A nurse is reinforcing teaching with a client about advance directives and a
healthcare proxy which of the following client statements shows
... [Show More] understanding of
the teaching - I do not need to name a relative as my designee in my health care
proxy
A nurse is caring for a client who speaks a different language than the nurse.
Which ofthe following actions should the nurse take? - Supplement spoken
language with pictures. Or review the facility policy about the use of aninterpreter
A nurse in an acute mental health facility is caring for an adolescent who is
exhibiting destructive behavior. Which of the following actions should the nurse
take after applying physical restraints to the client? - Plan to remove the restraints
as soon as the clients is calm
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of
thefollowing outcomes should the nurse expect as therapeutic effect of the
treatment? - Reduced fat in the stools
A nurse is observing assistive personnel take a client tympanic temperaturewhich
of the following actions should the nurse identify as an indication that theAP
understands how to perform the procedure - The AP pulls the pinna up and back
A nurse is assisting with staff education about hand hygiene. Which of the
followinginstructions should the nurse include in the teaching? - Wash hands with
soap and water for 20 seconds.
A charge nurse is discussing confidentiality requirements with a newly licensed
nurse when sharing a client's information. Which of the following individuals
should the charge nurse identify as appropriate with whom to share client
information? - A social worker who is assigned to an involuntarily committed
school age client
A nurse is receiving change of shift report on four clients. Which of the following
clientsshould the nurse plan to see first? - A client who has femur fracture and
reports numbness of the toesA nurse is preparing to give change of shift report on a client who is 2 days
postoperativefollowing total knee arthroscopy. Which of the following information
should the nurse includein the report? - Time of last pain medication
A nurse is assisting in the care of an older adult who has COPD and is receiving
albuterol treatments and 20 mg of prednisone twice daily. The client asks why the
nurse ischecking his blood glucose level. Which of the following responses should
the nurse make? - "Prednisone can cause blood glucose levels to increase."
A nurse is caring for a client who has peptic ulcer disease and is schedule to
undergoesophagogastroduodenoscopy. Which of the following actions should the
nurse take prior tothe procedure? - Ensure that the clients gave informed consent
A nurse is reinforcing teaching about home safety precautions with the parents of a
3-month-old. Which of the following instructions should the nurse include in the
teaching? - Remove bibs when the infant is going to sleep.
A nurse is assisting with the planning of an in service about updates in wound care
fornursing staff. Which of the following sources should the nurse identify as
providing the bestevidence-based information? - A peer reviewed journal article
A nurse is discussing risk factors for child abuse with members of theparenting
group the nurse should identify which of the following findings as
thatcharacteristic of perpetrators of a child abuse
Rigid expectations of behavior - Rigid expectations of behavior
A nurse is reinforcing teaching with a parent of a 4-month-old infant during a
home visit.Which of the following statements by the parent indicates an
understanding of the teaching? - "I will use a cool mist vaporizer in my baby's
room."
A nurse in an acute care setting is preparing to administer medications to a client.
Which ofthe following information should the nurse obtain to identify the client? -
Client's telephone number [Show Less]