QUESTIONS & VERIED ANSWES ALREADY GRADED
A+
A nurse is caring for a client who has end stage liver disease and is
undergoing a paracentesis. Which of the following actions should the
nurse take to evaluate the effectiveness of the procedure? -
ANSWER>>Compare the client's current weight with the preprocedural
weight
A nurse is reviewing the lab data of a client who received 2 units of
packed RBCs. Which of the following lab findings should the nurse expect
following the transfusion? - ANSWER>>Increased HCT
A school nurse is teaching a parent about absence seizures. Which of the
following information should the nurse include? - ANSWER>>This type of
seizure can be mistaken for daydreaming
A charge nurse is teaching a newly licensed nurse about the facility's
computerized documentation system. Which of the following information
should the nurse include? - ANSWER>>Information technology will install
a firewall to secure client information
A nurse inadvertently administers 160mg of valsartan PO to a client who
was scheduled to receive 80mg. Which of the following actions is the
priority for the nurse to take? - ANSWER>>Evaluate the client for
orthostatic hypotension
,A home health nurse is caring for a child who has Lyme disease. Which of
the following is an appropriate action for the nurse to take? -
ANSWER>>Ensure the state health department has been notified
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first? - ANSWER>>Evaluate functioning of the
suction device
While performing a routine assessment, a nurse notices fraying on the
electrical cord of a client's continuous passive motion device. Which of the
following actions should the nurse take first? - ANSWER>>Remove the
device from the room
A nurse is setting up a sterile field to perform wound irrigation for a client.
Which of the following actions should the nurse take when pouring the
sterile solution? - ANSWER>>Remove the cap and place it sterile side up
on a CLEAN surface
A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptives use to a group of
women. Which of the following conditions should the nurse include in the
teaching? - ANSWER>>Hypertension
A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following statements
by the client indicates an understanding of the teaching? - ANSWER>>"I
know it will be a couple of weeks before the medication helps me feel
better."
, A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture? - ANSWER>>Apply an
orthotic to the client's foot.
A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark
yellow urine at 25mL/hr. Which of the following interventions should the
nurse anticipate? - ANSWER>>Obtain a urine specimen for culture and
sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following
laboratory tests should the nurse plan to report to obtain the
prescriptions for the warfarin? - ANSWER>>INR
A nurse is assessing a client who is taking haloperidol and is experiencing
pseudo parkinsonism. Which of the following findings should the nurse
document as a manifestation of pseudo parkinsonism? -
ANSWER>>Shuffling gait
A nurse is caring for a client who is experiencing expressive aphasia and
right hemiparesis following a stroke. Which of the following actions by the
nurse best promotes communication among staff caring for the client? -
ANSWER>>Having interdisciplinary team meetings for the client on a
regular basis.
A nurse is caring for a 2 year old toddler. Which of the following food
choices should the nurse recommend to promote independence in eating?
- ANSWER>>Banana slices