11.) A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following
... [Show More] sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?
A. Chlamydia
*15.) A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets with a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next?
B. Administer flumazenil to the client.
*24.) A charge nurse on a med-surg unit is planning assignments for a LPN who has been sent from another unit due to a staffing shortage. Which of the following clients should the nurse delegate to the LPN?
C. A client who is post-op following a bowel resection with an NG tube set to continuous suction.
31.) A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?
A. “I can give you info about respite care if you are interested.”
31.) A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child’s glucose. The nurse should identify this finding as an adverse effect of which of the following medications?
A. Methylprednisolone
37.) A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
B. FHR baseline 170/min
39.) A nurse in a mental health unit is planning room assignments for four clients. Which of the following clients should be closest to the nurse’s station?
C. A client who has depressive disorder and reports feeling hopeless.
47.) A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client?
D. “What helps you ignore what you are hearing?”
51.) A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
B. “We should establish our roles in the initial session.”
56.) A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
C. swelling of the face
60.) A nurse is reviewing the lab report of a client who has been taking lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8mEq/L. Which of the following orders from the provider should the nurse expect? D. administer the medication
71.) A nurse is receiving chang-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
B. a client who has a hip fracture and new onset tachypnea
72.) A nurse is providing dietary teaching to a client who has a new diagnosis of IBS. Which of the following recommendations should the nurse include?
A. consume food high in bran fiber
73.) A nurse is caring for a 1-day-old newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?
C. ensure the newborn wears a diaper
74.) A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
B. “I will intervene if there is a conflict between a client and his provider.”
77.) A nurse is caring for an infant who has coaction of the aorta. Which of the following should the nurse identify as an expected finding?
A. weak femoral pulses
80.) A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
A. excessive sweating
90.) A nurse overhears two APs discussing care for a client while in the elevator. Which of the following actions should the nurse take?
D. report the incidence to the AP’s charge nurse
91.) A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care
C. check the vascular access site for bleeding after dialysis
94.) A nurse is assessing a school-age child who has a UTI. Which of the following findings should the nurse expect?C. enuresis
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