A nurse is caring for a client who has an indwelling urinary cath.
What action should the nurse take to prevent a UTI? - ANSWER
->Drain urine from the tubing before ambulation
A nurse is collecting data from a client who has an NG tube set
to low intermittent suction. What finding indicates
hypomagnesemia? - ANSWER ->Positive Chvostek's sign
A nurse is using Maslow's hierarchy of needs in assisting w/
discharge planning for a client. What activities should the nurse
recommend as the priority for this client? - ANSWER ->Attend
an exercise program
,A nurse is caring for a client who is receiving continuous NG
tube feedings. The nurse listens to the client's bowel sounds.
What action should the nurse take? - ANSWER ->Decrease the
rate of the feeding
A nurse is reinforcing teaching about the use of crutches w/ a
client who has a fractured right tibia and fibula. What
statement by the client indicates an understanding? - ANSWER
->I will be sure to keep the crutch tips dry
A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
afterlife with them. What statement from the nurse assists in
meeting the client's spiritual needs? - ANSWER ->"Tell me what
the afterlife means to you."
A nurse is contributing to a care plan for a client who has a new
prescription for a wrist restraint. What action should the nurse
include in the plan? - ANSWER ->Pad bony prominences on the
wrist.
1. Evacuate clients
2. Pull lever on fire alarm
3. Close fire doors
4. Use a fire extinguisher - ANSWER ->Fire Steps
A nurse is reinforcing preop teaching with a client who speaks a
different language than the nurse. What action should the
, nurse take? - ANSWER ->Provide written handouts in the
client's primary language
A nurse is caring for four clients who are required to provide
informed consent for treatment. The nurse should identify
what client as able to provide informed consent? - ANSWER -
>An 18-year old client with acute appendicitis
A nurse is reviewing the vital signs of four adult clients. What
finding requires further data collection? - ANSWER ->Pulse rate
of 110/min
A nurse is preparing to remove a client's IV cath. After
performing hand hygiene and applying clean gloves, what
action should the nurse take first? - ANSWER ->Clamp the
infusion tubing
A nurse is assisting w/ a presentation to a group of older adults
at a community center about hypothermia and hyperthermia.
What info should the nurse include about age related changes?
- ANSWER ->Circulation becomes less efficient with age
A nurse is reinforcing teaching with a client about the
prevention of stress injuries. What instructions should the
nurse include? - ANSWER ->When lifting a heavy object, keep it
close to your body.
A nurse is calculating the intake and output for a client over the
last 8 hrs. The client is receiving a continuous IV infusion of
What action should the nurse take to prevent a UTI? - ANSWER
->Drain urine from the tubing before ambulation
A nurse is collecting data from a client who has an NG tube set
to low intermittent suction. What finding indicates
hypomagnesemia? - ANSWER ->Positive Chvostek's sign
A nurse is using Maslow's hierarchy of needs in assisting w/
discharge planning for a client. What activities should the nurse
recommend as the priority for this client? - ANSWER ->Attend
an exercise program
,A nurse is caring for a client who is receiving continuous NG
tube feedings. The nurse listens to the client's bowel sounds.
What action should the nurse take? - ANSWER ->Decrease the
rate of the feeding
A nurse is reinforcing teaching about the use of crutches w/ a
client who has a fractured right tibia and fibula. What
statement by the client indicates an understanding? - ANSWER
->I will be sure to keep the crutch tips dry
A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
afterlife with them. What statement from the nurse assists in
meeting the client's spiritual needs? - ANSWER ->"Tell me what
the afterlife means to you."
A nurse is contributing to a care plan for a client who has a new
prescription for a wrist restraint. What action should the nurse
include in the plan? - ANSWER ->Pad bony prominences on the
wrist.
1. Evacuate clients
2. Pull lever on fire alarm
3. Close fire doors
4. Use a fire extinguisher - ANSWER ->Fire Steps
A nurse is reinforcing preop teaching with a client who speaks a
different language than the nurse. What action should the
, nurse take? - ANSWER ->Provide written handouts in the
client's primary language
A nurse is caring for four clients who are required to provide
informed consent for treatment. The nurse should identify
what client as able to provide informed consent? - ANSWER -
>An 18-year old client with acute appendicitis
A nurse is reviewing the vital signs of four adult clients. What
finding requires further data collection? - ANSWER ->Pulse rate
of 110/min
A nurse is preparing to remove a client's IV cath. After
performing hand hygiene and applying clean gloves, what
action should the nurse take first? - ANSWER ->Clamp the
infusion tubing
A nurse is assisting w/ a presentation to a group of older adults
at a community center about hypothermia and hyperthermia.
What info should the nurse include about age related changes?
- ANSWER ->Circulation becomes less efficient with age
A nurse is reinforcing teaching with a client about the
prevention of stress injuries. What instructions should the
nurse include? - ANSWER ->When lifting a heavy object, keep it
close to your body.
A nurse is calculating the intake and output for a client over the
last 8 hrs. The client is receiving a continuous IV infusion of
