A nurse is caring caring for a client who has a recently admitted to an inpatient
mental health unit. the client tells the nurse he is not coming out of h
... [Show More] is room
anymore because other client on the unit makes fun of him. which of the following
response by the nurse is appropriate? Correct Ans - B) " you feel upset by the
response of other."
A nursing admitting a client who has active tuberculosis. which of the following
intervention is appropriate? Correct Ans - A. Place the client in a room that is
ventilated outside.
A nurse is reinforcing teaching with the parent of a toddler who has difficulty falling
asleep. which of the following instruction should the nurse include? Correct Ans -
A. establish a bedtime routine.
A nurse is collecting data from an 18 month- old toddler at a well-child visit. which
of the following finding should the nurse report to the provider? Correct Ans -
C. Toddler can say four words.
A nurse is planning to administer morphine IM to a client using Z track method.
Identify the order of steps the nurse should take to administer the medication using
this method. place the steps in order. Correct Ans - A. Insert the needle at a 90-
degree angle.
B. Use the ulna side of the nondominant hand to pull the skin.
C. Inject the medication approximately 2.5cm (1in) into the skin.
D. Clean the skin
E.Aspirate for blood return
A nurse discovers a fire in a trash can in a patient's room. which of the following
action should the nurse take first? Correct Ans - A. Extinguish the fire.
B. Shut the door to the client room.
C. Pull the fire alarm.
D. Walk the client to the waiting room.
A nurse is teaching a client who is about to undergo an upper gastrointestinal series
with fluoroscopy. which of the following information should the nurse provide?
Correct Ans - D. " you will have to drink a contrast medium before the test."
topsgrades
A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia
gravis (MG) and a prescription for neostigmine. which of the following information
should the nurse include in the about action of the medication? Correct Ans - A.
Improve muscle strength.
A nurse is caring for a school-age child whose family adheres to vegan diet in the
home. the nurse should recognize the child is at risk for deficiency of which of the
following? Correct Ans - C. Vitamin D
A nurse is assisting with the admission of a client who attempted suicide. when the
nurse processes the client's belongings, which of the following items should the
nurse remove from the client's suitcase? Correct Ans - D. Perfume
A nurse is collecting data from a client who is one day postoperative following a
total hip arthroplasty and has deep- vein thrombosis. which of the following findings
should the nurse expect in the affected extremity? Correct Ans - D. Dull, aching
pain.
A nurse is a prenatal clinic is reinforcing teaching with a client about a nonstress
test . which of the following statements should the nurse include? Correct Ans -
D. " you will be asked to press a button when you feel the baby move."
A nurse is planning to administer an ophthalmic medication to a client. which of the
following actions will minimize systemic absorption of the medication? Correct
Ans - A. apply light pressure to the inner canthus just after instilling the eye
drops.
A nurse is caring for a client who has a new colostomy. he voices a reluctance about
resuming sexual relations.which of the following is an appropriate response by the
nurse? Correct Ans - D. "I'm available if you'd like to talk about your concerns."
A nurse is caring for a client who is receiving warfarin 5mg po daily. Which of the
following laboratory values should the nurse check prior to administering the
medication? Correct Ans - A.PT
B. Serum potassium
C. INR
D. serum sodium
E. BUN
A.PT
C.INR
E.BUN
A nurse is contributing to the plan of care for a school-age child who has sickle-cell
disease and is experiencing a vaso-occlusive crisis. which of the following should
the nurse recommend including in the plan of care? Correct Ans - C. perform
passive range of motion exercises
A nurse is discussing including report with a group of newly licensed nurses. The
nurse should include that which of the following situations requires completion of an [Show Less]
