A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes following a vaginal examination. The provider
... [Show More] reports the client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the following actions should the nurse take? - Apply the external fetal heart rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? - lack of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and reports waking during the night with tremors and anxiety. which of the following information should the nurse provide to help the client manage his symptoms? - Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is taking low-dose aspirin daily. The nurse should include that this medication has which of the following therapeutic effects for CAD? - Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture and rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with a visitor. Which of the following of the prescribed medication should the nurse administer? - Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a bowel retention with ileostomy. which of the following descriptions should the nurse give of the expected output from a mature ileostomy? - liquid with little odor
A nurse is caring for a client who is 16 hr postoperative following a total hip arthroplasty. the client reports numbness, pain, and tingling in the affected leg. Which of the following actions should the nurse take first? - compare capillary refill in toes bilateraly
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the teaching about the acute phase of diverticulitis? - "I will receive the nutrient I need through my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk of cancer? - Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which of the following modes should the nurse include as a method of transmitting hepatitis A? - Consumption of contaminated food.
A nurse is reinforcing teaching with a client who is bottle feeding he full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? - Although is is unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs should support a full-term newborn's nutrition adequately. Fewer feedings in the initial weeks could delay the estabilment of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care? - The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive personnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse take firsT? - Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first? - A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who is [Show Less]