RN Question Trainer 7 Answers.
The father of a 1-day-old son works the evening shift (3 PM to 11 PM) at another hospital. Which of the following
... [Show More] plans is a priority to meet the needs of this father?
1. Encourage the father to call his wife after work.
2. Instruct the father about visiting policy and suggest AM visitation.
3. Adjust visiting hours to meet the new parents' needs.
4. Present a change of visiting hours to the appropriate hospital committee.
The nurse believes a coworker is diverting narcotics for personal
consumption. The nurse approaches the nurse manager to report the suspicions. Which of the following statements by the nurse is BEST?
1. "After my coworker has been on duty, the patients often need repeated doses of pain medication. I have seen her/him sleeping on duty three times."
2. "I saw my coworker downtown after work. She/he was acting really strange, like she/he didn't even recognize me."
3. "I think my coworker is stealing narcotics because she/he is always acting euphoric and seems high."
4. "My coworker is hanging around with drug dealers, and I think I saw tracks on her/his arms."
A client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The client's vital signs are B/P 162/100, pulse 78, respirations 30 and labored with wheezing. The nurse should question which of the following orders?
1. Theophylline (Somophyllin) 0.7 mg/kg/h IV.
2. Tetracycline hydrochloride (Sumycin) 250 mg IM qd.
3. Ipratropium bromide (Atrovent) inhaler 2 inhalations qid.
4. Propranolol hydrochloride (Inderal) 40 mg PO bid.
A husband and wife meet at the mental health clinic to make an
appointment for family therapy. Suddenly, the wife begins to sob loudly. As the nurse approaches, the husband says, "I guess we just don't get along." Which of the following responses by the nurse is MOST appropriate?
1. "Your wife seems to be upset by the situation."
2. "Perhaps you should both go home now."
3. "Try to think about what precipitated her crying."
4. "The situation is difficult for both of you."
The nurse cares for a client receiving chemotherapy. The client
has a WBC count of 1,200/mm3. Which of the following nursing actions should the nurse take FIRST?
1. Check temperature q4h.
2. Monitor urine output.
3. Assess for bleeding gums.
4. Obtain an order for blood cultures.
A woman is in active labor with her first child when her
membranes rupture. She voices a concern to the nurse that she is afraid of having a "dry labor." Which of the following responses by the nurse is MOST appropriate?
1. "The amniotic fluid provides only minimal lubrication for the labor process."
2. "The amniotic sac may impede the progress of labor and is often ruptured artificially."
3. "Labor is only slightly more difficult with early rupture of the amniotic sac."
4. "Because there is limited amniotic fluid, additional fluids will be supplied."
The nurse performs an ice massage for a client in chronic pain.
The nurse is MOST concerned if which of the following is observed?
1. Redness or inflammation of the tissue.
2. Mottling or graying of the tissue.
3. The client states that she feels a burning and tingling sensation in the area.
4. The client states that she feels a numbness and a cold sensation in the area.
The nurse cares for a client with a complete heart block. The
nurse should question which of the following orders?
1. Administer lidocaine (Xylocaine) 50 mg IV push for PVCs in excess of six per minute.
2. Administer atropine sulfate (Atropine) 0.05 mg IV for symptomatic bradycardia.
3. Anticipate scheduling the client for a temporary pacemaker if the pulse continues to decrease.
4. Mix 10 ml of 1:5,000 solution of isoproterenol (Isuprel) in 500 ml D5W for sustained bradycardia below 30.
The nurse cares for a client who had a cholecystectomy. Which of
the following observations is MOST important for the nurse to report to the next shift?
1. Resting after receiving IM pain medication.
2. No bowel sounds present.
3. IV infusing at 100 ml/h.
4. Breath sounds decreased in both lower lobes.
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