A nurse on the day shift receives the client assignment for the day. In which order will
the nurse assess the assigned clients?
A client who was admitted during the night because of congestive heart failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium enema at 10
a.m.
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A client who was admitted during the night because of congestive heart
failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days
ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium
enema at 10 a.m.
,A nurse provides information to the mother of a child with diarrhea about signs and
symptoms that indicate the need to call the primary health care provider. Which
statement by the mother indicates the need for further instruction?
"I'll call the doctor if she gets dizzy and acts sick."
"I'll call the doctor if she has severe stomach cramps."
"I'll call the doctor if her temperature is 102°F (38.9°C) or higher."
"I'll call the physician if she goes longer than 6 hours without urinating."
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C
Call doctor at temperature above 100.
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse
notes that the client is experiencing uterine hypertonicity. The nurse should take
which action immediately?
Stop the oxytocin infusion
Check the client's blood pressure
Contact the primary health care provider
Place the client in a side-lying position
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A
A nurse is preparing to administer an injection of vitamin K to a newborn. At which site
would the nurse select to administer the medication?
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, 3
The preferred injection site for the administration of vitamin K in the
newborn is the lateral aspect of the middle third of the vastus lateralis
muscle (the newborn's thigh). This muscle is the preferred injection site
because it is free of major blood vessels and nerves and is large enough to
absorb the medication
A nurse is assessing a client who has undergone radical neck dissection for the
treatment of cancer. The nurse hears stridor when auscultating over the trachea. On
the basis of this finding, which is the priority nursing action?
a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator
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C
Stridor indication there is an obstruction and the HCP should be notified
immediately. The patient should be placed in high Fowlers and pulse
oximetry can be completed by is not the priority.
The nurse is participating in a facility's planning committee to deal with possible
bioterrorism threats. The nurse should recommend implementing which infection
control measures to be used for clients in whom smallpox is diagnosed? Select all
that apply.
Enteric
Droplet
Contact
Standard
Protective isolation
Give this one a try later!
the nurse assess the assigned clients?
A client who was admitted during the night because of congestive heart failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium enema at 10
a.m.
Give this one a try later!
A client who was admitted during the night because of congestive heart
failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days
ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium
enema at 10 a.m.
,A nurse provides information to the mother of a child with diarrhea about signs and
symptoms that indicate the need to call the primary health care provider. Which
statement by the mother indicates the need for further instruction?
"I'll call the doctor if she gets dizzy and acts sick."
"I'll call the doctor if she has severe stomach cramps."
"I'll call the doctor if her temperature is 102°F (38.9°C) or higher."
"I'll call the physician if she goes longer than 6 hours without urinating."
Give this one a try later!
C
Call doctor at temperature above 100.
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse
notes that the client is experiencing uterine hypertonicity. The nurse should take
which action immediately?
Stop the oxytocin infusion
Check the client's blood pressure
Contact the primary health care provider
Place the client in a side-lying position
Give this one a try later!
A
A nurse is preparing to administer an injection of vitamin K to a newborn. At which site
would the nurse select to administer the medication?
Give this one a try later!
, 3
The preferred injection site for the administration of vitamin K in the
newborn is the lateral aspect of the middle third of the vastus lateralis
muscle (the newborn's thigh). This muscle is the preferred injection site
because it is free of major blood vessels and nerves and is large enough to
absorb the medication
A nurse is assessing a client who has undergone radical neck dissection for the
treatment of cancer. The nurse hears stridor when auscultating over the trachea. On
the basis of this finding, which is the priority nursing action?
a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator
Give this one a try later!
C
Stridor indication there is an obstruction and the HCP should be notified
immediately. The patient should be placed in high Fowlers and pulse
oximetry can be completed by is not the priority.
The nurse is participating in a facility's planning committee to deal with possible
bioterrorism threats. The nurse should recommend implementing which infection
control measures to be used for clients in whom smallpox is diagnosed? Select all
that apply.
Enteric
Droplet
Contact
Standard
Protective isolation
Give this one a try later!
