A patient tells the nurse, "My bowel movement looks like butter." Which health problem should the nurse consider is occurring with this patient? - Cystic
... [Show More] fibrosis
A nurse is preparing to collect data from a client for a health assessment. Which of the following should the nurse take? - Provide privacy for the client
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activites should the nurse recommend as the priority for this client? - Attend an exercise program
A nurse is moving a client in up bed with the assistance of a second nurse. Which of the following actions should the nurse take? - Place feet apart with the foot nearest the head of the client's bed in front of the other foot
A nurse is caring for a client who has recently undergone a total bilateral mastectomy. Which of the following statements by the client requires immediate action by the nurse? - When I look at myself in the mirror, I don't know if I can go on
A nurse is assisting with the plan of care for a client who has aphasia following a stroke. Which of the following interventions should the nurse use to assist the client with communication? - Ask the client close-ended questions
A nurse is taking notes of client information on a piece of paper while receiving report. Which of the following actins should the nurse take to dispose of paper? - Shred the paper in a secure container
A nurse is preparing to administer oxygen to a client who has heart failure and is having severee difficulty breathing. Which of the following oxygen delivery equipment should the nurse select to provide the highest concentration of oxygen to the client? - Nonrebreather mask
Smells smoke in the visitor restroom. What actions should the nurse take? - RACE
- Evacuate clients from the area
- Pull the lever on the fire alarm box
- Close the fire doors on the unit
- Use a fire extinguisher to put out the fire
A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following intervention should the nurse recommend to be included in the plan of care? - Ensure that the client wears a surgical mask during transportation throughout the facility
First stage of health behavior change - Precontemplation. In this stage, the client discussing the behavior and does not intend to make a change in behavior
A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect? - The client's face should be turned toward Mecca
A nurse is caring for a client who is refusing medical treatment. Which of the following interventions should the nurse take? - - Document the client's refusal of the treatment
A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructins should the nurse include? - When lifting a heavy object, keep it close to your body
A nurse is planning care for a client who is disoriented and is at risk for falls. Which of th following interventions should the nurse include? - Ensure that the client is wearing nonskid slippers
Place the client in a room near the nurses station Reinforce teaching about how to use the call bell
A nurse is caring for a client who has Clostridium difficile infection. Which of the following solutions should the nurse use to perform hand hygiene while caring for this client? - Mild soap
A nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to the lower extremities. Which of the following actions should the nurse recommend for plan of care? - Compare the client's pedal pulses bilaterally every 4hr
A nurse is reinforcing teaching about health promotion with a group of young adults clients. Which of the following information should the nurse include? - Young adults should receive a dental assessment every 6 months
A nurse is caring for a client receiving continous NG tube feedings. The listens to the client's bowel sounds. Which action should the nurse take? - Decrease the rate of the feeding
A nurse at a long term care facility is caring for a client who is alert. Which of the following actions should the nurse take to protect the client's identity? - Speak with the client about their condition after visitors have left
A nurse is repositioning a client who has quadriplegia and is in the supine position. Which of the following actions should the nurse take to prevent client musculoskeletal injury? - Internally rotate the client's hips by using a trochanter roll
A nurse is assisting with the plan of care for a client who has a bacterial infection and a persistent oral temperature of 102F. Which of the following interventions should the nurse include in the plan of care to treat the fever? - Administer acetaminophen [Show Less]
