejtestingjforjherj“stomachjpain.”jThejnursejexplainsjthatjwhichjo
fjthejfollowingjtestsjcouldjbejcompletedjtojassessjthejabdomenjandjstilljmeetjthejclient’sjwishes?
Abdominaljultrasoundj
BariumjswallowjColonos
copy
CTjscanjwithjcontrast
Certainjthatjherjstomachjpainjisjajsymptomjofjcancer,jajfemalejclientjwithjsomatizationjdisorderjexhibitsjpressured,jrapidj
speech;jelevatedjpulsejandjbloodjpressure;jpalpitations;jandjpreoccupationjwithjherjpain,jdespitejnegativejresultsjfromjaj
gastroscopy.jThejnursejformulatesjwhichjofjthejfollowingjasjthejpriorityjnursingjdiagnosis?
Pain
Anxietyj Hopelessnes
sjDisturbedjbodyjimag
e
Thejnursejsuspectsjthatjhepatotoxicityjisjdevelopingjinjajdark-
skinnedjclientjwhojisjonjanjantibiotic.jInjwhatjareajofjthejbodyjshouldjthejnursejassessjforjjaundice?
Palmsjofjthejhandsjorjsolesjofjthejfeet
Hardjpalatejofjoraljcavity
SclerajConjunct
ivae
Ajprimigravidajclientjofj16jweeksjgestationjstatesjthatjshejhasjnotjyetjfeltjfetaljmovement.jThejnurse’sjbestjresponsejis:
“Yourjfetusjwilljmovejanyjdayjnow.jCalljmejinjajweekjifjyoujdon’tjfeeljit.”j“Yourjfet
usjwilljbeginjmovingjatjaboutj20jweek’sjgestation.”
“Youjshouldjhavejbeenjfeelingjthejmovementjalready.”
“Yourjfetusjhasjbeenjmovingjforjthejpastj9jweeksjwithoutjyoujfeelingjit.jYoujwilljfeeljitjwithinjajmonth.”
Thejmotherjofjanjinfantjwhojunderwentjsurgeryjtojrepairjhypospadiasjasksjthejnursejwhyjthejinfantjisjdiaperedjasjshown.j
Thejnursejwouldjrespondjthatjthisjmethodjofjdiaperingjwilljhelpjto:
Protectjthejurinaryjstentjthatjhasjbeenjputjinjplace.
Adequatelyjmeasurejthejurinaryjoutput.jProvi
dejforjmaximumjabsorptionjofjurine.
Providejoptimaljprotectionjofjperinealjskinjfromjinfectedjurine.
,NURSINGjTESTjBANK
Aj56-year-
oldjclientjreportsjtojthejnursejthatjhisjsleepjpatternsjarejdifferentjthanjwhenjhejwasjyounger.jThejnursejanticipatesjthatjthisjclien
tjisjlikelyjtojbejexperiencingjwhichjnormaljdevelopmentaljpattern?
6jtoj8jhoursjofjsleepjperjnightjwithjaboutj20jtoj25%jofjrapidjeyejmovementj(REM)jsleepjandjajmarkedjdecreasejin
jStagejIVjnon-REM j(NREM) jsleep.
6jtoj8jhoursjofjsleepjperjnightjwithjaboutj20%jREMjsleepjandjajdecreasejinjStagejIVjNREMjsleep.
Erraticjsleepjbecausejofjworkjschedulejwithjaboutj30%jofjREMjsleepjandjnojmarkedjdecreasejinjStagejIVjNREMjsle
ep.
LightjsleepjwithjequaljamountsjofjREMjsleepjandjNREMjsleep.
Whilejassessingjthejchestjtubejdrainagejsystemjofjajclient,jthejnursejobservesjajslightjrisejandjfalljinjthejwaterjleveljinjthej
waterjseal.jThejnursejshouldjtakejwhichjofjthejfollowingjactions?
Notifyjthejphysicianjimmediately.jHave
jthejclientjcough.
Continuejtojmonitorjthejsystem.
Repositionjthejchestjtube.
Whichjnutritionaljmeasurejwouldjhelpjajclientjwithjgastroesophagealjrefluxjdiseasej(GERD)jtojminimizejthejriskjofjsymptoms
?
Eatingj3jlargejmealsjajdayjwithjnojsnacks
Usingjajlotjofjgarlicjtojseasonjfoodjratherjthanjsalt
Limitingjintakejofjcoffeejdrinksjtoj2jorjfewerjcupsjajday
Usingjpeppermintjcandiesjtojtakejawayjthejbitterjtastejinjthejmouth
Ajclientjwhojisj20jweeksjgestationjisjconcernedjaboutjhowjtojtelljherj3-year-
oldjsonjaboutjherjpregnancy.jWhichjofjthejfollowingjwouldjbejthejbestjstatementjwhenjcounselingjthisjclient?
“Ifjhejisjnotjpleasedjwithjthejnewsjofjajnewjbaby,jyoujshouldjtelljhimjthatjyoujarejdisappointedjinjhim.”j“Telljhimj
thatjhejisjgoingjtojhavejajlotjofjresponsibilitiesjinjhelpingjcarejforjthejbaby.”
“Tryjtojprovidejextrajattentionjtojhimjandjincludejhimjinjplansjforjthejbaby.”
