A nurse is preparing to mix short-acting and intermediate-acting insulin in one syringe to
administer to a client who has type 1 diabetes mellitus.
... [Show More] Identify the sequence the nurse should
follow. - Correct Answer -1: Draw up the volume of insulin from the intermediate-acting insulin
vial.
2: Inject the volume of air equal to the amount of insulin to withdraw from the
intermediateacting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-acting insulin vial 4:
Withdraw the prescribed amount of insulin form the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-acting insulin vial.
A nurse is assessing a client who wears partial dentures and reports mouth pain. Which of the
following actions should the nurse take? - Correct Answer -Advise the client to rinse their
mouth and dentures after each meal.
A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Which of the
following referrals should the nurse make? - Correct Answer -Speech-language pathologist
thoracentesis post procedure? - Correct Answer -Position the client on the unaffected side.The
nurse should position the client on the unaffected side to help facilitate expansion of the
affected lung.
Maintain the head of the bed at 45°.MY ANSWERSome facility protocols recommend that the
nurse should raise the head of the bed to 30° for at least 30 min to facilitate expansion of the
affected lung and ease of breathing.
Measure the client's abdominal girth at the level of the umbilicus.The nurse should measure
the client's abdominal girth following an abdominal paracentesis, rather than a thoracentesis.
Leave the puncture site open to air.The nurse should apply a small, sterile dressing over the
puncture site.
A nurse is planning teaching for a client who has a new diagnosis of type 2 diabetes mellitus.
Which of the following actions should the nurse take prior to performing the teaching? (select
all that apply) - Correct Answer -- Establish the client's learning needs
- Determine the client's literacy level
- Evaluate the client's readiness for learning
- Identify the client's learning style
A nurse is preparing to notify the provider about a change in a client's status.
Which of the following information should the nurse plan to include in the
"background" portion of the SBAR communication tool? - Correct Answer -Previous treatments
A nurse is providing discharge teaching to a client who has a new prescription for home oxygen
therapy utilizing a compressed oxygen system. Which of the following statements by the client
indicates an understanding of the teaching? - Correct Answer -"I will store oxygen tanks in an
upright position"
A nurse is caring for a client who has terminal cancer. The client begins to cry and says, "I am
afraid of dying." Which of the following responses should the nurse make? - Correct Answer -"It
must me a very difficult time for you."
A nurse is assessing a client's coping skills. Which of the following should the nurse identify as
an internal stressor? - Correct Answer -Fear of medical test results
A nurse is performing postmortem care for an older client who had just died.
Which of the following actions should the nurse take? - Correct Answer -Identify the client
using two identifiers
A nurse has administered 5 mL of medication to a client via NG tube. Then used 30 mL of water
to flush the tue both before and after the instillation. the nurse should document which of the
following amounts as liquid intake for the client? - Correct Answer -65 mL
A nurse is performing a family assessment for a client who has recently developed paraplegia
following a stroke. Which of the following actions should the nurse take first? - Correct Answer
-Determine how the client views the concept of family
A nurse is caring for a client who reports having insomnia due to increased stress. Which of the
following actions should the nurse take first? - Correct
Answer -Determine the source of the client's stress
A nurse is caring for a client who had a stroke and is immobile. Which of the following actions
should the nurse take to maintain the client's skin integrity? - Correct Answer -Use an
alcoholfree barrier product [Show Less]