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When Caring For A Child, A Nurse Plans To Use Nonpharmacological Interventions To Enhance
The Effectiveness Of Pain Medication. Which Of The Following Strategies Incorporates
Visualization Techniques To Help Decrease The Child's Discomfort?
Blowing Bubbles With Liquid Soap To "Blow The Hurt Away"
A Nurse Is Providing Education To A Client Who Expresses A Desire To Lose Weight. Which Of
The Following Recommendations Should The Nurse Make?
"Follow The Myplate Plan."
A Nurse Is Assigning Task Roles For A Group Of Clients In A Community Mental Health Clinic.
Which Of The Following Tasks Should The Nurse Assign To The Member Of The Group
Functioning As The Orienter?
Noting The Progress Of The Group Toward Assigned Goals
A Nurse Is Caring For A Client Who Has A Leg Cast And Is Returning A Demonstration On The
Proper Use Of Crutches While Climbing Stairs. Identify The Sequence The Client Should Follow.
(Move The Steps Into The Box On The Right, Placing Them In The Order Of Performance. Use All
The Steps.)
Stand In The Tripod Position.
Place Body Weight On The Crutches
Place The Unaffected Leg On The Stair.
,Move The Affected Leg And The Crutches Up To The Stair.
A Nurse Is Assessing For Correct Placement Of A Client's Ng Feeding Tube Prior To Administering
A Bolus Feeding. Which Of The Following Actions Should The Nurse Take?
Aspirate Contents From The Tube And Verify The Ph Level.
A Nurse Is Admitting A Client To The Mental Health Unit Following A Suicide Attempt. The Client
States, "My Family Does Not Care Whether I Live Or Die." Which Of The Following Responses
Should The Nurse Make?
"How Does This Make You Feel?"
A Nurse Is Caring For A Client Who Is Immediately Postoperative Following A Total Vaginal
Hysterectomy. Which Of The Following Actions Should The Nurse Take First?
Measure The Client's Vital Signs.
A Nurse Is Caring For A 4-Year-Old Preschooler In An Emergency Department (Ed).
After Completing The Assessment And Reviewing The Preschooler's Medical Record, Which Of
The Following Actions Should The Nurse Plan To Take?
Administer Supplemental Oxygen, Place The Preschooler On The Affected Side, And Administer
An Antipyretic.
A Nurse Is Caring For A Client Who Has Fluid Volume Overload. Which Of The Following Tasks
Should The Nurse Delegate To An Assistive Personnel (Ap)?
Measure The Client's Daily Weight.
,A Nurse Is Caring For A Group Of Clients. Which Of The Following Clients Should The Nurse
Attend To First?
A Client Who Is Anxious And Attempting To Pull Out An Iv Line
A Nurse Is Providing Discharge Teaching About The Use Of Car Seats To The Guardian Of A
Newborn. Which Of The Following Statements By One Of The Guardians Indicates An
Understanding Of The Teaching?
"I Should Ensure That The Harness Is Snug Around My Baby's Body."
A Nurse Is Reviewing The Laboratory Results Of A Toddler Who Has Hemophilia A. Which Of The
Following Aptt (30 To 40 Seconds) Values Should The Nurse Expect?
45 Seconds
A Nurse Manager Is Planning To Make Changes To The Current Scheduling System On The Unit.
To Facilitate The Staff's Acceptance Of This Change, Which Of The Following Actions Should The
Nurse Manager Take First?
Provide Information About Scheduling Issues To The Staff.
A Nurse Is Caring For A Client Admitted With Profuse Vomiting And Abdominal Pain.
The Client Is At Risk For Developing "Blank" Due To "Blank"
Peritonitis Due To Bowel Obstruction.
The Client Is One Day Postoperative Following A Thyroidectomy.
, Select The 2 Findings The Nurse Should Report To The Provider.
Heart Rate
Dressing
A Nurse Is Preparing An Educational Session About Infection Control Measures. Which Of The
Following Statements Should The Nurse Plan To Make?
"You Should Wear Eye Goggles If Splash Is Likely From A Client's Body Fluids."
A Nurse Is Discussing Dietary Sources Of Iron With A Client Who Has Anemia. Which Of The
Following Foods Should The Nurse Identify As Containing The Most Iron?
One Slice Of Whole Wheat Bread
A Nurse Is Providing Teaching To A Client Who Has Hiv And A New Prescription For Combination
Antiretroviral Therapy (Cart). Which Of The Following Client Statements Should The Nurse
Recognize As An Indication Of Understanding The Teaching?
"I Should Not Skip A Dose Of My Medication, Even If It Makes Me Nauseous."
A Nurse Is Caring For A Client Who Is Receiving Mechanical Ventilation, And The Low-Pressure
Alarm Sounds From The Ventilator Machine. Which Of The Following Actions Should The Nurse
Take?
Check The Tubing For Disconnection.
A Nurse Is Preparing To Administer Heparin 5,000 Units Subcutaneously. Available Is Heparin
Injection 10,000 Units/Ml. How Many Ml Should The Nurse Administer Per Dose? (Round The
Answer To The Nearest Tenth. Use A Leading Zero If It Applies. Do Not Use A Trailing Zero.)
0.5ml