. A nurse obtains a prescription for wrist restraints for a client who is trying to
pull out his NG tube. Which of the following actions should the
... [Show More] nurse take?
ANSWER: Allow room for two fingers to fit between the clients skin and
restraints
5. A nurse is admitting a client who has tuberculosis. Which of the following
types of transmission precautions should the nurse plan to initiate?
ANSWER: Airbornes
6. A nurse in a well-child clinic receives a telephone call from a parent who
states that their child accidentally swallowed paint thinner. The child is awake
and alert. Which of the following responses should the nurse make?
ANSWER: Have your child drink one large glass of water
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6. A nurse in a well-child clinic receives a telephone call from a parent who
states that their child accidentally swallowed paint thinner. The child is awake
and alert. Which of the following responses should the nurse make?
7. A nurse is documenting a client's medical record. Which of the following
entries should the nurse record.
8. A nurse is providing oral care for a client who is unconscious. Which of the
following actions should the nurse take
9. A nurse is collaborating with a risk management team about potential legal
issues involving client care. The nurse should identify which of the following
situations is an example of negligence?
10. A nurse is collecting a sputum specimen for culture from a client who has
a respiratory infection. Which of the following actions should the nurse take?
11. A nurse is assessing an older client. Which of the following findings should
the nurse expect?
12. A nurse is completing discharge teaching about ostomy care with a client
who has a new stoma. Which of the following instructions should the nurse
include in the teaching? (select all that apply)
13. A nurse is preparing to obtain informed consent from a client who speaks
a different language than the nurse. Which of the following actions should the
nurse take?
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14. A nurse is teaching a client about home care equipment. Which of the
following information should the nurse include in the teaching? (select all that
apply)
15. A nurse is planning care for a client who reports insomnia. Which of the
following actions should the nurse perform shortly before bedtime?
16. A nurse on a medical-surgical unit is receiving a change-of-shift report for
four clients. Which of the following clients should the nurse see first?
17. A nurse is reviewing a client’s intake and output and notes the following:
0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in
water 100mL intermittent IV bolus, 200mL emesis, 40mL voided urine, and
20mL urine from straight catheterization. The nurse should record the client’s
net fluid intake as how many mL? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
18. A nurse is discussing incident reports with a group of newly licensed
nurses. The nurse should include that which if the following requires the
completion of an incident report?
19. A nurse is caring for a client who has a new prescription for negativepressure therapy for a chronic wound. The nurse is unfamiliar with the
procedure. Which of the following resources should the nurse consult to learn
more about the intervention. [Show Less]