A nurse is assessing a client who has required bed rest for the past month. Which of the
following findings should the nurse identify as an indication
... [Show More] that the client has developed
thrombophlebitis?
a. Bladder distention
b. Decreased Blood pressure
c. Calf swelling
d. Diminished bowel sounds -------Answer ---------------C
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the inner
ear?
a. press gently on the tragus of the client's ear
b. pack a small piece of cotton deep into the client's ear canal
c. move the client's auricle down and back toward her head
d.tilt the client's head back for 5 min. -------Answer ---------------A
A nurse on a medical-surgical unit is caring for a client who has a new prescription for
wrist restraints. Which of the following actions should the nurse take?
a. pad the client's wrist before applying the restraints
b. evaluate the client's circulation every 8hr after application
c. remove the restraints every 4 hr to evaluate the client's status
d. secure the restraint ties to the bed's side rails -------Answer ---------------A
A nurse is admitting a new client. Which of the following actions should the nurse take
while performing medication reconciliation?
a. verify the client's name on their identification bracelet with the medication
administration record
b. call the pharmacy to determine wether the client's medications are available
c. compare the client's home medications with the provider's prescriptions
d. place the client's home medication bottles in a secure location -------Answer ------------
---C
A nurse is preparing to administer 0.9%sodium chloride 750 mL IV to infuse over 7 hr.
The nurse should set the infusion pump to deliver how many mL/hr? -------Answer --------
-------107mL/hr
A nurse is planning care for a client who has had a stroke resulting in aphasia and
dysphagia. Which of the following tasks should the nurse assign to an AP?
a. assist the client with a partial bed bath
b. measure the client's BP after the nurse administers an antihypertensive medication
c. test the client's swallowing ability by providing thickened liquids
d. use a communication board to ask what the client wants for lunch
e. irrigate the client's indwelling urinary catheter -------Answer ---------------A, B, & D [Show Less]