A nurse, an emergency department complete an assessment on an adolescent client that has
conduct disorder. The client threaten suicide to a teacher at
... [Show More] school 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 expectHead 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
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