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Terms in this set (70)
1: Draw up the volume of insulin from the intermediate-acting
insulin vial.
2: Inject the volume of air equal to the amount
of insulin to withdraw from the intermediate-
acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the
A nurse is preparing to mix short-acting insulin vial
short-acting and
intermediate-acting insulin 4: Withdraw the prescribed amount of insulin form the short-
acting insulin vial.
in one syringe to administer
to a client who has type 1 5: Withdraw the prescribed amount of insulin form the
diabetes mellitus. Identify intermediate-acting insulin vial.
the sequence the nurse
should follow. To mix insulin from two vials in the same syringe, the nurse
should first draw up a volume of air equal to the volume of
insulin from the intermediate-acting insulin vial. The nurse
should then inject the volume of air equal to the amount of
insulin to withdraw from the intermediate-acting insulin vial,
making sure the needle does not touch the insulin. Next,
the nurse should inject the volume of air equal to the insulin
dose from the short-acting insulin vial. Then, the nurse
should withdraw the prescribed amount of insulin from the
short-acting insulin vial. Lastly, the nurse should withdraw
the prescribed amount of insulin from the intermediate-acting
insulin vial. The insulins are now mixed and ready to
administer.
, Advise the client to rinse their mouth and dentures after each meal.
The nurse should advise the client to rinse their mouth
and dentures after each meal to remove food and
particles and to promote healing of gums and oral
A nurse is assessing a client
mucosa.
who wears partial dentures
The nurse should instruct the client to rinse their
and reports mouth pain.
mouth four times each day with mild rinses, such as
Which of the following
normal saline or sodium bicarbonate solution. The
actions should the nurse
nurse should inform the client that mouthwashes
take?
containing alcohol dry the oral mucosa and can
irritate tissue.
The nurse should instruct the client to brush
their remaining teeth with a soft toothbrush at
least twice each day to reduce the risk for gum
abrasions.
The nurse should avoid using lemon-glycerin
sponges because they can cause erosion of the
client's tooth enamel, dry the mucous membranes, and
increase the client's current discomfort.
Speech-language pathologist
A nurse is planning care for a
The nurse should recommend a referral for a client
client who has dysphagia and
who has dysphagia to a speech- language
is at risk for aspiration. Which
pathologist. Clients who have dysphagia have
of the following referrals
difficulty swallowing and are at risk for aspiration.
should the nurse make?
The speech-language pathologist can perform a
swallow study to determine the extent of the client's
dysphagia and work with the client to develop new
swallowing techniques.
- Establish the client's learning needs
A nurse is planning teaching
for a client who has a new
- Determine the client's literacy level
diagnosis of ty pe 2 diabetes
mellitus. Which of the
- Evaluate the client's readiness for learning
following actions should the
nurse take prior to - Identify the client's learning style
performing the teaching?
(select all that apply)
Previous treatments
, The nurse should include previous treatments in the
A nurse is preparing to notify "background" portion of the SBAR communication
the provider about a change tool. Other information the nurse should include in
in a client's status. Which of the "background" portion is the client's admission
the following information history, diagnosis, pertinent medical history, and code
should the nurse plan to status. The nurse should include physical findings in
include in the "background" the "assessment" portion of the SBAR
portion of the SBAR communication tool. The nurse should include
communication tool? questions regarding client care in the
"recommendation" portion of the SBAR
communication tool. The nurse should include the
client's present condition in the "situation" portion of
the SBAR communication tool.
"I will store oxygen tanks in an upright position"
A nurse is providing
discharge teaching to a client This statement by the client indicates an
who has a new prescription understanding of the teaching. The nurse should
for home oxygen therapy instruct the client to store oxygen tanks in an
utilizing a compressed upright position in a holder to prevent damage to
oxygen system. Which of the the tank and injury to the client and the client's
following statements by the family. The nurse should instruct the client to check
client indicates an the oxygen equipment at least once daily to
understanding of the determine if it is set to the prescribed oxygen rate.
teaching? The nurse should instruct the client to place the
oxygen equipment 2.4 m (8 ft) from a heat source to
prevent injury from accidental combustion.
A nurse is caring for a client "It must me a very difficult time for you."
who has terminal cancer. The
client begins to cry and says, The nurse is using the therapeutic communication
"I am afraid of dying." Which technique of verbalizing the implied. This technique
of the following responses puts into words what the client has said indirectly and
should the nurse make? creates a more positive nurse-client relationship.