1. The nurse enters the room of a client who is labeled disagreeable by staff,
to administer the clients morning medications. The client says "I havent seen
you since i have been here are you new? I guess they told you that i dont take
any foolishness, im not taking that pill right now, either" What responses to
the client would be inappropriate communication? select all that apply
*Answer√√ - im not the one who needs this pill. your not hurting me by not taking it
- i suggest you take this pill now, because you will die if you keep refusing to take it
- yes, i hear you are disagreeable, and i dont take foolishness either, so take your pill
- oh no problem you don't have to take it now take it anytime you wish
2. a client who is 55 years old and has a history of hypertension is attending
a pre-operative appointment for an elective surgery. The nurse is providing
education on lifestyle modifications. which recommendations does the nurse
include? select all that apply
*Answer√√ - increase dietary potassium intake through fruits and vegetables
,-engage in 90-150 minutes of aerobic and resistance training activity per week
- reduce sodium intake to less than 2,000 mg per day
- avoid smoking, vaping or use of any type or form of tobacco products
3. The nurse performs mediation reconciliation for a newly admitted client and
notes a prescription for daily antacids. What other prescription in the clients
electronic health record causes the nurse to call the health care provider?
*Answer√√ -
-Levofloxacin
4. A client scheduled to have surgery will be using patient-controlled analgesia
to control pain postoperatively. Which statement by the client requires addi-
tional discussion by the nurse?
*Answer√√ - I need to be careful how many times i push the button on the machine because i could
overdose myself
5. a client with chronic obstructive pulmonary disease is admitted to the unit
and is receiving inhaled corticosteroids. What is an appropriate goal that
,should be included in the clients pain of care?
*Answer√√ - Will remain free of fungal oral infection throughout hospital stay
6. The charge nurse has delegated care of four clients to the night shift nurse
who starts the shift at 1900. Which client will the nurse see first?*Answer√√ 38-
week-gestation client just admitted with preeclampsia with a blood pressure of 168/ 112
, 7. A parent asks the nurse whether their infant is susceptible to pertussis
and whether they should consent for their infant to receive the pertussis
vaccination. what is the nurses response?*Answer√√ Most children are highly
susceptible from birth
8. the nurse instructs the UAP assigned to a client with major depression to
remove all items from the clients meal tray that can be used as a weapon.
what assessment finding prompted the nruse to implement this intervention?
select all that apply
*Answer√√ - The client stated life is hopeless and empty
-the client expressed suicidal ideation to the nurse
9. a client with HIV and AIDS is placed on reverse isolation for neutropenia.
Which comment made by the client requires further discussion with the
nurse
*Answer√√ everyone is wearing a mask to keep from spreading my germs to others
10. The nurse cares for a client in the emergency department with painful ankle