DA nurse is teaching a client who has a new prescription for metformin extended release tablets. Which of the following statements by the client indicates
... [Show More] an understanding of the teaching?
I will avoid crushing this medication - ANS
I'll switch to a lactose-free formula
I will avoid crushing this medication
A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client's findings?
Empty your ostomy pouch when it is half full
Switch to a lactose-free formula. - ANS
Switch to a lactose-free formula.
A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home which of the following instructions should the nurse include?
Apply cold compresses too painful areas- ANS
I should boil tap water for 2 minutes and call it before I mix it with powdered formula
Apply cold compresses too painful areas
A nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?
I should boil tap water for 2 minutes before I mix it with powdered formula - ANS
I should use sterile water when I mix it with powdered formula
A nurse is assessing a child who is post-operative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
During this test, I will punch a button if the baby moves
Frequent swallowing - ANS
Frequent swallowing
A nurse is teaching a client who is pregnant about non-stress testing. Which of the following statements by the client indicates an understanding of the teaching?
During this test, I will punch a button if the baby moves - ANS
During this test, I will punch a button if I feel stressed
During this test, I will punch a button if the baby moves
A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reports chills, headaches, low back pain, and a feeling of tightness in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Pudendal nerve block
Acute hemolytic- ANS
Acute hemolytic
A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2 station. Which of the following interventions should the nurse implement?
You should wear a snug fitting bra continuously for 72 hours
Request the provider prescribe a pudendal nerve block- ANS
Request the provider prescribe a pudendal nerve block
A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?
You should wear a snug fitting bra continuously for 72 hours - ANS
Room number
A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client?
Room number - ANS
MRN
Room number
A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a seated position. Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension?
The clients systolic blood pressure decreases by 25 mmHg - ANS
The clients systolic blood pressure increases by 35 mmHg
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the following actions should the nurse take?
Look for a block in the tubes cuff
Look for a leak in the tubes cuff- ANS
Look for a leak in the tubes cuff
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Monitor Vital Signs every hour throughout the transfusion
Position the sterile drape leaving the perineum exposed- ANS
Position the sterile drape leaving the perineum exposed
A nurse is planning to administer packed RBC's to an older adult client who has a low hemoglobin level. Which of the following actions should the nurse plan to take?
Monitor Vital Signs every hour throughout the transfusion- ANS
Monitor RR every hour throughout the transfusion
Monitor Vital Signs every hour throughout the transfusion
A new nurse in an acute mental health facility is teaching a client about potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might feel light-headed but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles?
Beneficence- ANS
Restrictive
Beneficence
A nurse is teaching a class about providing care within the legal scope of practice to a group of nurses. The nurse should include that which of the following procedures is outside the legal scope of practice for an RN?
Irrigation of the external ear canal- ANS
Irrigation of the inferior ear canal
Irrigation of the external ear canal
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take?
Observe the client for 1 hour after meals- ANS
Observe the client for 6 hours after meals
A nurse is planning care for a client who has sciatica and a prescription for a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following referral should the nurse anticipate for the client?
Primary Care Provider
Physical therapist- ANS
Physical therapist
A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using Progressive relaxation?
Tighten the muscle group, then release tension and move to the next one- ANS
Rest the muscle group, then release tension and move to the next one
Tighten the muscle group, then release tension and move to the next one
Placenta abruption
A home health nurse is planning care for an older adult client who has a vision loss and takes medication throughout the day. Which of the following actions should the nurse include in the plan?
Use container Lids of different shapes to indicate times of Administration- ANS
Use container Lids of different colors to indicate times of Administration
Use container Lids of different shapes to indicate times of Administration
A nurse at an acute care facility is teaching a client about fall risk prevention strategies for use during their stay at the facility. Which of the following statements by the client indicates an understanding of the teaching?
I will wear a yellow wristband, so everyone knows I'm at risk for falling- ANS
I will wear call for help, so everyone knows I'm at risk for falling
I will wear a yellow wristband, so everyone knows I'm at risk for falling
A nurse is caring for a client who is taking disulfiram for alcohol-use disorder and reports ingestion of alcohol. For which of the following adverse effects should the nurse monitor?
Headache- ANS
Hypertension
Headache
A nurse at the health department is providing anticipatory guidance to a parent of a one month or a year-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of two months?
C. Diff
Rotavirus- ANS
Rotavirus
A Nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke. Which of the following foods should the nurse recommend?
Scrambled eggs- ANS
Fish
Scrambled eggs
A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?
Tdap- ANS
HIV
Tdap
A nurse is caring for a client who is postoperative following a mitral balloon valvuloplasty. Which of the following areas should the nurse auscultate to assess for mitral areas of the heart? (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
See picture
Mitral
A nurse is planning care for a client who is experiencing benzodiazepine toxicity. The nurse should plan to administer which of the following medications?
Flumazenil- ANS
Furosemide
Flumazenil
A nurse is admitting a client to the medical-surgical unit. The patient self-determination act requires the nurse to perform which of the following actions during the admission process?
Document in the client's medical record if a client has advance directives- ANS
Document in the client's medical record if a client has PCP directives
Document in the client's medical record if a client has advance directives
A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic Ileus?
Abdominal dissection
Abdominal distension- ANS
Abdominal distension
A nurse is performing an administered admission assessment of a school-age child who has spina bifida. the parents state that a child is allergic to latex. The nurse should assess further for cross sensitivity to which of the following Foods?
Tomatoes
Bananas- ANS
Bananas
Ensure that the side rails are up on the client's bed
A nurse is documenting admission data for a client in an acute care facility. Which of the following actions should the nurse take?
Clarify medical issue with PCP
Note whether the client has a living will- ANS
Note whether the client has a living will
A client on an acute mental health unit states to a nurse, tie a bow. Row the boat. Now I know. Whoa! I see you. The nurse should document that the client is exhibiting which of the following speech alterations?
Stress Association
Clang Association- ANS
Clang Association
A nurse is caring for a client who has Crohn's disease. The nurse calculates that the client BMI is 17.2. The nurse should document that the clients wait status is being within which of the following categories?
Normal weight
Underweight- ANS
Underweight
A nurse is planning post-operative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Tracheostomy tray- ANS
Bedside commode
Tracheostomy tray
A nurse is providing discharge teaching to a client who has Gerd. Which of the following information should the nurse include?
Avoid consuming foods containing potassium
Avoid consuming foods containing chocolate- ANS
Avoid consuming foods containing chocolate
A nurse is part of a task force planning to audit a facilities nursing unit concerning adherence to hand hygiene protocols. Which of the following steps should the task force take first?
Determine the accepted standards for hand hygiene- ANS
Determine the accepted standards for ambulation
Determine the accepted standards for hand hygiene
A nurse is planning educational materials for a client who has a new pacemaker. Which of the following information should a nurse include?
Keep mobile phones 4 inches from the pacemaker generator- ANS
Keep mobile phones 6 inches from the pacemaker generator
A nurse is providing discharge teaching to a client who is 1-day postoperative following a right modified radical mastectomy. Which of the following instructions should the nurse include in the teaching?
Avoid using the affected arm for eating- ANS
Explain how early ambulation is recommended
Avoid using the affected arm for eating
A nurse is planning care for a client prior to an amniocentesis. Which of the following actions should the nurse include in the plan of care?
Monitor the fetal heart rate throughout the procedure- ANS
Monitor the patients LOC throughout the procedure
Monitor the fetal heart rate throughout the procedure [Show Less]