RATIONALES (VERIFIED ANSWERS) 2025
Terms in this set (111)
The nurse is caring for assigned
clients. The nurse should
recognize that the client at
highest risk for developing
peritonitis is a
client who had
The nurse is caring for a client
with moderate Alzheimer's disease
(AD). The nurse should
immediately intervene if a
staff member is observed
The charge nurse in a long-term
care facility has completed
client care assignments for
unlicensed assistive
personnel (UAP). Which of the
following statements by the
charge nurse would provide the
best directions to a UAP
regarding the assignment?
The nurse and unlicensed assistive
personnel (UAP) are caring for
assigned clients. Which of the
following activities would be
appropriate for the nurse to
assign to UAP?
The nurse is contributing to a staff
development conference about
informed consent for surgery.
Which of the following
information should the nurse
suggest
including?
,A nurse who is pregnant is assigned
to care for a 3-month-old client
with respiratory
syncytial virus (RSV) pneumonia.
The client is receiving ribavirin
therapy. Which of the following
actions would be most
appropriate for the nurse to take?
The nurse is contributing to the
plan of care for a client with
multiple sclerosis (MS).
Which of the following should the nurse
recommend be included?
The nurse has participated in a staff 2."After death, a member of a burial society will wash the body of a
development conference about client who practices Orthodox Judaism."
caring for clients with various
religious beliefs who
are terminally ill. Which of the
following statements by the
nurse would indicate a correct
understanding of the teaching?
1. "A family member will turn a
client who practices Buddhism
east to face Mecca prior to
death."
2. "After death, a member of a burial
society will wash the body of a
client who practices Orthodox
Judaism."
3. "After death, a family member
will cover the mirrors in the
room of a client who
practices the Greek Orthodox
religion."
4. "A priest will tie a thread around
the wrist of a client who
practices Roman
Catholicism to signify a blessing prior
,to death."
The nurse is contributing to a staff
education conference about
advance directives. Which
of the following
information should the nurse recommend
including? Select all that apply.
The nurse is caring for a client who
has mycoplasma pneumonia.
Which of the following infection
control precautions
should the nurse implement?
The nurse is observing a coworker 3.applies suction for 10 seconds at each pass of the catheter
suctioning a client with a
tracheostomy. The nurse should
intervene if the coworker:
1. applies suction as the catheter
is being withdrawn
2. wears a face shield
throughout the procedure
3. applies suction for 10 seconds
at each pass of the catheter
4. wears clean, nonsterile gloves
throughout the procedure
, The nurse is reinforcing teaching
with the parents of a child who is
scheduled for
surgical repair of hypospadias. The nurse
should reinforce that intended
outcomes of the procedure
include:
1. relief from pain
2. relief from bladder obstruction
3. the ability to void while standing
4. the ability to achieve an erection
The nurse is collecting data from
a client who had a kidney
transplant 5 days ago. Which of
the following findings would
require immediate intervention?
The nurse is contributing to
a staff development
conference about client
confidentiality. Which of the
following information should
the nurse suggest
including? Select all that apply.
The nurse is contributing to the
plan of care for a client who had a
stroke 3 days ago
and has right-sided hemiplegia and
dysphagia. Which of the
following
nutritional outcomes would be most
appropriate for the nurse to
recommend including in the
client's plan of care?
The nurse is collecting data on a
client with chronic obstructive
pulmonary disease (COPD).
Which of the following findings
would be a priority to report to
the charge
nurse?