1. A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube.
... [Show More] Which of the following findings requires immediate intervention by the nurse?
- The infusion pump for administering continuous feeding is turned off.
2. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect?
- Hypotension
3. A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend?
- Egg whites
4. A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?
- Use a designated stethoscope when caring for the toddler.
5. A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following findings requires intervention by the nurse?
- 1 cm of water present in the water seal
6. A nurse is reviewing the medical history of a client who is taking garlic supplement. The nurse should identify that which of the following findings is a contraindication for taking this supplement?
- The client takes aspirin daily.
7. A nurse is planning to provide community education about viral hepatitis. Which of the following should the nurse plan to include in the teaching?
- series of four hepatitis vaccines is recommended to prevent viral hepatitis.
8. A nurse is reviewing the history and physical of a client who has right ventricular heart failure. Which of the following is an expected finding?
- Elevated pulmonary artery pressure
9. A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client has two school-age children and a limited support system. Which of the following is the priority nursing action?
- Inform the client of available community resources.
10. A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective?
- "I will use my cell phone on the ear opposite of my pacemaker."
11. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication?
- Decreased reflexes
12. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client?
- Wear an N95 respirator.
13. A nurse manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Which of the following should the nurse include? (Select all that apply.)
- The nurse should pad the bony prominences. The nurse should remove the restraints every 2 hr. The provider's prescription should include the
14. A nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. Which of the following should the nurse include?
- Educating the client how to cover nose and mouth with tissues when coughing
15. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take?
- Schedule routine care tasks during hours when the client is awake. [Show Less]