1. A nurse at a long-term care facility is caring for a client who requires oral
suctioning. Which of the following supplies should the nurse plan to use
... [Show More] for
this task?: yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing
oral and oropharyngeal suctioning to remove secretions from the client's mouth to
facilitate breathing or obtain a sample for diagnostic evaluation.
2. A nurse in a long-term care facility is serving on the ethics committee, which
is addressing a client care dilemma. Which of the following strategies will
facilitate resolving the dilemma? (Select all that apply.): [1] determine the facts
related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
3. A nurse is talking with a client whose son died in a motor-vehicle crash 2
weeks ago.The client states, "l really thought I'd be back to my usual routines
by now, but I can't think of anything else except that my son is gone." Which
Of the following responses should the nurse make?: Grieving for your son is
hard work. it will take as much time as you need to come to terms with your loss.
4. A nurse is reinforcing teaching with a client about cancer prevention.The
nurse should include that frequent consumption of which of the following
foods increases the risk for developing cancer?: Lamb
rationale: including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
5. A nurse notices an assistive personnel (AP) taking a nap in the break room
during meal time.The nurse also notes that the AP is drowsy while performing
routine tasks. Which of the following actions should the nurse take?: Report
the observation about the AP to the Unit nurse manager
6. A nurse on a pediatric unit is collecting data from four newly admitted
clients. Which of the following clients should the nurse identify as being at
risk for urinary retention?: A school age child who has allergic rhinitis and is taking
diphenhydramine.
7. A nurse is caring for a client following a bronchoscopy.Which of the following actions should the nurse take first?: check for gag reflex
8. A nurse is assisting with the admission of a client who has a latex allergy.
The nurse should identify that which of the following supplies has the potential
to contain latex?: Indwelling urinary catheter [Show Less]