A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury.
Which of the following actions by the AP demonstrate an
... [Show More] understanding of the teaching? -
The AP keeps the object he is lifting close to his body
. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx.
Which of the following actions should the nurse take? - Assess the red area for blanching
. a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which
of the following veins should the nurse select when initiating an IV therapy? - The cephalic
vein in the left distal forearm
a nurse is preparing to administer a medication into a client by the intradermal route after
applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse
take the steps to administer the medication? (move steps into box 1- 4 priority) -
. a nurse is providing teaching to a client about colorectal cancer prevention guidelines.
Which of the following recommendations should the nurse include? - Reduce intake of red
meats
a nurse is planning care to prevent skin breakdown for a client who is immobile and is
urinary incontinent. Which of the following actions should the nurse include in the plan of
care? - Request a prescription for an indwelling urinary catheter
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of
the following actions should the nurse plan to take? - Place adhesive tape directly on the
penis
a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of
the following information should the include in the teaching? (select all that apply) - -Apply
pressure just below artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should
identify which of the following examples as a violation of HIPPA? - Discussing the clients
transfer to a long-term care facility with a nurse from another unit
10. a nurse is caring for a client who is 2 days postoperative following bowel resection and
reports sudden severe abdominal pain. Which of the following actions should the nurse take
first? - Expose the clients abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the
following interventions is the nurses priority? - For the client explain the techniques of
esophageal speech
12. a home care nurse is teaching a client about home safety. Which of the following
statements by the client indicates an understanding of the teaching? (select all that apply) - -I
will use the bars when getting in and out of the bathtub
-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
13. a nurse is assessing a client's cranial nerve VII. Which of the following responses should
the nurse expect? - The client has a symmetrical smile
14. a nurse in an emergency department is assessing a client who reports a right lower
quadrant pain, nausea and vomiting for the past 48 hours? Which of the following actions
should the nurse take first? - Auscultate bowel sounds
15. a nurse is caring for a client who recently received a diagnosis of terminal cancer. Which
of the following statements by the clients partner indicates maladaptive coping? - I am going
to ask my daughter to come and stay for a week
16. a nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The
nurse should anticipate application of which of the following dressings? - Transparent
17. a nurse is caring for a client who has brain cancer and is transferring to hospice care. The
client's son tells the nurse "I don't know what to tell my dad if he asks how he is going to
die". Which of the following is an appropriate response from the nurse? - I think you should
discuss this with the hospice nurse
18. a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to
care for corns and calluses toes. Which of the following statements by the client indicates
understanding of the teaching? -
19. a nurse is caring for a client who has wrists restraints after an episode of violent behavior.
Which of the following actions should the nurse take? - Tie the restraints to the side ra [Show Less]