a home health nurse is conducting a home inspection for a client who
is at risk for falls. Which of the following instructions should the
nurse provide for the client? - ANSWER -move the clients bed to the
main floor of the house
a nurse is collecting data from a client who received oxytocin 10 units
IM 30 mins ago for excessive vaginal bleeding. Which of the following
findings should the nurse expect? - ANSWER -client report of uterine
cramping
a nurse in a providers office is reinforcing teaching about skin care
with a client who has new diagnosis of systemic lupus
erythematousus. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER -i will dry my
skin by patting it with a towel
,a nurse is collecting data from a 4 month old infant at a well child
visit. For which of the following findings should the nurse notify the
provider? - ANSWER -presence of grasp reflex
a nurse is collecting data from a client who is 8 hours postoperative
following an appendectomy. Which of the following manifestations is
the best indications that the client needs a PRN analgesic - ANSWER -
the client reports pain as 7 on a scale of 0-10
a nurse is reinforcing teaching with the support person of a client
who is in the first stage of labor. WHich of the following instructions
should the nurse include regarding effleurage? - ANSWER -gently
stroke her abdomen during contractions
a nurse is assisting with the admission of an adolescent client who is
suspected to have bacterial meningitis. Which of the following
findings should the nurse expect? - ANSWER -nuchal rigidity
,a nurse is about to administer an intermittent enteral feeding to a
client who has an NG tube in place. Besides obtaining an xray, which
of the following methods should the nurse use to verify placement -
ANSWER -test the ph of the gastric asparate
a nurse working in a clinic is reinforcing with a client who has hep a.
which of the following client statements indicates an understanding
of the teaching? - ANSWER -i will use different hand towels than
others in my home
a nurse is reinforcing teaching with a client who has a prescription for
ferrous sulfate elixir. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER -i will mix the
medication with a full glass of water
a nurse is reinforcing teaching with a newly licensed nurse about
caring for a client who has a history of dysphagia. Which of the
following instructions should the nurse include in the teaching? -
ANSWER -place oral suction equipment next to the client's bedside
, a nurse is assisting with the care of a client who is 6 hour
postoperative following a right total knee arthoplasty. which of the
following actions should the nurse take? - ANSWER -maintain the
head of the bed in high fowlers position
a nurse is providing a client with IV fluids and finds that the iv pump
screen is malfunctioning. Which of the following actions should the
nurse take? - ANSWER -discontinue use and tag the iv pump
a nurse in an acute mental health facility is caring for an adolescent
who is exhibiting destructive behavior. Which of the following actions
should the nurse take after applying physical restraints to the client? -
ANSWER -monitor the client's range of motion every 60 min
a nurse is collecting data from a client who is 1 day post op following
a TURP. which of the following findings should the nurse report to the
provider? - ANSWER -dark red urine
a nurse is contributing to the plan of care for a client who is
scheduled to receive ECT for the treatment of depression. Which of