A nurse is making a follow-up call to a client who has a new prescription for an ACE
inhibitor to treat hypertension. The client reports lightheadedness
... [Show More] upon standing.
Which of the following statements should the nurse make?
A. "Sit back down for a few minutes when this occurs."
A nurse is caring for a client who has dehydration due to diarrhea. Which of the
following findings should the nurse report to the provider?
B. Urine output 12 mi/hr
A nurse is collecting data from a client who uses a continuous positive airway
pressure
(CPAP) machine at night for sleep apnea. The nurse should identify which of the
following findings is an indication of proper CPAP use?
B. The therapeutic dose of albuterol is being inhaled.
A nurse is reinforcing teaching with a parent of a preschooler about immunizations.
Which of the following statements by the parent indicates an understanding of the
teaching?
D. "I can make several office visits, so my child does not get so many immunizations
at once."
A charge nurse in a long-term care facility is discussing ethical theories with a group
of newly licensed nurses. Which of the following statements should the charge nurse
identify as an indication that a newly licensed nurse understands utilitarianism?
B. "I will respect the decision of a client who has a chronic illness to stop treatment.
A nurse is transcribing a client's prescription for erythromycin 500 mg four times per
day. Which of the following information should the nurse clarify with the provider?
C. Route
Rationale: There is no indicated route which is necessary for carrying out order
A nurse is reviewing the medication administration record of a client who takes
atenolol PO and applies a nitroglycerin transdermal patch daily. For which of the
following interactions should the nurse monitor this client?
B. Hypotension
A nurse is reviewing the laboratory values of a client who has COPD. Which of the
following findings should the nurse report to the provider?
A. WBC 13.000/mm2
Rationale: COPD patients are at risk of lung infection. An elevated white blood cell
(WBC) count
should be reported to rule out lung infection.
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which
of the following findings should indicate to the nurse that the client is developing a
thyroid storm?
C. Hypertension
A nurse is planning care for four clients. Which of the following tasks should the
nurse ask the charge nurse to reassign to an RN?
D. Providing discharge teaching about home IV medication therapy
A nurse in a family practice office routinely reviews clients' immunization status at
their annual physical examination visits. For which of the following clients should the
nurse recommend a human papillomavirus immunization?
A. A teenage boy
A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the
following actions should the nurse take?
A. Initiate contact precautions.
A nurse is giving a change-of-shift report on a group of clients. Which of the following
statements should the nurse make? (Select all that apply.).
A. The dient in room 204 has a new prescription for IV gentamicin
C. The client in room 203 will undergo surgery at 0900 tomorrow.
E. The client in room 205 is scheduled for a dressing change at 800," [Show Less]