A client begins treatment with phenytoin (Dilantin). Which following should the
nurse reinforce as a measure to help minimize possible adverse effects of
... [Show More] this
medication? - Performing daily gum massage
A nurse who is facilitating a support group notices that one client in the group is
extremely talkative, to the point where others in the group have difficulty sharing
their own ideas. Which of the ff. strategies should the nurse use to facilitate the
group process with this client? - Speak privately to the client about this behaviour.
The partner of a client who died from leukemia tells a nurse, "It's so unfair that
God took him from me. I just can't live without him.". Which of the following
actions by the nurse is the priority? - Ask the client she has had suicidal thoughts.
A nurse is preparing to remove a client's peripheral IV catheter. Which of the
following actions should the nurse plan to take? - Maintain the catheter parallel to
the vein when withdrawing the catheter.
A nurse is reinforcing teaching to the parents of a newborn who has a new
prescription for nystatin (Mycostatin) for oral candidiasis. Which of the following
should the nurse include in the teaching? - Instill the medication 1 hr. after feeding.
A nurse is reinforcing teaching about an IV urography (IVP) with the parent of a
3yr old child. Which of the ff. statements indicates the parent understands the
teaching? - My child will need to have a soapsuds enema before this procedure.
A nurse is reinforcing teaching with the parent of a school-age child who has
nephrotic syndrome with peripheral edema. Which of the ff. statements by theparent indicates understanding of the teaching? - I will provide a low-sodium diet
for my child.
A nurse is caring for a client who is on complete bed rest and is unable to change
positon in bed without assistance. The nurse delegates the task of repositioning the
client every 2 hr. to an assistive personnel(AP). Which of the ff. is an appropriate
method to ensure that the AP has performed the task correctly? - Check that the
client is in a new position every 2hr.
A newly hired nurse discovers that some medication doses provided on a client's
medication record have not been updated since yesterday. Coworkers admit that
new changes in the medication orders have not been processed yet, but they advise
the nurse to administer the new prescriptions anyway. The nurse should notify
which of the ff.? - The nurse manager
A registered nurse and a licensed practice nurse (LP) on a medical surgical unit are
collaborating to provide care for a group of clients. The LPN should recognize that
which of the ff. tasks are not within the LP scope of practice? - Develop a plan of
care for a client who requires bladder training.
Which of the ff. should a nurse recognize as indicative of a positive client response
to systematic desensitization for treatment of a phobia? - The client remains
relaxed when thinking of the phobia.
A nurse in a long-term care facility is reviewing standard precaution guidelines
with an assistive personnel (AP). The nurse should instruct the AP that which of
the ft. should be used to clean up a blood spill? - Chlorine bleach solution.
A nurse is caring for a client who is 3 days postoperative ff. a transurethral
resection of the prostate and has an indwelling urinary catheter. Which of the ff.
findings should the nurse expect? - Yellow urine with red sedimentA nurse is preparing to administer cephalexin (Keflex) to a client when he states, "
I just remembered that I have an allergy to penicillin. "Which of the following
actions should the nurse take? - Call the provider who prescribed the medication.
A nurse is observing a newly licensed nurse who is providing tracheostomy care
for a client. The nurse identifies proper performance of the procedure when the
newly licensed nurse selects which of the ff. solutions to clean the inner cannula? -
Hydrogen peroxide.
A nurse is working with an interpreter to explain a diagnostic procedure to a client
who does not speak English. Which of the ff. actions should the nurse take? -
Ensure the interpreter is culturally compatible with the client.
A client 12 hr. postoperative cholecystectomy was given morphine 10mg
intravenously at 0700. The nurse marking rounds at 0720 should recognize which
of the ff. as an adverse effect of the medication? - Respiratory rate 10/min
A nurse is inserting an indwelling catheter into a female client who has urinary
retention. After urine is seen in the tubing, which of the ff. actions should the nurse
take next? - Advance the catheter 2.5 to 5 cm.
A nurse is administering morning medication to clients on the unit. A client
questions the nurse regarding a medication that she does not recognize. Which of
the ff. nursing interventions should the nurse take first? - Verify the prescription in
the client's medical record. [Show Less]