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A charge nurse smells smoke, enters the visitor restroom, and sees flames
in the trash can. What is the sequence of actions that the nurse should
take? - ANSWER 1. Evacuate clients from the area
2. Pull the lever on the fire alarm box
3. Close the fire doors on the unit
4. Use a fire extinguisher to put out the fire
A nurse is reinforcing preoperative teaching with a client who speaks a
different language than the nurse. Which of the following actions should the
nurse take? - ANSWER Provide handouts written in the client's primary
language
A nurse is caring for four clients who are required to provide informed
consent for treatment. The nurse should identify that which of the following
clients is able to provide informed consent?
- ANSWER An 18-year-old client who has acute appendicitis
A nurse is reviewing the vital signs for four adult clients. Which of the
following findings requires further data collection by the nurse? - ANSWER
A client who has a pulse rate of 110/min
A nurse is preparing to remove a client's peripheral IV catheter. After
performing hand hygiene and applying clean gloves, which of the following
actions should the nurse take first? - ANSWER
Clamp the infusion tubing
A nurse is assisting with a presentation to a group of older adults
at a community center about hypothermia and hyperthermia .
Which of the following information should the nurse include about
age-related changes? - ANSWER Circulation becomes less
efficient with age
, A nurse is reinforcing teaching with a client about the prevention of stress
injuries. Which of the following instructions should the nurse include? -
ANSWER "When lifting a heavy object, keep it close to your body"
A nurse is calculating the intake and output for a client over the last 8 hr.
The client is receiving a continuous IV infusion at 150 mL/hr and had 4 oz
of juice and 0.5 L of water. How many mL of fluid should the nurse
document as the client's intake for the last 8 hr? (Round your ANSWER to
the nearest whole number" - ANSWER 1,820 mL
A nurse is caring for a client who is refusing medical treatment.
Which of the following actions should the nurse take? - ANSWER
Document the client's refusal of the treatment
A nurse is contributing to the plan of care for a client who has a
prescription for elastic bandages to the lower extremities. Which of the
following actions should the nurse recommend for the plan
of care? - ANSWER Compare the client's pedal pulses bilaterally
every 4 hr
A nurse is assisting with the admission of a client who has active
tuberculosis. Which of the following actions should the nurse plan
to take? - ANSWER Assign the client to a negative-pressure
airflow room
A nurse is assisting with the plan of care for four clients. Which of
the following tasks should the nurse assign to an assistive
personnel (AP)? - ANSWER Assist client to get out of bed after a
breathing treatment
A nurse is preparing to transfer a client from an acute facility to a long-term
care facility. Which of the following information should the nurse plan to
include in the transfer report? - ANSWER
Resolves health conditions
A nurse is assisting with the plan of care for a client who has