A home health nurse is discussing dangers of carbon monoxide poisoning with client. Which of following info should nurse include in her counseling? A:
... [Show More] carbon monoxide has distinct odor B: water heaters should be inspected every 5 years C: lungs are damaged from carbon monoxide inhalation D: carbon monoxide binds with Hgb in body - ...ANSWER...D: carbon monoxide binds with Hgb in body
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when new nurse states client who has heat stroke will have which of following? A: hypotension B: bradycardia C: clammy skin D: bradypnea - ...ANSWER...A: hypotension
Home health nurse is discussing dangers of food poisoning with client. Which info should nurse include in counseling? (Select all that apply.) A: most food poisoning is caused by virus
B: immunocompromised individuals are at risk for complications from food poisoning C: clients who are esp. at risk are instructed to eat/drink only pasteurized milk, yogurt, cheese, other dairy products D: healthy people usually recover from illness in few weeks E: handling raw & fresh food separately to avoid cross contamination may prevent food poisoning - ...ANSWER...B: immunocompromised individuals are at risk for complications from food poisoning C: clients who are esp. at risk are instructed to eat/drink only pasteurized milk, yogurt, cheese, other dairy products E: handling raw & fresh food separately to avoid cross contamination may prevent food poisoning
Nurse is caring for client receiving enteral tube feedings d/t dysphagia. Which of following bed positions is appropriate for safe care of this client? A: supine B: semi-fowler's C: semi-prone D: trendelenburg - ...ANSWER...B: semi-fowler's
Nurse is caring for client sitting in chair & asks to return to bed. Which is priority action for nurse to take at this time? A: obtain walker for client to use to transfer back to bed B: call for additional personnel to assist with transfer C: use transfer belt & assist client to bed D: assess client's ability to help with transfer - ...ANSWER...D: assess client's ability to help with transfer
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, "When I have difficulty breathing at night, I will...
A: lie on my back with head & shoulders elevated on a pillow" B: lie flat on my stomach with head to one side" C: sit on side of my bed & rest my arms over pillows on top of my raised bedside table" D: lie on my side with my weight on my hips & shoulder with my arms flexed in front of me" - ...ANSWER...C: sit on side of my bed & rest my arms over pillows on top of my raised bedside table"
Nurse manager is reviewing guidelines to prevent injury with staff nurses. Which of the followign should nurse manager include in teaching? (Select all that apply.) A: request assistance when repositioning a client B: avoid twisting spine or bending at waist C: keep knees slightly lower than hips when sitting for long periods of time D: use smooth movements when lifting & moving clients E: take break from repetitive movements every 2-3h to flex & stretch joints & muscles - ...ANSWER...A: request assistance when repositioning a client B: avoid twisting spine or bending at waist D: use smooth movements when lifting & moving clients
Nurse educator is teaching module on proper body mechanics during employee orientation. Which statements by new nurse indicates need for more teaching? A: "My line of gravity should fall outside my base of support" B: "The lower my center of gravity, the more stability I have" C: "To broaden my base of support, I should spread my feet apart"
D: "When I lift an object, I should hold it as close to my body as possible" - ...ANSWER...A: "My line of gravity should fall outside my base of support"
Nurse is caring for many clients during mass casualty event. Which client is highest priority? A: client with crush injuries to chest/abdomen & expected to die B: client with 4-inch laceration to head C: client with partial & full-thickness burns to face, neck, chest D: client with fractured fibula & tibia - ...ANSWER...C: client with partial & full-thickness burns to face, neck, chest
Nurse on med-surg unit is informed that mass casualty event occurred & it's necessary to discharge clients to make beds available for injury victims. Which clients can be safely discharged? (Select all that apply.) A: client who's dehydrated & receiving IV fluid/electrolytes B: client with NG tube to treat small bowel obstruction C: client who's scheduled for TURP (prostate resection) D: client who is 24h post-op after mastectomy E: client scheduled for appendectomy - ...ANSWER...C: client who's scheduled for TURP (prostate resection) D: client who is 24h post-op after mastectomy
Nurse educator is discussing facility protocol for tornados with staff. Which should nurse include in instructions? (Select all that apply.) A: open doors to client rooms B: place blankets over clients who are confined to beds C: move beds away from windows D: draw shades & close drapes
E: relocate ambulatory clients in hallways back to rooms - ...ANSWER...B: place blankets over clients who are confined to beds C: move beds away from windows D: draw shades & close drapes
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan? A: irrigate affected area with running water B: wash affected area with antibacterial soap C: brush chemical off skin & clothing D: apply neutralizing agent - ...ANSWER...C: brush chemical off skin & clothing
