• A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of
... [Show More] hopelessness?
o The client wants to talk about the diagnosis with nursing staff
o The client has a decreased energy level
o The client makes funeral arrangements
o The client requests a second opinion
• A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to cooperate? (Select all that apply)
o Allows the nurse to touch him on the arm
o Plays with toys in the examining room
o c. Answers questions asked by the nurse
o d. Makes eye contact with the nurse
• Sits on his parent’s lap when the nurse enters the room
• A nurse on a mental health unit is planning care for a group of clients. Which of the following clients should the nurse see first?
o A client who has bipolar disorder and is displaying flights of ideas
o A client who has ADHD and has an inability to concentrate
o A client who has schizophrenia and is having command hallucinations
o A client who has depressive disorder and is withdrawn
• A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, “ I can’t seem to do anything right. What should I do?” Which of the following responses should the nurse make?
o “I’ll take him back to the nursery, so you can get some rest.”
o “Babies need to cry soon after they are born to develop their lungs.”
o “Let me show you how to swaddle and cuddle him, then you try.”
o “If I turn him on his side, maybe he’ll go back to sleep.”
• A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of the following actions should the nurse take?
o Test the first drop of blood that forms after the puncture
o Wear sterile gloves
o Keep the finger in a dependent position
o Select the central tip of the finger
• A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over-the- counter medications interacts adversely with clopidogrel?
o Docusate sodium
o Ranitidine
o Vitamin D3
o Naproxen
• A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago. The client’s foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of the following actions should the nurse plan to take first?
o Administer opioid pain medication
o Apply an ice pack to the affected extremity
o Check for pain with passive movement of the affected extremity
o Elevate the affected extremity with several pillows
• A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching?
o Decreased hemoglobin
o Somnolence
o Bradycardia
o Decreased blood pressure
• A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the st
• aff can medicate a client against his will, without a court hearing, in which of the following situations?
o A client who has a serious mental illness
o A client who is having difficulty making decisions about his treatment
o A client for whom the benefits of the medication outweigh the risks
o A client who is attempting to hurt himself or others [Show Less]