1 The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in preventing bone loss formation?
Ans. Recommend
... [Show More] weight bearing physical activity
2. The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) trichomoniasis after experiencing a recent sexual assault response should the nurse provide? Ans. Explain how the infection is transmitted and the health risks involved
3. The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement?
Ans: Provide a family tour of the preoperative unit one week before the surgery
4. An older male client is admitted to mental health with a sudden onset of global disorientation and is continuously with mother, who died 50 years ago. The nurse reviews the multiple prescriptions the client is currently taking and assesses his urine specimen, which is cloudy, dark yellow, and has a foul odor. These findings suggest that this client is experiencing which condition?
Ans: Delirium
5. The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. Which expected outcome has the highest priority for this client?
Ans: Names 3 home safety hazards to be resolved immediately.
6. The family of an older woman reports that they are no longer capable of caring for at home. While performing admission assessment at a long-term care facility, the nurse determines that the client is incontinent of urine, has dry mucous membranes, and has a large bruise on coccyx Which Interventions should the nurse include in the plan care? (Select all that apply.)
Ans: Implement toileting programing; Apply a barrier cream to the perianal area; offer beverages at frequent intervals.
7. A client develops urticaria on the trunk and neck shortly after a secondary infusion of is initiated In what order should the nurse implement these Interventions the actions in order of priority, with the highest priority first, and least priority task or at the bottom.)
Answer
1. Stop the infusion. 2. Assess vital signs.
3. Contact the healthcare provider. 4. Document reaction to the drug. 5. Initiate adverse event report
8. The nurse is assessing an adolescent female diagnosed with anorexia nervosa who is admitted to the unit with severe malnutrition and electrolyte imbalance. pathological process results from the adolescent's consistent maladaptive behavior?
Ans: Amenorrhea
9. A female client who has a borderline personality disorder is being discharged today. When the nurse begins about the aloofness of the night shift nurse and expresses joy to see that “My favorite nurse is on duty now. Which response is best for the nurse to provide to this client's dichotomous tendency?
a. Ans I am happy that you are getting better and will be able to go home
10. An adult who has recurrent episodes of depression tells the nurse that the prescribed antidepressant should be discontinued because the client is feeling better after taking the medication for the past couple of weeks and does not like the side effects. Is the response best for the nurse to provide?
Ans: Tell the client to discuss the medication side effects with the HCP
11. A client with a history of a bilateral adrenalectomy is admitted with a weak pulse, and hypotension. Which assessment finding warrants immediate Intervention by the nurse?
Ans: Ventricular arrhythmias
12. A female client who is admitted to the mental health unit for opiate dependency is receiving clonidine mg for withdrawal symptoms. The client begins to complain of feeling nervous and the nurse that her bones are itching. Which finding should the nurse identify as a contraindication for administering the medication?
Ans: Blood pressure 90/76 mm Hg
13. The mother of a 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT ) twice a day , and has also experienced a loss of appetite . Which instruction should the nurse provide ?
Ans: CPT should be performed more frequently, but at least an hour before meals
14. After receiving a report, the nurse can most safely plan to assess which client last?
Answer: An adult with no postoperative drainage in the Jackson-Pratt drain with the bulb compression
15. After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which interventions should the nurse take to prepare the body before the family enters the room? (Select all that apply.)
Ans: Place a small pillow under the head; gently close the eye;
remove resuscitation equipment from the room.
16. A client with rapid respirations and audible is admitted to the intensive care unit because of a pulmonary embolism (PE). -oxygen nasal cannula and weight-based heparin protocol is initiated. Which intervention is most important for the nurse to include this plan of care?
Ans: Evaluate daily blood clotting factors.
17. A client with an asymptomatic abdominal aneurysm visits the health clinic for a routine visit. Which action is most important for the nurse to include in assessing the client?
Ans: Auscultate bowel sound
18. A client with metastatic cancer who was taking hydromorphone by mouth at home is now receiving the medication intravenously while in hospital to evaluate if the client is receiving an equianalgesic dose of the hydromorphone, which assessment should the nurse complete?
Ans: Pain scale
19. Which client will benefit most from the application of pneumatic compression devices to the lower? The client who?
Ans: Is immobile on prescribed bed rest.
20. A client arrives at the clinic experiencing shortness of breath and possible spontaneous pneumothorax. lung sounds should the nurse expect auscultate.
Ans: Diminish to absent breath sounds from the apex to the base of right lung fields. [Show Less]