Security officer reviewing actions to take in event of bomb threat by phone. Which statement indicates proper understanding of procedure? A: "I will get the caller off the phone ASAP to alert the staff" B: "I will use overhead paging to alert entire facility" C: "I will not ask any questions & just let the caller talk" D: "I will listen for background noises" - ...ANSWER...D: "I will listen for background noises"
Nurse caring for 19 yo client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention? A: measure the vital signs B: encourage HIV screening C: determine client's risk factors D: instruct client to use condoms - ...ANSWER...C: determine client's risk factors
Nurse in clinic caring for 21 yo client who reports sore throat. Client tells nurse he hasn't seen a doctor since high school. Which health screening should nurse expect provider to perform for this client? A: testicular exam B: blood glucose C: fecal occult blood D: prostate-specific antigen - ...ANSWER...A: testicular exam
Nurse is talking with 45 yo client with no specific family hx of cancer or DM, about planning routine screenings. Which client statement indicates client understands how to proceed? A: "So I don't need colon cancer procedure for another 2-3 yrs" B: "For now, I should continue to have mammogram each year" C: "B/c doctor just did pap smear, I'll come back next year for another" D: "I had my blood glucose test last year so I won't need it again till next year" - ...ANSWER...B: "For now, I should continue to have mammogram each year"
Nurse is caring for client with many risk factors for CV disease. When planning health promotion & disease prevention strategies for this client, which intervention should nurse include? (Select all that apply.) A: help client see benefits of her actions B: identify client's support systems C: suggest & recommend community resources D: devise & set goals for client E: teach stress management strategies - ...ANSWER...A: help client see benefits of her actions
B: identify client's support systems C: suggest & recommend community resources E: teach stress management strategies
When nurse is observing client drawing up & mixing insulin injections, which best demonstrates psychomotor learning has taken place? A: client able to discuss appropriate technique B: client able to demonstrate appropriate technique C: client states he understands D: client is able to write steps on piece of paper - ...ANSWER...B: client able to demonstrate appropriate technique
Nurse is collecting data from mother of 1 yo. Client states her child is old enough for toilet training. Following teaching by nurse, client now states her earlier ideas have changed. She's now willing to postpone toilet training until child is older. Learning has occurred in which of following domains? A: cognitive B: affective C: psychomotor D: kinesthetic - ...ANSWER...B: affective
Nurse providing pre-op teaching for client scheduled for mastectomy next day. Which client statement indicates client is ready to learn? A: "I don't want my spouse to see my incision" B: "Will you be able to give me pain meds after surgery?" C: "Can you tell me about how long the surgery will take?" D: "My roommate listens to everything I say" - ...ANSWER...C: "Can you tell me about how long the surgery will take?"
Nurse preparing instructional session about managing stress incontinence for older adult. Which actions should nurse take first when meeting with client? A: encourage client to participate actively in learning B: select instructional materials appropriate for older adult C: identify goals nurse & client can agree are reasonable D: determine what client knows about stress incontinence - ...ANSWER...D: determine what client knows about stress incontinence
Nurse evaluating how well client learned the info presented in teaching about heart-healthy diet. Client states she understands what to do now. Which actions by nurse should assist evaluation of client's learning? A: encourage client to ask questions B: ask client to explain how to select or prepare meals C: encourage client to fill out eval form D: ask client if she has resources for further instruction on topic - ...ANSWER...B: ask client to explain how to select or prepare meals
Nurse talking with parents of 6 mo infant about gross motor development. Which gross motor skills are expected in next 3 mo? (Select all that apply.) A: rolls from back to front B: bears weight on legs C: walks holding onto furniture D: sits unsupported E: sits down from standing position - ...ANSWER...A: rolls from back to front B: bears weight on legs D: sits unsupported
Nurse cautioning mother of 8 mo infant about safety. Which statement by mother indicates understanding of safety for infant? A: "My baby loved to play with crib gym, but I took it from him" B: "I just bought a soft mattress so my baby will sleep better" C: "My baby really likes sleeping on fluffy pillow we just got for him" D: "I just bought a child-safety gate that folds like accordion" - ...ANSWER...A: "My baby loved to play with crib gym, but I took it from him"
Nurse reviewing carseat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include? A: use car seat that has 3-point harness B: position car seat so that infant is rear-facing C: secure car seat in front passenger seat of car D: put soft padding in car seat behind infants back & neck [Show Less]