A nurse, an emergency department complete an assessment on an adolescent client that has conduct disorder. The client threaten suicide to a teacher at scho... [Show More] ol which of the following statements should the nurse include in the assessment.
Tell me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions by the client requires the nurse to intervene
Viewing the newborn's actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding should indicate that the medication was effective
Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which instructions would you include in the teaching
Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac output oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the following client. Should the nurse identify as a priority.
A client with indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse assess first
A client who is chronic kidney disease with cloudy, diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate nursing intervention.
Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The nurse is reviewing the monitor tracing in notes early decelerations, which of the following should the nurse expect
Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as an indication of hemodialysis.
Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take.
Heat the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which of the following client. Should the nurse plan to assess first.
Client placed in restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain management, which of the following statement by the nurse is an appropriate description of the use of hypnosis during labor
Hypnosis promotes increase control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is addressing the group. Which of the following is an example of reaction formation?
I think that people just you're just lazy and should earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide monotitrate which of the following should the nurse identify as a contraindication to medication glaucoma
16
No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the following intervention should the nurse include in the point of care
Obtain a cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving chemotherapy, which of the following laboratory value should nurse report to the provider
WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action. Should the nurse include in the plan of care
Place a daily calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following findings. Should the nurse report to the provider first.
Client who has gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to treat constipation which of the following statements by the nurse is appropriate
Drink hot water with lemon juice each morning when you wake up
22
No question
A nurse is caring for a client who is preparing his advance directives, which of the following statements by the client indicates an understanding of advance directives SATA
I have the right to refuse treatment
My health care proxy can make medical decisions for me
A nurse is caring for a client who is 32 weeks gestation and has a history of cardiac disease which of the following positions to the nurse place the client to best promote optimal, cardiac output
Left lateral
A nurse is caring for a group of clients which of the following client. Should the nurse assigned to an AP.
Client who had a cerebral vascular accident two days ago, and needs help toileting
A nurse is providing discharge, teaching to a client who has schizophrenia, isn't starting therapy with clozapine which of the following is the highest priority for the client to report to the provider
Fever
A nurse observes an AP providing care to a child, who is in a skeletal traction, which of the following action requires intervention [Show Less]
