A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of
the following actions should the nurse take?
A. (Unable to
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B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - ANSWER B. Tell the child they
will feel discomfort during the catheter insertion.
A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator which of the following statements demonstrates understanding of the
teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - ANSWER B. "I will wear
loose clothing around my ICD"
A nurse in an emergency department is performing triage for multiple clients following a
disaster in the community. To which of the following types of injuries should the nurse assign
the highest priority? A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm - ANSWER A. Below-the knee amputation
A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are aggressive - ANSWER B.
Document the client's condition every 15 min
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse
should identify that which of the following sexually transmitted infections is a nationally
notifiable infectious disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus - ANSWER A. Chlamydia
A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia.
The client has an area of no blanchable erythema over his ischium. Which of the following
interventions should the nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every - ANSWER B. Teach the client to shift his weight every 15 min
while sitting
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence
about being pregnant. Which of the following responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?" - ANSWER A. "Describe your feelings to me
about being pregnant"
A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy
in situations that require a durable power of attorney for heal care (DPSHC).
Which of the following information should the charge nurse include?
A. "The proxy should make health care decisions for the client regardless of the client's
ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client." - ANSWER C. "The proxy can
make treatment decisions if the client is under anesthesia." [Show Less]