1. A nurse is caring for a client who just died and practiced the islamic faith. Which of the following cultural practices should the nurse expect? - The c
... [Show More] lient face should be toward mecca.
2. A nurse is assisting with a client who has active Tb. Which of the following actions should the nurse plan to take? - Assign the client to a negative pressure airflow room.
3. A nurse is assisting with the plan of care for a client who has a bacterial infection and a persistant oral temperature of 38.9 * C (102 F). Which of the following interventions should the nurse include in the plan of care to treat the fever? - Administer acetaminophen
4. A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care? - Ensure that the client wears a surgical mask during transportation thoughout the facility.
5. A nurse is planning care for a client who is disoriented and at risk for falls. Which of the following interventions should the nurse include? - Place the client in a room near the nurses station.
Ensure that the client is wearing non skid slippers.
Reinforce teaching about how to use the call bell.
6. A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? - Pad bony prominences on the wrist.
7. A nurse is reinforcing teaching with a client who has a partial hearing loss about how to modify the home environment. Which of the following is a priority modification that the nurse should include? - Flashing smoke alarm
8. A nurse is caring for four clients who are required to provide informed consent for treatment. The nurse should identify that which of the following clients is able to provide informed consent? - An 18 year old client who has acute appendicitis.
9. A nurse is reviewing the medical record of a client who has heart failure. The nurse should identify which of the following lab results as an indication that the client has fluid volume excess? - BUN 8mg/dL
10. A nurse is moving a client up in bed with assistance of a second nurse. Which of the following actions should the nurse take? - Place feet apart with the foot nearest the clients bed in front of the other foot.
11. A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicates an understanding of the teaching? - I will keep the crutch tips dry.
12. A charge nurse smells smoke, enters the visitors restroom, and sees flames in the trashcan. What is the sequence of actions that the nurse should take? - Evacuate
Alarm
Confine
Extinguish
13. A nurse is calculating the input and output for a client over the last 8 hours. The client is receiving a continuous IV infusion at 150mL/ hr and had 4 oz of juice and 0.5L of water. How many mL of fluid should the nurse document as the clients intake for the last 8 hr? - 1820 mL
14. A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into two smaller pieces. The nurse is demonstrating which of the following ethical principles? - Beneficence ( acting in the clients best interest)
15. A charge nurse is reinforcing teaching with an assistive personel about performing pulse oximetry. Which of the following information should the nurse include in the teaching? - remove polish from the clients fingernail before applying the oximentry probe.
16. A nurse is reinforcing dietary teaching w/ a pt who has chronic kidney disease & requires a low potassium diet. Which of the following food choices by the pt demonstrates an understanding of the teaching? - 1 cup of applesauce
17. A nurse is preparing to admin O2 to a Pt who has heart failure & is having severe difficulty breathing. Which of the following O2 delivery equipment should the nurse select to provide the highest concentration of O2 to the Pt? - Nonrebreather mask
18. A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about age related changes? - Circulation becomes less efficient with age
19. A nurse writes client information on a piece of paper while receiving report. Which of the following actions should the nurse take to dispose of the paper? - Shred the paper in a secure container
20. A nurse is assisting with the admission of a pt who has brought her meds to the facility. Which of the following actions should the nurse take? - Compare the meds the provider has prescribed with the clients meds from home
21. A nurse is preparing to admin a topical med to a PT. Which of the following actions should the nurse take? - Compare the label of the med container w/ the med admin record x3.
22. A nurse is palpating the pulse located on the top of the pts foot. Which of the following pulses should the nurse document that she is palpitating? - Dorsalis pedis
23. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infection? - Drain urine from the tubing before ambulation
24. A nurse is explaining ethics & values to a newly licensed nurse. The nurse should explain that allowing a Pt to make a decision about treatment is an example of which of the following ethical principles? - Autonomy
25. A nurse is reinforcing pre-op teaching w/ a pt who does not speak the same language as the nurse. Which of the following actions should the nurse take? - Provide handouts written in the clients primary language [Show Less]