1) A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher
... [Show More] at school. Which of the following statements should the nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
I
d) Tell me about your school schedule
2) *A nurse is observing bonding to the client her newborn. Which of following actions by the client requiresthe nurse to intervene?
a) Holding the newborn in an en face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) I Viewing the newborn’s actions to be uncooperative
3) A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate thatthe medication is effective?
a)
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation
4) A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions wouldIyou include in the teaching?
a) Contact provider if the cord still turns black (it’s going to turn black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser)I
d) The cord stump will fall off in five days (cord falls off in 10-14 days)
5) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiacoutput?
a) ShiveringI
c) Bradypnea
d) Constricted pupils
6) A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following clientshould the nurse identify as the priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunkIc
d) A client with open fracture of the lower extremity
7) A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c)
d) A client was transurethral resection of the prostate with a red tinged urine in the bag
8) A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursingIintervention?
a) Place’s cardiac monitoring
b) Monitor the clients oxygen saturation level
d) Encourage foods high in potassium [Show Less]