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
... [Show More] client face should
be toward mecca.
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.
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
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.
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.
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.
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
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.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
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.
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.
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
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
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)
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.
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 [Show Less]