A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the
... [Show More] nurse take? - ANS -Tell the nurses that this conversation is not appropriate.
A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? - ANS -Ask the client what he already knows about meal planning.
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity? - ANS -Use warm water when bathing the client.
A nurse is contributing to the plan of care for four clients. For which of the following clients should the nurse initiate airborne precautions? - ANS -A client who has measles.
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can barely look at myself in the mirror." The nurse should identify that the client is experiencing which of the following? - ANS -Actual loss.
A nurse is reinforcing teaching with a new parent of an infant who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching? - ANS -I will remove all stuffed animals from my baby's crib.
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider? - ANS -The client has redness and warmth in his calf.
A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make? - ANS -Stand with your feet together and your arms at your sides.
A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops. Which of the following instructions should the nurse include? - ANS -You should cleanse your eye from the inner to the outer edge prior to putting in the drops.
A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. - ANS -1. Assess the client's gag reflex
2. Position the client on his side with his head turned to the side
3. Place a towel under the client's head with an emesis basin under his chin.
4. Separate the client's upper and lower teeth with an oral airway device
5. Cleanse the client's mouth using a toothbrush
A nurse in a long term care facility is collecting admission data from a client who uses a hearing aid. Which of the following actions should the nurse take? - ANS -Choose a private room for the interview
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make? - ANS -It must be difficult facing this type of surgery.
A nurse is caring for a client who has dysphagia following a stroke. Which of the following interventions should the nurse use when feeding the client? - ANS -Instruct the client to tilt her head forward while eating
A nurse in an acute care setting is documenting postmortem care for a client. Which of the following information should the nurse include in the documentation? - ANS -Release of personal belongings form
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching? - ANS -I know i can change my advance directives if i need to in the future
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. Which of the following information should the nurse document? - ANS -3 + pitting edema
A nurse is preparing to obtain a client's vital signs. When washing her hands, which of the following actions should the nurse take? - ANS -Turn off the faucet with a clean paper towel after drying hands
A nurse is caring for a group of clients in a long term care facility. Which of the following actions should the nurse take to prevent health care associated infections for these clients? - ANS -1. Wash hands after removing gloves
2. Use antimicrobial hand gel after refilling the client's water pitcher
3. Clean the stethoscope with an antimicrobial wipe after obtaining vital signs
A nurse in a provider's office is providing care for a middle adult client who has minimal exposure to sunlight. Which of the following interventions should the nurse recommend? - ANS -Take Vitamin D supplements
A client who is scheduled to undergo surgery tells the nurse that she does not understand the procedure and is reconsidering her decision to have it. Which of the following actions should the nurse take? - ANS -Notify the charge nurse of the client's concerns [Show Less]