Practice 2023 B
The nurse is placing the client on isolation precautions. Which of the following
interventions should the nurse include? Select all that apply.
-Wear an N95 mask when caring for the client
-Place a container for soiled linens inside the clients room
-Place the client in a negative airflow room
-Remove mask after exiting the clients room
Complete the following sentence by using the list of options. The client has
manifestations of _____ as evidenced by the client's ____.
-Allergic reaction
-Itching
A nurse is administering IV fluids to a client. When monitoring for adverse effects,
which of the following assessments should the nurse identify as the priority?
Auscultating lung sounds
.
A nurse is caring for a client who is expressing anger about their diagnosis of
colorectal cancer. Which of the following actions should the nurse take?
Reassure the client that this is an expected response to grief
A nurse if providing discharge teaching to a client about self administering
heparin. Which of the following instructions should the nurse include in the
teaching?
, Administer the medication into the abdomen
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the
inner ear?
Press gently on the tragus of the client's ear
A nurse in a clinic is caring for a middle adult client who states, "The doctor says
that, since I am at an average risk for colon cancer, I should do a routine screening.
What does that involve?" Which of the following responses should the nurse
make?
"You should have a fecal occult blood test every year"
.
A nurse is caring for a client who is postoperative following a knee arthroplasty
and requires the use of thigh-high sequential compression sleeves. Which of the
following actions should the nurse take?
Make sure two fingers can fit under the sleeves
.
A nurse if evaluating a client's use of a cane. Which of the following actions should
the nurse identify as an indication of correct use?
The client holds the cane on the stronger side of their body
A nurse if calculating a client's fluid intake over the past 8hr. Which of the
following items should the nurse plan to document in the client's intake and
output record as 120 mL of fluid?
8 oz of ice chips