1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the
... [Show More] following complications?
A. V Vomiting
B. Hypertension
C. Epigastric pain D. Contractions
2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime D. Eat a light snack before bedtime.
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse take first after determine the client does not have a palpable pulse? ??
A. Assess heart sounds B. Defibrillate
C. Establish IV access
D. Administer epinephrine
4. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client. The client’s partner and 10-year-old are accompanying her. Which of the following actions should the nurse take to gather the client’s admission data?
A. Have the client’s child translate
B. Allow the client’s partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to translate
5. A nurse is caring for a client who is febrile. To reduce the client’s fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?
A. Flushing
B. Tachycardia
C. Restlessness
D. Shivering
6. A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Click on the “Exhibit” button below for additional client information. There are three tabs that contain separate categories of data.)
A. Position the client with the affected extremity lower than the heart.
B. Withhold heparin IV infusion.
C. Administer acetaminophen
D. Massage the affect extremity every 4 hr.
7. A nurse is reviewing assessment data from several clients. For which of the following client should the nurse recommend referral to the dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL
8. A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching?
A. Eat 1 g/kg of protein per day
B. Take magnesium hydroxide for indigestion
C. Drink at least 3 L of fluid daily
D. Consume foods high in potassium
9. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration?
A. Sitting in a high Fowlers position during the feeding
B. A history of gastroesophagael reflux disease
C. Receiving a high osmolality formula
D. A residual of 65 mL 1 hr postprandial
10. A nurse is providing prenatal teaching to a client who is 12 weeks of gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling
B. Cervical cultures for chlamydia
C. Nonstress test
D. Maternal serum alpha fetoprotein
11. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication immobility
A. Decreased serum calcium levels
B. Increased blood presure
C. Swollen area on calf
D. Urinary frequency
12. A nurse in an acute care mental health facility is participating in a medication-edication group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?
A. The leader encourages group member to remain silent until questions are called for
B. The leader lectures about meds adverse effects to the group members
C. The leader allows the group to discuss whatever they would like to regarding their meds
D. The leader has group members vote on what they would like to learn about during the session
13. A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching?
A. “You can add the medication to a half cup of your child’s favorite juice.”
B. “Repeat the dose if your child vomits within 1 hour after taking the medication.”
C. “Limit your child’s potassium intake while she is taking this medication.”
D. “Have your child drink a small glass of water after swallowing the medication (Ans Key)??
14. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid
A. Grapefruit
B. Spinach
C. Cottage cheese (AK)??
D. Smoked Salmon
15. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has prescribed a diet of 1.5 g protein/kg/day. How many grams of protein per day should the nurse include in the clients dietary plan? (Round to nearest whole) 68 [Show Less]