1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take?
1. Tell the
... [Show More] child they will feel discomfort during the catheter insertion.
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report?
Absence of a bruit.
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching?
1. “I will wear loose clothing around my ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make?
1. “Describe your feelings to me about being pregnant”
5. A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
1. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
6. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take?
1. Place the client in a warm shower.
7. a nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority?
1. Below-the knee amputation
8. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include?
1. Document the client’s condition every 15 min
9. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader?
1. Acts as an advocate for the nursing unit.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care.
1. Hba1c 10 %
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 sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?
1. Chlamydia
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching?
1. Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care?
1. Provide unleavened bread.
14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment
1. The client reports feeling less anxious.
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) 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.
1. Administer flumazenil to the client.
16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect?
1. Elevated temperature
17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect?
A. Jitteriness
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider?
1. WBC 14,000/mm3
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include?
1.
20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first?
1. Turn the client on their side. [Show Less]