A nurse is reinforcing teaching with a client about prevention of stress injuries. Which of the following instructions should the nurse include? - "When
... [Show More] lifting a heavy object, keep it close to your body."
A nurse is caring for a client who is alert and in a long term care facility. Which of the following actions should the nurse take to protect the client's privacy? - Ask the client before discussing his condition when his family is present.
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of the following actions should the nurse plan to take? - Administer an analgesic 30 min before starting procedure
A client who had a recent below the knee amputation says,"I don't know how i can continue to live my life without my leg." Which of the following responses should the nurse make? - "Tell me what concerns you have about your future."
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the following actions by the AP should the nurse identify as correct? - Donning a mask to measure the vital signs of a client who has pertussis
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
A nurse reinforcing teaching with am older adult client who reports an inability to sleep. Which of the following information should the nurse include when teaching the client about aging and sleep? - Sleep patterns change with age
A nurse is reinforcing teaching about health promotion with a group of young adult 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 who has a prescription for 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 pts best interest)
A nurse is collecting data from an older adult client. Which of the following findings should the nurse report to the provider? - The client report urinary incontinence
A nurse in long term care facility is contributing to the plan of care for a client who is at risk for a pressure ulcer. Which of the following recommendations should the nurse include in the plan of care? - Perform a thorough skin inspection each day
A nurse is reinforcing teaching with a group of clients about carbon monoxide poisoning. Which of the following information should the nurse include in the teaching? - a headache is a manifestation of carbon monoxide poisoning
A nurse is assisting with a plan of care for a client who has a bacterial infection and is a persistent 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 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
A nurse is caring for a client who has an NG tube and is receiving a continuous enternal feeding. Which of the following actions should the nurse take? - Hold the feeding for two consecutive gastric residuals greater than 250 ml
A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the following findings indicates hypomagnesemia ? - Positive Chvostek's sign
* tap the clients facial nerve near the ear,If the clients facial muscles contract, the sign is positive, indicating low serum magnesium or calcium levels *
A nurse is providing wound care for a group of clients. Which of the following should the nurse identify is healing by secondary intention? - A stage 3 pressure ulcer on the coccyx
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activities should the nurse recommend as the priority for this client? - Attend an exercise class
A nurse is assisting w/ 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 w/ communication? - Ask the client close ended questions
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
A nurse is contributing to the plan of acre for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? - Check if the restraints are tied to a fixed frame of the bed [Show Less]