1. A nurse is caring for a client who has uterine pro- lapse. The provider has recommended a total abdom- inal hysterectomy, but the client tells the
... [Show More] nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?
a. Discuss with the client her concerns regarding the procedure
b. Provide the client with information on treatment options and outcomes
c. Inform the client of the consequences of uterine prolapse and the need for intervention
d. Initiate a mental health consult to determine the client's reasons for refusing surgery
2. A nurse is preparing to complete morning assign- ments on several assigned clients. Which of the fol- lowing clients should the nurse plan to assess first?
a. A client who had a bladder scan that indicated 250 mL of urine in the bladder
b. A client who is 3 days postoperative and who's dressing has serosanguinous drainage
c. A client who has diabetes and an early morning blood glucose of 220 mg/dL
d. A client who has a nasogastric tube to intermittent suction and reports nausea
3. A client is brought to the emergency department fol- lowing a motor-vehicle crash. Drug use is suspected
a. Discuss with the client her con- cerns regarding the procedure
d. A client who has a nasogastric tube to intermittent suc- tion and reports nausea
b. Document the client's refusal in
in the crash, and a voided urine specimen is ordered. the chart.
The client repeatedly refuses to provide the speci- men. Which of the following is the appropriate action by the nurse?
a. Tell the client that a catheter will be inserted.
b. Document the client's refusal in the chart.
c. Assess the client for urinary retention.
d. Obtain a provider's prescription for a blood alcohol level.
4.
A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse?
a. Pick up the meal trays after lunch.
b. Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
d. Determine adequacy of ventilator settings.
5. A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile pro- cedure. Which of the following actions indicates the newly licensed nurse is maintaining sterile tech- nique? (SATA)
a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field
b. Administer a nasogastric tube feeding.
b. Opens the ster- ile pack by first unfolding the top flap away from her body
d. Removes the outside packaging
b. Opens the sterile pack by first unfolding the top flap of a sterile instru-
away from her body
c. Prepares a container of sterile solution on the field after putting on sterile gloves
d. Removes the outside packaging of a sterile instru- ment before dropping it onto the sterile field
e. Holds the sterile solution bottle with the label fac- ing up
6. A nurse enters a client's room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first?
a. Auscultate the client's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the pump.
d. Complete an incident report.
7. A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse (LPN) and [Show Less]