A nurse is caring for a client who reports pain. When documenting the quality of
the clients pain on an initial pain assessment. the nurse should record
... [Show More] which of the
fallowing client statements?
The pain is like a dull ache in my stomach.
A client who is nonambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the presence of the fire, which of the fallowing actions should
the nurse take next? - Evacuate the client.
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following assessment findings
should the nurse expect? - Rapid heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? - 0.3mg
A nurse is preparing a heparin infusion for a client who was hospitalized with
deep-vein thrombosis. The order reads: 25,000 units of heparin in 250 mL of 0.9%
sodium chloride to infuse at 800 units/hr. At what rate should the nurse set the
infusion pump? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) - 8 mL/hr
A nurse is caring for a client who has a prescription for wound irrigation. Which of
the following actions should the nurse take? - Cleanse the wound from the center
outward.A nurse is caring for a client receiving fluid through a peripheral IV catheter.
Which of the following findings at the IV site should the nurse identify as
infiltration? - skin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which
of the following statements should the nurse identify as an indication that the client
understands the teaching? - when descending stairs, i will first shift my weight to
my right leg.
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first? - Tell the client to keep the head of the bed elevated at least 30 degrees.
A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25
by mouth every day. "Which of the following components of the prescription
should the nurse question? - Medication dose.
A nurse is caring for a patient with behind the ear hearing aid. - I will be sure to
remove my hearing aid before taking a shower.
A nurse finds a client on the floor upon entering the client's room. The roommate
reports that the client was trying to get out of bed and fell over the bedrail onto the
floor. Which of the following is correct documentation of the incident? - Client
found lying on the floor.
A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation
process? - compare prescriptions with medications the client received while at the
facility.A nurse is caring for a client who requires an informed consent for a surgical
procedure. which of the fallowing actions it the nurses responsibility? - witness the
clients signature on the consent form. [Show Less]