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Clear objects from client's walking area- CN II can result in visual impairment
-CN VIII affects hearing
-CN IX can impair swallowing -CORRECT ANSWER A nurse is planning care for a
client who has a deficit with cranial nerve II. Which action should the nurse plan to take?
- keep the client resting in bed
- ask the client to restate directions
- clear objects from walking area
- evaluate the clients ability to swallow
Diaphoresis -CORRECT ANSWER A nurse in an emergency department is assessing a
client who reports taking methylenedioxymethamphetamine (MDMA). What finding
should the nurse expect?
Performing a rapid needs assessment -CORRECT ANSWER A community health nurse
is assisting with the development of a disaster management plan. The nurse should
include what nursing responsibility in the disaster response stage of the plan?
Hemoptysis 275mL/24hr - hemoptysis greater than 250mL/hr indicates that the child is
at greatest risk for hemorrhage. -CORRECT ANSWER A nurse is assessing a school-
age child who has cystic fibrosis. Which following finding is the priority for the nurse to
report to the provider?
-Fever
-Hemoptysis 275mL/24hr
-Decreased activity
-Weight loss 2.3kg
Enter the plasma product number into the client's medical record -CORRECT ANSWER
A nurse is preparing to administer 2 units of fresh frozen plasma to a client. What action
should the nurse plan to take?
oranges -CORRECT ANSWER A nurse is planning to teach about allowable foods for a
client who has a history of uric acid-based urinary calculi formation. What foods should
the nurse include in the teaching?
To bend at the knees to pick things up off the floor. Bending at the waist increases
intercranial pressure. -CORRECT ANSWER A nurse is providing discharge teaching to
a client following a cataract extraction. What should be included in the teaching.
Pull the pinna upward and back in children older than three years old.