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
... [Show More] the 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.
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.
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?
“I will wear loose clothing around my ICD”
Administer a rectal suppository 30 minutes prior to scheduled
defecation times.
lOMoARcPSD|12486669
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.
8. a nurse manager is updating
protocols for the use of belt restraints. Which of the following
guidelines should the nurse include?
1.
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.
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.
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
Below-the knee
amputation
Document the client’s condition every 15
min
Acts as an advocate for the nursing unit.
Hba1c 10
%
lOMoARcPSD|12486669
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.
14. A nurse is caring for a client who has a
pulmonary embolism. The nurse should identify the effectiveness of
the treatment
1.
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.
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.
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 [Show Less]