Complete 137 Questions With Detailed
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A home health nurse is caring for a child who has Lyme disease. Which of the following
is an appropriate action for the nurse to take? - Correct answerEnsure the state
health department has been notified.
A nurse is caring for a client who has a vented NG tube set to low intermittent suction
and has vomited. Which of the following actions should the nurse perform first? -
Correct answerEvaluate functioning of the suction device.
While performing a routine assessment, a nurse notices fraying onto the electrical cord
of a client's continuous passive motion (CPM)device. Which of the following actions
should the nurse take first? - Correct answerRemove the device from the room.
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the
following actions should the nurse take when pouring the sterile solution? - Correct
answerRemove the cap and place it sterile side up on a clean surface.
A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan? -
Correct answerWear loose fitting underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the following
assessments findings should the nurse report to the provider? - Correct
answerSunken fontanels and dry mucous membranes.
A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptive use to a group of women. Which of the following
conditions should the nurse include in the teaching? - Correct answerHypertension
A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client indicates
understanding of the teaching? - Correct answer"I know it will be a couple of weeks
before the medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is
appropriate to prevent contracture? - Correct answerAlign a trochanter wedge
between the client's legs.
, A nurse is assessing a client who is postoperative following abdominal surgery and has
an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of
the following interventions should the nurse anticipate? - Correct answerObtain a
urine specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for
the client's daily warfarin. Which of the following laboratory tests should the nurse plan
to report to obtain the prescription for the warfarin? - Correct answerINR
A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse document as a
manifestation of pseudoparkinsonism? - Correct answerShuffling gait
A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client? - Correct answerHaving
interdisciplinary team meetings for the client on a regular basis.
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the
nurse recommend to promote independence in eating? - Correct answerBanana
slices
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in
the community. Which of the following actions should the nurse plan to take? - Correct
answerRecommend to the provider specific acute care clients for discharge.
A nurse is receiving change-of-shift report for four clients. Which of the following clients
should the nurse assess first? - Correct answerA client who was just given a glass
of orange juice for low blood glucose level.
A nurse is performing postmortem care for a recently deceased client prior to the client's
family visit. Which of the following actions should the nurse plan to take? - Correct
answerHold the client's eyes shut for a few seconds.
A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing
voices." Which of the following responses is the priority for the nurse to state? -
Correct answer"What are the voices telling you?"
A nurse is administering furosemide IV bolus to a client who has fluid volume excess.
The nurse should recognize which of the following as an indication that the medication
has been effective? - Correct answerWeight loss