1. A nurse is assessing an infant who has water intox- ication. Which of the following findings should the nurse expect?
2. A nurse is discussing the
... [Show More] z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique
3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following inter- ventions should the nurse include in the plan?
4. A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action?
5. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect?
6. 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing?
7. 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels?
8. 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client?
9. 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take?
bounding pulse
a. This technique decreases the risk of subcutaneous infiltration
a. Monitor the client for 1 hr after meals
a. Close the fire door on the unit
a. Hallucinations
hyperemesis
A1C
a. Use a dedicated stethoscope
Tell the client to avoid drinking flu- ids 1 hr before bedtime
10. 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include?
11. 1. A nurse is planning care for a client who has schiz- ophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make?
12. 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication
13. 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first?
14. 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene?
15. 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first?
16. 1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex?
a. Place the new- born 45 cm from the light source
social worker
decreased reflex- es
indigestion
offer oral fluids to the client
a. A 68 year old client who had a myocardial infarc- tion 2 days ago and reports chest pain as a 4 on a scale of 0 to 10
avocados
17. 17.
1. A nurse is preparing to witness a client's signature a. I am thankful
on an informed consent for a total knee arthroplasty. there are no seri-
Which of the following client statements indicates the nurse should contact the surgeon?
18. 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client be- haviors should the nurse identify as consistent with this disorder?
19. 1. A nurse is teaching the parent of a school-age child who has scabies about the application of per- methrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication?
ous complications from this type of surgery
a. Uses others for personal gain
burning
20. 1. A nurse is teaching a client who has a new prescrip- muscle weakness
tion for digoxin. Which of the following statements should the nurse include in the teaching?
21. 1. A nurse is planning teaching for a client who is at 10 a. Empty the blad-
weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention?
22. 1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation?
23. 1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeed- ing her newborn. Which of the following instructions should the nurse include?
der before and af- ter intercourse
a. Calcium
a. Try to have your baby empty your breasts with each feeding."
24. 1. A nurse is caring for a client who reports chest pain. a. Troponin I 1.8
Which of the following findings indicates myocardial damage?
ng/mL [Show Less]