A nurse is planning care for a client who is receiving heparin to treat a L leg DVT. Nursing intervention?
A nurse is teaching about child safety
... [Show More] measures. What statement indicates understanding?
A home health nurse is teaching about infection prevention to a cancer pt on chemo. Which statement indicates understanding?
A nurse is providing dietary teaching to the parents of a 6 month old. What instructions
should the nurse give?
A charge nurse is planning care for a client in mechanical restraints. What interventions?
A community health nurse is assisting with the development of a disaster management plan. What nursing responsibility should be included in the disaster response stage?
A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following requires manager intervention?
A nurse is caring for a client that is in labor at 39 weeks gestation. During the second stage of labor, the nurse observes early decelerations on the monitor. What action should the nurse take?
A nurse manager is planning to make changes to the current scheduling system on the unit. To facilitate staff acceptance, what should the nurse manager do first?
A nurse is planning teaching about allowable foods for a client with uric acid-based urinary calculi formation. What foods should the nurse recommend?
A charge nurse is teaching a newly licensed nurse how to identify true labor. What should the nurse include in the teaching?
A nurse on a med-surg unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client can sign the informed consent?
A charge nurse assigns a new nurse to a client with a chest tube. The new nurse expresses concern d/t limited experience with monitoring drainage. What should the charge do to teach about chest tubes?
A nurse is teaching a client about a new prescription for estradiol. For which of the following adverse effects should the nurse tell the client to monitor and contact the provider?
A nurse is preparing to administer diazepam 0.3mg/kg IV bolus to a 22lb toddler who is experiencing a grand mal seizure. Available is 5mg/mL. How many mls should the nurse administer?
A nurse is caring for a 12 hour post op on a PCA for pain control and requires a blood pressure check in 10 min. Which of the following staff members should the nurse assign to collect this information.
A nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm3. What intervention should the nurse include in the plan?
A nurse is providing teaching about improving nutrition for a client who has MS. Which instructions should the nurse include?
A nurse is assessing a client who has schizophrenia and is taking chlorpromazine. Which finding is the priority for the nurse to provide to the provider?
A client is receiving lorazepam IV for panic attacks and develops a RR of 6/min and a BP of 90/44mm Hg. What med should the nurse anticipate administering?
A nurse is caring for an older adult client in the PACU following general anesthesia. What finding should the nurse report to the provider
A nurse is preparing a sterile field in order to insert an indwelling urinary catheter on a male client. Which technique should the nurse use to maintain aseptic technique?
A nurse is planning care for a client who has a deficit with cranial nerve II. Which of the following actions should the nurse plan to take?
A nurse is providing discharge instructions to a client following a total hip arthroplasty. Which instruction should the nurse include?
A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings should indicate to the nurse that the client is having a hemolytic transfusion reaction?
A nurse is caring for a child who is experiencing a tonic-clonic seizure. What action should the nurse take?
A nurse is administering meds to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actions should the nurse take to prevent the tube from clogging?
A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect?
A nurse is assessing a client who has schizophrenia. The nurse should identify the
following alteration in speech as which of the following?
A nurse in a clinic receives a call from a guardian whose child has varicella. The guardian asks when the child returns to school. Which of the following responses should the nurse make?
A nurse is providing discharge instructions to a client who has a new prescription for warfarin. Which client statement indicates the client understands the teaching?
A nurse is assessing a child with CF. Which finding is priority to report to the provider?
When caring for a child a nurse plans to use nonpharm interventions to enhance pain med effectiveness. Which of the following strategies incorporates visualization techniques to help decrease the child's discomfort?
An AP and a nurse are turning a patient on their R side. Which AP action requires the nurse to intervene?
A nurse on a mental health unit has a patient refusing IM lorazepam. What is the nursing action?
A nurse has 4 patients. What should the nurse delegate to the AP for meals?
A mental health nurse is conducting the first of many meetings with a client whose partner recently died. The nurse should perform which action to establish trust in the orientation phase of the nurse-client relationship?
A nurse is caring for a client at 28 weeks gestation. The client asks what's causing her constipation. Which response should the nurse make?
A nurse manager reviews falls occur most often between 0530 and 0730. Which action should the nurse take in root cause analysis?
A nurse is caring for an immediately post op total vaginal hysterectomy. Which action should the nurse take first?
A charge nurse is planning an educational session for staff nurses about working with parents whose terminally ill children are candidates for organ donation. Which information should the nurse plan to include?
A nurse is teaching about TPN and IV lipid emulsions with a client who has an extensive burn injury. Which of the following information should the nurse include? [Show Less]