A,.nurse,.in,.a,.provider's,.clinic,.is,.taking,.a,.client's,.age,,.height,,.weight,,.and,.v
ital,.signs.,.The,.nurse,.should,.identify,.this,.action,.as,.part,.of,.which,.of,.the,.foll
owing,.components,.of,.the,.nursing,.process?
A.,.Planning
B.,.Evaluation
C.,.Assessment
D.,.Implementation,.-,.correct,.answer,.✔ ✔ C.,.Assessment
-
The,.nurse,.should,.explore,.the,.client's,.health,.history,.and,.perform,.a,.physica
l,.examination
A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.osteoarthritis.,.The,.client,.states,.she,.
does,.not,.want,.to,.perform,.her,.prescribed,.exercises,.because,.of,.the,.pain.,.W
hich,.of,.the,.following,.responses,.should,.the,.nurse,.make?
A.,.The,.exercises,.are,.important.,.The,.quicker,.we,.do,.them,,.the,.sooner,.they,.
will,.be,.done.
B.,.The,.pain,.will,.go,.away,.once,.you,.start,.doing,.the,.exercises,.regularly
C.,.Think,.of,.something,.pleasant,.while,.exercising,,.and,.you,.will,.not,.have,.p
ain
D.,.Tell,.me,.more,.about,.the,.pain,.you,.experience,.during,.exercise,.-
,.correct,.answer,.✔ ✔
D.,."Tell,.me,.more,.about,.the,.pain,.you,.experience,.during,.exercise"
,-
This,.is,.the,.therapeutic,.communication,.response,.because,.the,.nurse,.is,.ackn
owledging,.the,.client's,.feelings
A,.nurse,.is,.preparing,.to,.assist,.an,.older,.adult,.client,.with,.ambulation,.follow
ing,.bed,.rest,.for,.3,.days.,.Which,.of,.the,.following,.actions,.should,.the,.nurse,.ta
ke,.to,.decrease,.the,.risk,.of,.a,.fall?
A.,.Use,.a,.gait,.belt,.during,.ambulation
B.,.Ensure,.the,.client,.is,.wearing,.socks,.before,.ambulating
C.,.Instruct,.the,.client,.to,.sit,.on,.the,.edge,.of,.the,.bed,.for,.15,.seconds,.before,.a
mbulating
D.,.Walk,.2,.ft,.behind,.the,.client,.during,.ambulation,.-,.correct,.answer,.✔ ✔
A.,.Use,.a,.gait,.belt,.during,.ambulation
-
This,.helps,.keep,.the,.client's,.center,.of,.gravity,.midline,.and,.decreases,.the,.ris
k,.of,.fall
A,.nurse,.is,.inserting,.an,.IV,.catheter,.for,.a,.client,.that,.results,.in,.a,.blood,.spill,.
on,.her,.gloved,.hand.,.The,.client,.has,.no,.documented,.bloodstream,.infection.,
.Which,.of,.the,.following,.actions,.should,.the,.nurse,.take?
A.,.Wash,.the,.gloved,.hands,.and,.then,.throw,.the,.gloves,.away
B.,.Prepare,.an,.incident,.report,.to,.document,.the,.event
C.,.Carefully,.remove,.the,.gloves,.and,.proceed,.with,.hand,.hygiene
, D.,.Ask,.the,.provider,.to,.order,.a,.blood,.culture,.to,.determine,.the,.risk,.of,.infect
ion,.-,.correct,.answer,.✔ ✔
C.,.Carefully,.remove,.the,.gloves,.and,.proceed,.with,.hand,.hygiene
-This,.would,.be,.the,.nurse,.following,.standard,.precautions
A,.nurse,.is,.admitting,.an,.older,.client,.who,.has,.chronic,.obstructive,.pulmona
ry,.disease.,.The,.client's,.daughter,.is,.present,.and,.states,.that,.her,.father,.will,.b
ecome,.uncooperative,.if,.he,.is,.not,.able,.to,.follow,.his,.usual,.routines.,.Which,.
of,.the,.following,.actions,.should,.the,.nurse,.take?
A.,.Assure,.the,.client,.that,.his,.usual,.routines,.will,.be,.followed
B.,.Ask,.the,.daughter,.what,.routines,.her,.father,.follows,.at,.home
C.,.Inform,.the,.daughter,.that,.the,.facility,.policies,.must,.be,.followed
D.,.Ask,.the,.daughter,.to,.tell,.the,.provider,.how,.she,.wants,.her,.father's,.care,.or
ganized,.-,.correct,.answer,.✔ ✔
B.,.Ask,.the,.daughter,.what,.routines,.her,.father,.follows,.at,.home
-
The,.nurse,.is,.seeking,.more,.information,.in,.order,.to,.address,.the,.daughter's,.c
oncerns.,.The,.nurse,.is,.providing,.general,.leads,.to,.encourage,.communicatio
n
A,.nurse,.is,.preparing,.a,.client,.for,.discharge,.and,.providing,.instructions,.abo
ut,.performing,.dressing,.changes,.at,.home.,.Which,.of,.the,.following,.stateme
nts,.should,.the,.nurse,.identify,.as,.an,.indication,.that,.the,.client,.understands,.m
edical,.asepsis?
A.,.I'll,.wrap,.the,.old,.dressing,.in,.a,.paper,.bag,.and,.put,.it,.in,.the,.trash