PN Comprehensive Online Practice, Exam Review Questions & Answers-A nurse is caring for a client who is in Buck's traction. Which of the following actions
... [Show More] should the nurse take?
- Allow the weights to hang freely.
nurse should ensure the weights hang freely to provide the appropriate counterweight to facilitate reduction and alignment of the client's fracture.
A nurse is caring for a client who takes prednisone daily for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following adverse effects?
- Gastric ulcer formation
*The nurse should monitor the client for indications of a gastric ulcer formation, which is a common adverse effect of prednisone.
A nurse is receiving change-of-shift report for a group of clients. The nurse should plan to implement which of the following time-management strategies?
- Prepare a priority list of client needs for the shift.
*The nurse should prepare a client priority to-do list, which could include administering time-critical medications. This will allow the nurse to determine which clients should receive care first.
A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a school-age child. Which of the following information should the nurse include?
- separate the Childs used washcloth form those of others.
Due to the contagious nature of the infection, it is necessary to separate the washcloth of a child who has conjunctivitis from those of others to prevent the spread of infection.
A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is famotidine oral suspension 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- 20 mL
A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy. Which of the following statements should the nurse make?
- your oncologist might prescribe a cold cap to war during treatment to reduce hair loss
The nurse should inform the client that cold caps cause vasoconstriction, which can help to decrease hair loss by reducing the ability of the chemotherapy medication to reach the hair follicles.
A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the
AP?
- Obtaining a client's vital signs prior to discharge
Obtaining vital signs does not require use of the nursing process and is within the range of function for an AP, Therefore, the nurse should delegate this task to the AP.
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take?
- open the outer package flap of the catheterization kit away form the body
A home health nurse is caring for an older adult client who just returned home following a total knee arthroplasty. Which of the following actions should the nurse take first?
- Determine the client's mobility status.
*The first action the nurse should take when using the nursing process is to determine the client's mobility status. The nurse should begin collecting data about the client's ability to move freely within their environment while preventing injury. The nurse should begin by placing the client in the position providing the most support, then moving in increments to positions requiring less support and higher levels of tolerance.
A nurse is delegating the collection of a sputum specimen to an assistive personnel (AP). At which of the following times should the nurse instruct the AP to collect the specimen?
- As soon as the client awakens in the morning
*Sputum from the base of the lungs provides the best specimen for collection. The AP should obtain the specimen early in the morning because overnight fluid accumulates in the base of the lungs while the client is sleeping.
Complete the following sentence by using the lists of options.
A nurse on the medical-surgical unit is assisting with the care of a client who was admitted from the emergency department (ED).
- The client is at risk for developing confusion due to sodium level
Upon analyzing cues, the nurse should identify that the client is at risk for confusion due to a sodium level that is greater than the expected reference range. Hypernatremia places the client at risk for a decreased level of consciousness, falls, and seizure activity. Therefore, the nurse should assist in monitoring the client's level of consciousness and place the client on fall and seizure precautions.
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. For which of the following results should the nurse notify the provider?
- Platelet count 95,000 mm3 [Show Less]