1) A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques should the nurse use?
ANS: Have
... [Show More] the client stand with her arms at her side and her feet together.
2) A nurse is planning an deduction session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client?
ANS: Allow extra time for the client to respond to questions
3) A nurse is teaching an older client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend?
ANS: Walking briskly
4) A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention?
ANS: Erythema on pressure points
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?
ANS: Gently shake the container of medication prior to administration.
6) A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
ANS: Check the client for injuries
7) A nurse is caring for a client who is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
ANS: Reassure the client that this is an expected response to grief.
8) A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does that involve?" Which of the following responses should the nurse make?
ANS: "You should have a fecal occult blood test every year."
9) 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?
ANS: Flush the tube with 15 mL of sterile water.
10) A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?
ANS: Cleanse the wound from the center outward.
11) A nurse is providing care to four clients. Which of the following situations requires the nurse the complete an incident report?
ANS: A client who has an IV infusion pump receives an additional 250 mL of IV fluid. [Show Less]