1. A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication
... [Show More] reconciliation process? - compare prescriptions with medications the client received while are the facility
2. a nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." which of the following components of the prescription should the nurse verify with the provider? - medication dose
3. a nurse is teaching a group of nurses about the use of essential oils for aromatherapy. the nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? - a client who has asthma
4. a nurse is admitting a client who has rubella. which of the following types of transmission-based precautions should the nurse initiate? - droplet
5. a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. which of the following actions should the nurse take? - gently shake the container of medication prior to administration
6. a nurse is performing a peripheral vascular assessment for a client. when placing the bell of the stethoscope on the client's neck, the nurse hears the following sound. the sound indicates which of the following? - narrowed arterial lumen
7. a nurse is caring for a client who is refusing a blood transfusion for religious reasons. the client's partner wants the client to have the blood transfusion. which of the following actions should the nurse take? - withhold the blood transfusion
8. a nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. which of the following documentation should the nurse include? - current medications
9. a nurse is assessing an adult client who has been immobile for the past 3 weeks. for which of the following findings should the nurse intervene? - erythema on pressure points
10. a nurse is planning on teaching for a group of adolescents who each recently had surgical placement of an ostomy. which of the following methods should the nurse use as a pyschomotor approach to learning? - practice sessions
11. a nurse is caring for a client who reports pain. when documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? - the pain is like a dull ache in my stomach
12. a nurse is reviewing practice guidelines with a group of newly licensed nurses. which of the following interventions should the nurse include that is within the RN scope of practice? - initiate an enteral feeding through a gastrostomy tube
13. A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the fire, which of the following actions should the nurse take next? - evacuate the client
14. a nurse is discussing the use of herbal supplements for health promotion with a client. which of the following client statements indicates an understanding of herbal supplement use? - i can take echinacea to improve my immune system
15. a nurse enters a client's room and finds her on the floor. the client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. which of the following statements should the nurse document about this incident? - client found lying on floor
16. a nurse is performing a Romberg test during the physical assessment of a client. which of the following techniques should the nurse use? - have the client stand with their arms at their sides and their feet together
17. a nurse is teaching a client whose left leg is in a cast about using crutches. which of the following statements should the nurse identify as an indication that the client understands the teaching? - when descending the stairs, i will first shift my weight to my right leg
18. a nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. which of the following actions should the nurse plan to take? - flush the tube with 15 mL of sterile water
19. a community health nurse is checking blood pressures for a group of clients at a community health screening. which of the following clients is at an increased risk for hypertension? - a client who smokes one pack of cigarettes each day
20. a nurse is planning care for a client who has vision loss. which of the following interventions should the nurse include in the plan of care to assist the client with feeding? - arrange food in a consistent pattern on the client's plate
21. a nurse is planning an educational program for a group of older adults at a senior living center. which of the following recommendations should the nurse include? - you should receive a pneumococcal immunization every 10 years
22. a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. which of the following findings should the nurse expect? - rapid heart rate
23. a nurse is administering IV fluids to a client. when monitoring for adverse effects, which of the following assessments should the nurse identify as the priority? - auscultate lung sounds
24. a nurse is caring for a client who has decreased mobility. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? - apply an ankle-foot orthotic device to the client's feet
25. a nurse is planning care for a client who has tuberculosis. the nurse should use which of the following pieces of PPE when providing care for the client? - N95 respirator
26. a nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. in preparation for the client's procedure, which of the following precautions should the nurse take? - wrap monitoring cords with stockinette and tape them in place
27. a nurse is assessing a client who received an IV fluid bolus for dehydration. which of the following findings should the nurse identify as an indication of fluid volume excess? - distended neck veins
28. a nurse is caring for a client who has limited mobility in his lower extremities. which of the following actions should the nurse take to prevent skin breakdown? - have the client use a trapeze bar when changing position
29. a nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia pump. which of the following actions should the nurse take? - instruct the family to refrain from pushing the button for the client while she is asleep
30. a nurse has just inserted an NG tube for a client. which of the following findings should the nurse expect to confirm correct tube placement? - an x-ray shows the end of the tube above the pylorus
31. a home health nurse is completing an admission assessment of an older adult client who has their caregiver present. which of the following findings should the nurse identify as a potential indication of elder abuse? - the caregiver insists on remaining in the room
32. a nurse is preparing to transfer a client who can bear weight on lone leg from the bed to a chair. after securing a safe environment, which of the following actions should the nurse take next? - assess the client for orthostatic hypotension [Show Less]