1.A nurse is planning care for a group of clients. Which of the following tasks
should the nurse
delegate to an assistive personnel?
A. Changing the
... [Show More] dressing for a client who has a stage 3 pressure injury
B. Determining a client's response to a diuretic
C. Comparing radial pulses for a client who is postoperative
D. Providing postmortem care to a client Postmortem care serves several
purposes,
including: preparing the patient for viewing by family. ensuring proper
identification of the patient prior to transportation to the morgue or funeral
home. providing appropriate disposition of patient's belongings. maintaining
vital organs, if donation is planned.)
2. A nurse is conducting a health assessment for a client who takes herbal
supplements. Which of the following statements by the client indicates an
understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol C. I use ginger when I get car
sick
D. I use garlic for my menopausal symptoms
3. A nurse is caring for a client who has influenza and isolation precautions in
place. Which of the following actions should the nurse take to prevent the
spread of infection?
A. Wear feet of the client B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
4. A nurse obtains a prescription for wrist restraints for a client who is trying
to pull out his NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C. Allow room for two fingers to fit between the clients skin and the restraints
D.Remove the restraints every 4 hr.
5. A nurse is admitting a client who has tuberculosis. Which of the following
types of transmission precautions should the nurse plan to initiate?A. Droplet
B. Airbornes
C. Protective environment D. Contact
6. A nurse in a well-child clinic receives a telephone call from a parent who
states that their child accidentally swallowed paint thinner. The child is
awake and alert. Which of the following responses should the nurse make?
A. Have your child
B. Hang up and call a poison control center hotline. C. Bring your child into
the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
7. A nurse is documenting a client's medical record. Which of the following
entries should the A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals.
8. A nurse is providing oral care for a client who is unconscious. Which of the
following actions should the nurse take?
A.
B. Brush the clients teeth daily
C. Apply mineral oil to the client’s lips
D. Rinse the client’s mouth with an alcohol-based mouthwash
9. A nurse is collaborating with a risk management team about potential
legal issues involving client care. The nurse should identify which of the
following situations is an example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria with
visitors present.
C. A nurse . D. An assistive personnel prevents a client from leaving the
facility.
10. A nurse is collecting a sputum specimen for culture from a client who has
a respiratory infection. Which of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen. B. Offer the client oral
hygiene after the collection C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
11. A nurse is assessing an older client. Which of the following findings
should the nurse expect?
Increased nighttime sleeping
Heightened sense of pain
Nighttime urinary incontinence [Show Less]