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49. a nurse is planning to obtain a blood sample from a client for capillary blood glucose post test. Which
of the following should the nurse take to obtain the sample? - CORRECT ANSWERS-The lateral
aspect of the finger
50. a nurse enters a clients room an discovers a smoldering fire in the drapes. After moving clients to a
safe location which of the following actions should the nurse take next? - CORRECT
ANSWERS-Pull the fire alarm
51. a nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of
the following actions should the nurse plan to complete first? - CORRECT ANSWERS-
Determine whether the client can afford the insulin administration supplies
52. a nurse is assessing a client who's therapy has included bedrest for several weeks. Which of the
following findings the nurse would identify as priority? - CORRECT ANSWERS-Left lower
extremity tenderness
53. a nurse is caring or a client who has a influenza and has isolation precautions in place. Which of the
following actions should the nurse take to prevent the spread of infection? - CORRECT
ANSWERS-Wear a mask when working within 3 ft of the client
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following
actions should the nurse plan to take? - CORRECT ANSWERS-Place adhesive tape directly on
the penis
a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following
information should the include in the teaching? (select all that apply) - CORRECT ANSWERS--
Apply pressure just below artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
, 9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which
of the following examples as a violation of HIPPA? - CORRECT ANSWERS-Discussing the clients
transfer to a long-term care facility with a nurse from another unit
10. a nurse is caring for a client who is 2 days postoperative following bowel resection and reports
sudden severe abdominal pain. Which of the following actions should the nurse take first? -
CORRECT ANSWERS-Expose the clients abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following
interventions is the nurses priority? - CORRECT ANSWERS-For the client explain the
techniques of esophageal speech
12. a home care nurse is teaching a client about home safety. Which of the following statements by the
client indicates an understanding of the teaching? (select all that apply) - CORRECT
ANSWERS--I will use the bars when getting in and out of the bathtub
-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
13. a nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse
expect? - CORRECT ANSWERS-The client has a symmetrical smile
14. a nurse in an emergency department is assessing a client who reports a right lower quadrant pain,
nausea and vomiting for the past 48 hours? Which of the following actions should the nurse take first? -
CORRECT ANSWERS-Auscultate bowel sounds
15. a nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the
following statements by the clients partner indicates maladaptive coping? - CORRECT
ANSWERS-I am going to ask my daughter to come and stay for a week
16. a nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse
should anticipate application of which of the following dressings? - CORRECT ANSWERS-
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