A nurse is caring for four clients. Which of the following client statements should the
nurse attend to first? - "My heartburn pain is going into my jaw
... [Show More] now."
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal
tube. Which of the following actions should the nurse take? - Perform oral care every 2
hr.
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the
following laboratory values should the nurse check prior to administering the
medication? - - PT
- INR
A nurse is collecting data from a client who is at 9 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse expect? -
Weight loss
A nurse is reinforcing teaching with a client about the importance of a low sodium diet.
Which of the following foods should the nurse recommend as the best choice to include
in a low sodium diet? - 2 tbsp of peanut butter
A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the
following findings should the nurse report to the provider? - The toddler can say four
words.
A nurse is collecting data from a client who has diabetes mellitus. Which of the following
findings indicates that the client might be experiencing diabetic ketoacidosis? -
Kussmaul respirations
A nurse is reinforcing teaching with a client who has a permanent pacemaker in place.
Which of the following statements by the client indicates an understanding of the
teaching? - "I need to record my pulse rate daily."
A nurse is caring for a client who is in mechanical restraints after becoming violent with
a staff member. Which of the following actions should the nurse take? - Document in the
clients medical record every 15 min.
A nurse is reinforcing teaching about self-administration of nasal drops with a client.
Which of the following positions should the nurse recommend for instillation of the
drops? - Supine
A nurse is preparing to administer furosemide to a client who has heart failure. Which of
the following laboratory results should the nurse review prior to administering the
medication? - Potassium [Show Less]