A nurse in a long term care facility notices a client
who has alzheimers disease standing at the exit
doors at the end of the hallway. The clients
... [Show More] appears
to be anxious and agitated. Which of the following
actions should the nurse take?
escort the client to
a quiet area on the
nursing unit
rationale: a
client who has
Alzheimer disease experiences
chronic confusion.
Guiding the client
to a quiet, familiar
area will help decrease agitation.
2. A nurse is assisting with the plan of care for a client
who has a continent urinary division. Which of the
following interventions should the nurse plan to implement to facilitate urinary elimination?
Use intermittent
urinary catheterization for a client
at regular intervals
3. A nurse is assisting with a educational program
about car restraint safety for a group of parents.
Which of the following statements by a parent indicates an understanding of the instructions?
My 12 year old
child should place
the shoulder lap
belt low across his
hips
4. A nurse is reinforcing teaching about strategies to
promote eating with a client who has COPD. Which of
the following instructions should the nurse include in
the teaching?
Drink high protein
and high calorie
nutritional supplements
5. A nurse is supervising an assistive personnel who is
preparing to remove her personal protective equipment after providing direct care to a client who requires airborne and contact precautions. the nurse
should recognize that the AP understands the procedure when she removes which of the following PPE
first?
Gloves
6.
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A nurse is caring for a client who is crying and states
that his provider informed him that he has a tumor
and will need a biopsy. Which of the following responses should the nurse make?
What have you
done in the past to
help yourself get
through stressful
situations before?
7. A nurse is inspecting the skin of a newborn. Which of
the following findings should the nurse report to the
provider
Generalized petechiae
8. A nurse is contributing to a teaching plan for a group
of male adolescents about the adverse effects of anabolic steroid use. Which of the following manifestations should the nurse include
Reduced height
potential
9. A nurse is reinforcing teaching with an older adult
client who has a severe left sided heart failure. Which
of the following statements should the nurse make
Rest 15 minutes
between activities
10. A nurse in a long term care facility is documenting
the care of an older client. Which of the following
information should the nurse include in the weekly
nursing care summary
Hydration status
11. A nurse is caring for a client who has a head injury. using the gasgow coma scale collection data, the nurse
should obtain which of the following information
motor response
12. A home health nurse is reinforcing teaching with a
client about the use of elastic stockings to decrease
peripheral edema. which of the following instructions
should the nurse include?
apply stockings in
the morning
13. A nurse in a providers office is obtaining a health
history from a client who is scheduled to undergo a
cardiac catheterization in 2 days. which of the following questions is the
Do you know if
your allergic to iodine
14. A nurse is planning to administer nystatin oral suspension to a client who has oral candiasis. which of
Hold the medication in your mouth
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the following instructions should the nurse give to
the client
for several minutes prior to swallowing
15. A nurse is preparing to care for the assigned clients
on her upcoming shift. which of the following time
management strategies should the nurse plan to
use?
prepare a priority
list of client needs
for the shift
16. A nurse is preparing to witness a client who is scheduled for surgery sign a informed consent. which of
the following actions should the nurse take?
Ask the client if he
understands the
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