Verified Solutions
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS).
Which of the following referrals is the nurse’s priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the
following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets
150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a
prescription for which of the following laboratory tests? A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
A nurse is caring for a client following application of a cast. Which of the following actions should the
nurse take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take?
(Select all that apply)
A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
C. Approach the client from the side.
D. Allow extra time for the client to perform tasks.
,E. Touch the client gently to announce presence.
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the
disease. To research the nurse should identify that which of the following electronic database has the most
comprehensive collection of nursing (Unable to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
A nurse in an emergency department is assessing newly admitted client who is experiencing drooling
and hoarseness following a burn injury. Which of the following should actions should the nurse take
first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right
hemispheric stroke. Which of the following interventions should the nurse include in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. Place the client’s left arm on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to
display aggressive behavior. Which of the following actions should the nurse take?
A. Confront the client about this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the
following actions should the nurse take?
B. Limit the client’s visitors to 30 min per day.
, C. Discard the client’s linens in a double bag.
Discard the radioactive source in a biohazard bag
A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify
as a manifestation of pulmonary congestion? A. Frothy, pink sputum.
D. Jugular vein distention.
E. Weight gain.
D..Bradypnea
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following
conditions should the nurse recognize as a contraindication to the use of oxytocin. A. Diabetes mellitus.
B. Shoulder presentation.
C. Postterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page 100)
D.Chorioamnionitis
A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse
identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum.
D. Jugular vein distention.
E. Weight
gain.
D.Brady
pnea
A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and aprescription
for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of
the following responses should the nurse make?
A. “Your baby needs an IV because she is not producing any tears”
B. “Your baby needs an IV because her fontanels are budging”
C. “Your baby needs an IV because she is breathing slower than normal”
D. “Your baby needs an IV because her heart rate is decreasing”
A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which
of the following statements should the nurse make?