• 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?
• (Unable
... [Show More] to read)
• Tell the child they will feel discomfort during the catheter insertion.
• Use a mummy restraint to hold the child during the catheter insertion.
• Require the parents to leave the room during the procedure.
• A nurse is caring for a client who has arteriovenous fistula Which of
thefollowing findings should the nurse report?
• Thrill upon palpation.
• Absence of a bruit.
• Distended blood vessels
• Swishing sound upon auscultation.
• A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following
statementsdemonstrates understanding of the teaching?
• “I will soak in the tub rather and showering”
• “I will wear loose clothing around my ICD”
• “I will stop using my microwave oven at home because of my ICD”
• “I can hold my cellphone on the same side of my body as the ICD”
• A nurse is caring for a client who is at 14 weeks gestation and
reportsfeelings of ambivalence about being pregnant. Which of the
following responses should the nurse make?
• “Describe your feelings to me about being pregnant”
• “You should discuss your feelings about being pregnant with
yourprovider”
• “Have you discussed these feelings with your partner?”
• “When did you start having these feelings?”
• 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 actionsshould the nurse include in the plan of care?
• Encourage a maximum fluid intake of 1,500 ml per day.
• Increase the amount of refined grains in the client’s diet.
• Provide the client with a cold drink prior to defecation.• Administer a rectal suppository 30 minutes prior to
scheduleddefecation times.
• A nurse is caring for a client who is in active labor and requests
painmanagement. Which of the following actions should the nurse
take?
• Administer ondansetron.
• Place the client in a warm shower.
• Apply fundal pressure during contractions.
• Assist the client to a supine position.
• a nurse in an emergency department is performing triage for multiple
clients following a disaster in the community. To which of the following
typesof injuries should the nurse assign the highest priority?
• Below-the knee amputation
• Fractured tibia
• 95% full-thickness body burn
• 10cm (4in) laceration to the forearm
• a nurse manager is updating protocols for the use of belt restraints.
Whichof the following guidelines should the nurse include?
• Remove the client’s restraint every 4hr
• Document the client’s condition every 15 min
• Attach the restrain to the bed’s side rails
• Request a PRN restrain prescription for clients who are aggressive
• A nurse is teaching an in-service about nursing leadership. Which of
thefollowing information should the nurse include about an effective
leader?
• Acts as an advocate for the nursing unit.
• (Unable to read) for the unit
• Priorities staff request over client needs.
• Provides routine client care and documentation.
• A nurse is reviewing the laboratory findings of a client who has
diabetesmellitus and reports that she has been following her (unable to
read) care. The nurse should identify which of the following findings
indicates a need torevise the client’s plan of care.
• Serum sodium 144 mEq/• (Unable to read)
• Hba1c 10 %
• Random serum glucose 190 mg/dl.
• 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 diseasethat should be reported to the state health
department? [Show Less]