A nurse is caring for a client who has a recent diagnosis of a terminal illness. The
nurse should identify which of the following as an indication of
... [Show More] hopelessness? -
The client has a decreased energy level
A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (Select all that -
Allows the nurse to touch him on the arm. Answers questions asked by the nurse.
Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first? - A client who has schizophrenia and is
having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, " I can't seem to do anything right. What
should I do?" Which of the following responses should the nurse make? - "Let me
show you how to swaddle and cuddle him, then you try
A nurse is using a glucometer to measure a client's capillary blood glucose level,
Which of the following actions should the nurse take? - Keep the finger in a
dependent position
A nurse is reviewing the home medications of a client who recently had transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the
client that which of the following over-the-counter medications interacts adversely
with clopidogrel? - NaproxenA nurse is collecting data from a client who has a long leg cast that was applied 2
days ago. The client's foot is pale with a weak pedal pulse, and the client reports
foot numbness. Which of the following actions should the nurse plan to take first -
Check for pain with passive movement of the affected extremity
A nurse in a provider's office is reinforcing teaching about cigarette smoking with a
client. Which of the following adverse effects should the nurse include in the
teaching? - Somnolence
A nurse is contributing to the development of an in-service program for mental
health nursing staff. The nurse should include that the staff can medicate a client
against his will, without a court hearing, in which of the following situations? - A
client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching - "Monitor for muscle weakness while taking the medication."
A charge nurse is discussing confidentiality requirements with a newly licensed
nurse when sharing a client's medical information. Which of the following
individuals should the charge nurse identify as appropriate with whom to share
client information. - A social worker who is assigned to an involuntary committed
school-age client
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider? - Urine
protein 3 plus
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority, requiring
immediate intervention? - Oxygen saturation 89%A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately? - Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? - Elevate the head of
the client's bed
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following laboratory tests is the most accurate of blood glucose effective
management? - Glycosylated hemoglobin
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - Tells a client he will lose his phone privileges if he does not take
his medication
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who
is on seizure precautions. Which of the following materials should the AP place in
the client's room? - Oral suction equipment
A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should the
nurse indicate in the teaching? - Encourage the client to be assertive [Show Less]