“Telljhimjthatjhejwilljhavejtojstayjwithjhisjgrandparentsjwhenjthejbabyjisjbornjbecausejyoujwilljbejbusywithjthejbab
y.”
Anjanxiousjclientjbeginsjtojyelljandjinterruptjotherjclients.jThejclient’sjspeechjisjrapidjandjpressured.jWhatjactionjshouldj
thejnursejtake?
Askjthejclientjtojspeakjmorejslowlyjandjsoftly.
Instructjthejotherjclientsjtojignorejthisjclient’sjbehavior.jPoint
joutjtojthejclientjthatjthejbehaviorjisjajsignjofjanxiety.
Remindjthejclientjofjthejneedjtojusejgoodjmannersjwhenjtalkingjwithjotherjpeople.
Hejnursejconcludesjthatjteachingjhasjbeenjeffectivejwhenjthejlaboringjclient’sjpartnerjshouts,j“She’sjcrowning!”jas:jThej
nursejfirstjstartsjtojseejajlittlejofjthejbaby’sjhead.
Thejbaby’sjheadjrecedesjupwardjbetweenjpushingjcontractions.
Thejperineumjisjthinjandjstretchingjaroundjthejocciput.
Thejmouthjandjnosejarejbeingjsuctioned.
, NURSINGjTESTjBANK
Anj86-year-
oldjclientjwilljbejundergoingjajsurgicaljprocedure.jWhichjofjthejfollowingjchangesjwouldjthejnursejmakejinjthejinfor
medjconsentjprocessjforjthisjelderlyjclient?
Providingjadequatejtimejforjthejclientjtojprocessjthejinformation
Encouragingjthejfamilyjmembersjtojmakejthejdecisionjforjthejclient
EncouragingjthejclientjtojsignjimmediatelyjbeforejthejclientjforgetsjthejpurposejofjthejsurgeryjPro
vidingjthejclientjwithjreadingjmaterialjaboutjthejsurgeryjandjthejpostoperativejinstructions
Aj76-year-
oldjwomanjvisitsjthejambulatoryjclinicjwithjreportsjofjhavingjdifficultyjreadingjandjdoingjneedleworkjbecausejofjvisualj
distortionsjwithjblurringjofjimagesjdirectlyjinjthejlinejofjvision.jThejperipheraljvisionjassessmentjbyjthejnursejyieldsjnor
maljfindings.jThejnursejsuspectsjthatjthisjclientjisjexperiencingjwhichjofjthejfollowingjvisualjproblems?
GlaucomajDeta
chedjretinajCata
racts
Macularjdegeneration
Ajclientjexperiencesjseverejnauseajforjupjtoj2jweeksjfollowingjherjchemotherapyjtreatment.jWhichjstatementjindicatesjaj
needjforjfurtherjinstructionjonjmanagementjofjnausea?
“IjneedjtojcalljmyjdoctorjifjIjlosejmorejthanj10jpercentjofjmyjbodyjweight.”
“Ijshouldjtryjtojeatjbland,jchilledjfoods,jandjdrinkjliquidsjseparatejfromjmyjmeals.”
“Ijneedjtojliejdownjforjanjhourjafterjeachjmeal.”
“Ijshouldjcalljthejdoctorjifjmyjnauseajdoesn’tjgojaway,jtojseejifjajdifferentjanti-emeticjcouldjprovidejbetterjrelief.”
Thejnursejisjcaringjforjthejclientjwhojisjrecoveringjfromjpartialjthicknessjburns.jWhichjofjthejfollowingjbreakfastjoptionsj
indicatesjclientjunderstandingjofjthejrecommendedjdiet?
Twojslicesjofjtoastjwithjbutter,jorangejjuice,jskimjmilkjTwojp
oachedjeggs,jhashjbrownjpotatoes,jwholejmilkjThreejpanc
akesjwithjsyrup,jtwojslicesjofjbacon,japplejjuicejOnejcupjofjoa
tmealjwithjskimjmilk,j1/2jgrapefruit,jcoffee
Ajclientjquestionsjthejsurgicaljnursejaboutjthejpersonneljinjthejoperatingjroom.jWhichjofjthejfollowingjinitialjresponsesjb
yjajnursejtojthejclient’sjconcernjisjmostjtherapeutic?
“Thejnursesjarejwell-
qualifiedjforjthejjobjtheyjdo.”j“Havejyoujhadjajbadjexper
iencejinjthejOR?”
“You’rejconcernedjaboutjthejpersonnel,jbutjyoujhavejnojneedjtojworry.”
“Canjyoujtelljmejaboutjwhyjyoujarejinterestedjinjthejpersonnel?”
Thejnursejisjassignedjtojthejcarejofjajclientjreceivingjradiationjtherapyjforjcancer.jWhichjofjthejfollowingjactivitiesjneede
djinjthejcarejofjajclientjreceivingjexternaljbeamjradiationjtherapyjcouldjbejsafelyjdelegatedjtojanjunlicensedjassistivejper
sonj(UAP)jworkingjonjthejnursingjunit?jSelectjalljthatjapply.
Observejthejskinjsitejfollowingjajtreatmentjsession.
Documentjintakejfromjthejmealjtrays.
Assessjvariationsjinjleveljofjfatiguejduringjthejshift.jExpl
orejhowjthejclientjisjcopingjwithjtreatment.
Assistjthejclientjtojambulatejinjthejhall.
