2020 B With Verified Answers
A nurse at a long-term care facility is caring for a client who requires oral
suctioning. Which of the following supplies should the nurse plan to use for
this task? - ANSWER Yankauer catheter
A nurse in a long-term care facility is serving on the ethics committee,
which is addressing a client care dilemma. Which of the following strategies
will facilitate resolving the dilemma? (Select all that apply) - ANSWER
Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2
weeks ago. The client states, "I really thought I'd be back to my usual
routines by now, but I can't think of anything else except that my son is
gone." Which of the following responses should the nurse make? - ANSWER
"Grieving for your son is hard work. It will take as much time as you need to
come to terms with your loss."
A nurse is reinforcing teaching with a client about cancer prevention. The
nurse should include that frequent consumption of which of the following
foods increases the risk for developing cancer? - ANSWER Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room
during meal time. The nurse also notes that the AP is drowsy while
,performing routine tasks. Which of the following actions should the nurse
take? - ANSWER Report the observations about the AP to the unit's nurse
manager
A nurse on a pediatric unit is collecting data from four newly admitted
clients. Which of the following clients should the nurse identify as being at
risk for urinary retention? - ANSWER A school-age child who has allergic
rhinitis and is taking diphenhydramine
A nurse is caring for a client following a bronchoscopy. Which of the
following actions should the nurse take first? - ANSWER Check for a gag
reflex
A nurse is assisting with the admission of a client who has a latex allergy.
The nurse should identify that which of the following supplies has the
potential to contain latex? - ANSWER Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival of the
client's family for viewing of the body. Which of the following actions should
the nurse take? - ANSWER Gently close the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome
about measures to reduce manifestations. Which of the following
instructions should the nurse include in the teaching? - ANSWER Avoid
foods with a high sugar content
A nurse is collecting data from a client who is experiencing a situational
crisis following the loss of a job. The client states, "I don't think I can go
through this again." Which of the following actions is the nurse's priority? -
ANSWER Determine if the client is experiencing psychotic thinking
, A nurse is contributing to the plan of care for a client following a
transurethral resection of the prostate (TURP). Which of the following
interventions should the nurse include? - ANSWER Irrigate the bladder
using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration.
Which of the following should the nurse recognize as a positive response to
therapy? - ANSWER Moist mucous membranes
A nurse is assisting with the admission of a client who is experiencing
alcohol withdrawal. Which of the following medications should the nurse
expect the provider to prescribe for the client? - ANSWER Chlordiazepoxide
A nurse is caring for a client who is scheduled for surgery in the morning.
The nurse learns that the client has decided not to have surgery even
though they have already signed the informed consent form. Which of the
following actions should the nurse take? - ANSWER Report the situation to
the provider who obtained the informed consent
A nurse is collecting data from a client who is in severe pain. Which of the
following questions should the nurse ask first? - ANSWER "Where is your
pain located?"
A nurse in a provider's office is reinforcing teaching with a client who has a
new prescription for ferrous sulfate elixir. Which of the following
statements by the client should indicate to the nurse an understanding of
the teaching? - ANSWER "I will rinse my mouth after taking this
medication"
A nurse is contributing to the plan of care for a client who is postoperative
following a rhinoplasty. Which of the following interventions should the
nurse recommend? - ANSWER Instruct the client to avoid the Valsalva