1.A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about
the disease. To research the nurse should
... [Show More] identify that which of the following electronic database has the
mostcomprehensive collection of nursing (Unable to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
A nurse in an emergency department is assessing newly admitted client who is experiencing
droolingand hoarseness following a burn injury. Which of the following should actions the nurse
take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia following a
right hemispheric stroke. Which of the following interventions should the nurse include in the
plan?
A. Place food on the left side ofthe client’s mouth when he isready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. Place the client’slef t arm on a pillow while he issitting.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which
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of the following actionsshould the nurse take?
Limit the client’s visitorsto 30 min per d
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Discard the client’s linens in a double bag.
Discard the radioactive source in a biohazard bag
Cleanse equipment before removal fromthe client room
A nurse is teaching a client about using a 3-point gait for crutch-walking. Which of the following
actionsby the client understanding … teaching ?
Advancesthe affected leg first priorto the nonaffected leg
Uses both crutches when advancing the affected leg
Appliesfull weight on the affected side when advancing crutches
Planes weight on the axilla when advancing crutches
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding, the
nurse does not speak the same language as the client. The client partner and a 10-year-old child are
accompanying her. Which of the following actions should the nurse take to gather the client’s
information?
Request a female translator interpreter through the facility
Ask a student nurse who speaksthe same language to
translateHave the child translate
Allow the clients child to translate
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the
followingconditions should the nurse recognize as a contraindication to the use of oxytocin?
A. Diabetes mellitus.
Shoulder presentation.
Post term withhydramnios.
Chorioamnionitis
A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff
member who exhibits unprofessional behavior. Identify the sequence of steps the nurse manager
should plan to take in response to the staff members conduct
Give the staff member a writing warning about the behavior
Verbally remind the staffmember of the expected behavior changes
Suspend the staff member from work for several days
Dismissthe staff memberfrom employment at the facility
Set up a meeting to speak with the staff member about the behavior
A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of
the following actions by the nurse indicates a break in surgical aseptic technique?
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Applying a sterile gown after applying a sterile mask
Balancing the bottle on the sterile basin while pouring the liquid
Placing the supplies on the sterile filed and leaving a 1- inch perimeter
Putting on sterile gloves after preparing the sterile field
A nurse is assessing a client who has left-sided heart failure. Which of the following should
thenurse identify as a manifestation of pulmonary congestion?
A. Frothy, pink sputum.
B. Jugular vein distention.
C. Weight gain.
D..Bradypnea
A nurse is obtaining a clients manual blood pressure and is having difficulty auscultating sounds.Which
of the following actions should the nurse …?
Use the palpatory method to determine biood pressure
Deflate the cuff quickly
. Place the arm above the level of the client's heart
Apply the largest cuff available.
A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a
prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby
needs an IV?” Which of the following responses should the nurse make?
A. “Your baby needs an IV because she is not producing any tears”
B. “Your baby needs an IV because her fontanels are budging”
C. “Your baby needs an IV because she is breathing slower than normal”
D. “Your baby needs an IV because her heart rate is decreasing”
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide.Which of the following statements should the nurse make?
“Taking furosemide can cause your potassium levels to be high”
“Eat foodsthat are high in sodium”
C. “Rise slowly when getting out of bed”
D. “Taking furosemide can cause you to be overhydrated”
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of
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the following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the clientfrom exploring irrationalfears.
D. Provide negative reinforcement for ritualistic behaviors
A nurse is caring for a client who has depression and reports taking ST. John’s wort along with
citalopram. The nurse should monitor the client for which of the following conditions as a result of
an interaction between these substances?
Serotonin syndrome
Tardive dyskinesia
Pseudo parkinsonism.
Acute dystonia.
A nurse is caring for a client whoisin aseclusion room following violent behavior. The client continues to
display aggressive behavior. Which of the following actions should the nurse take?
A. Confront the client aboutthis behavior.
B. Expresssympathy forthe client’ssituation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide.Which of the following statements should the nurse make?
E. “Taking furosemide can cause your potassium levels to be high”
F. “Eat foodsthat are high in sodium”
G. “Rise slowly when getting out of bed”
H. “Taking furosemide can cause you to be overhydrated”
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which
ofthe following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the clientfrom exploring irrationalfears. [Show Less]