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? - Correct Answer -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 - Correct Answer -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? - Correct Answer -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? - Correct Answer -"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? - Correct Answer -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? - Correct Answer -Naproxen ( every NSAID reacts)
A 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 - Correct Answer -Check bilateral pedal pulse
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? - Correct Answer -Somnolence ( means consistent sleeping)
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? - Correct Answer -A client who is attempting to hurt himself or others (involuntary commitment)
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 - Correct Answer -"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. - Correct Answer -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? - Correct Answer -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? - Correct Answer -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? - Correct Answer -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? - Correct Answer -Elevate the head of the client's bed, or put in orthopedic postion
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? - Correct Answer -Glycosylated hemoglobin ( HbA1c)
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? - Correct Answer -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? - Correct Answer -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? - Correct Answer -Encourage the client to be assertive
A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following instructions should the nurse indicate? - Correct Answer -"You should avoid crossing your legs for 3 months."
A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum. Which of the following instructions should the nurse include in the teaching - Correct Answer -Eat a small meal every 2 to 3 hr, or eat crackers before getting outta bed [Show Less]