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 for
... [Show More] this task? - CORRECT ANSWER yankeurs catheter
Rationale: A Yank Auer catheter is a clean suction catheter used when performing oral and or pharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for diagnostic evaluation.
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.) - CORRECT ANSWER [1] determine the facts related to the dilemma.
[2] Identify possible solution
[3] Consider the client wishes
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? - CORRECT ANSWER Grieving for your son is hard work. it will take as much time as you need to come to terms with your loss.
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? - CORRECT ANSWER Lamb
Rationale: including tuna fish reduces risk of developing cancer.
Including poultry reduces risk,
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? - CORRECT ANSWER Report the observation about the AP to the Unit nurse manager
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? - CORRECT ANSWER A school age child who has allergic rhinitis and is taking diphenhydramine.
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? - CORRECT ANSWER check for gag reflex
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? - CORRECT ANSWER Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing Of the body. Which of the following actions should the nurse take? - CORRECT ANSWER Gently close the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER avoid foods high in sugar content.
rationale: The nurse should instruct the client to avoid sweet foods, which often increase the manifestations of dumping syndrome. These manifestations include nausea, sweating, abdominal pain, diarrhea, and weakness.
A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job. The client states, "l don't think I can go through this again." Which of the following actions is the nurse's priority? - CORRECT ANSWER Determine if the client is experiencing psychotic thinking.
A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? - CORRECT ANSWER Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should the nurse recognize as a positive response to the therapy? - CORRECT ANSWER Moist mucus membranes.
A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for the client? - CORRECT ANSWER Chlordiazepoxide
rationale: The nurse should expect to administer chlordiazepoxide to decrease anxiety and the risk for seizures associated with alcohol withdrawal. [Show Less]