A nurse on an inpatient unit is assisting with the discharge plan for a client who has schizophrenia. Which of the folloving resources should the nurse
... [Show More] include in the plan?
Contact information for enrollment in a 12-step program
Contact information for a community mental health center
A referral for respite care services
A list of primary prevention activities - Contact information for a community mental health center
A nurse in a provider's office is reinforcing teaching with a client about performing testicular self-examination. Which of the following instructions should the nurse include?
"Palpate both testicles firmly with your fingertips.
Apply a cool compress to the scrotum prior to examination.
Perform the self-examination every 3 months.
Examine your testicles after a warm shower." - Examine your testicles after a warm shower."
A nurse is planning care for a client who is 1 day postoperative following abdominal surgery. Which of the following tasks should the nurse
delegate to an assistive personnel?
Showing the client how to use an incentive spirometer
Transferring the client from the bed to a chair
Checking the client's surgical dressing for bleeding
Determining whether the client has Incisional pain - Transferring the client from the bed to a chair
A newly-licensed nurse tells another nurse that their password has expired and asks for assistance with inputting data into a client's electronic medical record. Which of the following statements should the nurse make?
You won't be able to input any data until you reset your password."
You can use my password on another terminal, but just this one time.
If you'd like to give me the data, I can enter it for you."
The charge nurse can log on for you and watch you input the data. - You won't be able to input any data until you reset your password."
A nurse on a postpartum unit is caring for a group of clients. Which of the following clients is the nurse's priority?
A client who is 1 day postpartum and has not voided in 8 hr
'client who is 4 days postpartum and has lochia
Serosa
A client who is 3 days postpartum and has not had a bowel movement since prior to admission
A client who is 2 days postpartum and whose fundus is 2 to 4 cm below the umbilicus - A client who is 3 days postpartum and has not had a bowel movement since prior to admission
A nurse is reinforcing home safety instructions with the guardian of an 18-month-old toddler. Which of the following responses by the guardian indicates an understanding of the teaching?
I will place my child in a drop-side crib for napping.
I will turn all pot handles toward the back of the stove."
I will set the temperature of the water heater to 130 degrees."
I will place my child's car seat forward-facing in the backseat." - I will turn all pot handles toward the back of the stove."
A nurse is caring for a client who is at 6 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider?
WBC 7.000/mm
Hemoglobin 13 g/dL
Blood glucose 130 mg/dL
RBC 5.8 million/mm3 - Hemoglobin 13 g/dL
A nurse is preparing to give change-of-shift report to the oncoming nurse. Which of the following information should the nurse include?
Expected laboratory results
Number of visitors
Routine care
Medical diagnosis - Expected laboratory results
A nurse is reinforcing teaching with a client who has gestational diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching?
"My baby is at risk for being underweight at birth."
"My baby will be monitored for hypoglycemia after birth."
"I should ensure that only S percent of my daily calories come from protein sources."
I will check my blood glucose once every 8 hours." - "My baby will be monitored for hypoglycemia after birth."
A nurse is selecting foods for a client who is in the manic phase of bipolar disorder. Which of the following foods should the nurse offer the client?
Mashed potatoes
creamed corn
Spaghetti with meat sauce
Milkshake - Milkshake
A nurse is preparing to perform an irrigation to remove a buildup of cerumen from a client's ear. Which of the following actions should the nurse
take?
Use cool water to flush the cerumen from the ear canal.
Aim the stream of water directly at the cerumen impaction.
Remind the client to use a cotton swab periodically to remove cerumen.
Instill cerumen-softening drops before the irrigation. - Instill cerumen-softening drops before the irrigation
A nurse is contributing to the plan of care for an adolescent client following surgery for a ruptured appendix. which of the following interventions should the nurse recommend to include in the plan?
Offer the client a clear liquid diet when fully alert.
Discontinue antibiotic therapy on the first postoperative day.
Ensure that the client receives pain medication prior to ambulation.
Encourage the client to change positions every 4 hr - Ensure that the client receives pain medication prior to ambulation.
A nurse is preparing a room for a client who has a tracheostomy tube. Which of following supplies should the nurse place in the room?
irrigation set
Hemostats
Obturator
Povidone-iodine - Obturator
A nurse is reinforcing teaching for a client who has a new prescription for low-dose aspirin. The nurse should inform the client that which of the
following is known to interact with aspirin?
Acetaminophen
st. John's wort
Ranitidine
Ginkgo biloba - Ginkgo biloba
A nurse is reinforcing teaching with a newly licensed nurse about incident reports. The nurse should identify that which of the following situations requires the completion of an incident report?
Insulin lispro was administered to a client immediately before bed.
Nitroglycerin transdermal was applied to a client's chest.
Cefotaxime was administered to a client after obtaining blood cultures.
Digoxin was administered to a client who has a heart rate of 64/min. - Insulin lispro was administered to a client immediately before bed.
A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?
I take a blood thinner and I bump into things sometimes.
"Please don't tell anyone you saw these: I do not want to go to a nursing home
"My caregiver rearranged the furniture in the living room and I ran into the couch."
"I don't like having to use my walker for short trips when I am in my hom - "Please don't tell anyone you saw these: I do not want to go to a nursing home
A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse recommend?
Offer the dient flulds high in fiber and protein every hour.
Monitor the client's vital signs twice per day.
Weigh the client three times per week.
Encourage the client to participate in group therapy activitles each day. - Offer the dient flulds high in fiber and protein every hour.
A nurse is collecting data from a client who is at 29 weeks of gestation. Which of the following findings should the nurse identify as a potential
indication of a prenatal complication?
Melasma
Blurred vision
Ptyalism
Leg cramps - Blurred vision [Show Less]