Suicide precautions are initiated for a child admitted to the mental health unit
following an intentional narcotic overdose. After a visitor leaves, the
... [Show More] nurse finds
a package of cigarettes in the client's room. Which intervention is most
important for the nurse to implement? - ✅✅Remove cigarettes for the client's
room
A family member of a frail elderly adult asks the nurse about eligibility
requirements for hospice care. What information should the nurse provide?
(Select all that apply.)
A.)A client must be willing to accept palliative care, not curative care.
B.)The healthcare provider must project that the client has 6 months or less to
live.
C.)The client must be diagnosed with clinical depression
D.)The client must be of sound mind - ✅✅A,B
A client with atrial fibrillation receives a new prescription for dabigatran. What
instruction should the nurse include in this client's teaching plan? - ✅✅Avoid
use of nonsteroidal ant-inflammatory drugs (NSAID).An infant who is admitted for surgical repair of a ventricular septal defect (VSD)
is irritable and diaphoretic with jugular vein distention. Which prescription
should the nurse administer first? - ✅✅Digoxin
The nursing staff on a medical unit includes a registered nurse (RN), practical
nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the
charge nurse assign to the RN? - ✅✅Supervise a newly hired graduate nurse
during an admission assessment.
While teaching a young male adult to use an inhaler for his newly diagnosed
asthma, the client stares into the distance and appears to be concentrating on
something other than the lesson the nurse is presenting. What action should the
nurse take? - ✅✅Ask the client what he is thinking about at his time.
After several hours of non-productive coughing, a client presents to the
emergency room complaining of chest tightness and shortness of breath. History
includes end stage chronic obstructive pulmonary disease (COPD) and diabetes
mellitus. While completing the pulmonary assessment, the nurse hears
wheezing and poor air movement bilaterally. Which actions should the nurse
implement? (Select all that apply.)
A.)Administer PRN nebulizer treatment.
B.)Obtain 12 lead electrocardiogram.
C.)Monitor continuous oxygen saturation.
D.) Lay the client in the prone position - ✅✅A,B,CThe nurse caring for a 3-month-old boy one day after a pylorotomy notices that
the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his
chest. What action should the nurse take? - ✅✅Administer a prescribed
analgesia for pain.
A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a chemotherapy
(CT) protocol that includes methotrexate (Mexate, Trexal, MIX), an
antimetabolite. Which information should the nurse provide the parents about
caring for their child? - ✅✅Use sunblock or protective clothing when
outdoors.
Two days after admission a male client remembers that he is allergic to eggs,
and informs the nurse of the allergy. Which actions should the nurse
implement? SATA
A.) Tell the client that its a mild reaction
B.)Notify the food services department of the allergy.
C.)Enter the allergy information in the client's record.
D.)Add egg allergy to the client's allergy arm band. - ✅✅B,C,D
The rapid response team's detects return of spontaneous circulation (ROSC)
after 2 min of continuous chest compressions. The client has a weak, fast pulse
and no respiratory effort, so the healthcare provider performs a successful oral, [Show Less]