With Complete Solutions
A community health nurse is reinforcing teaching about
melanoma with a group of clients. Which of the following
characteristics of lesions associated with melanoma should the
nurse include in the teaching? Correct Answer An irregular
border
A home health nurse enters a client's home and finds a used
insulin syringe, without a cap, on the table.
Which of the following actions should the nurse take? Correct
Answer Place the syringe in a puncture in a puncture-proof
disposal container
A nurse in a provider's office is caring for a client who has
blepharitis. Which of the following actions should the nurse take
first? Correct Answer Inspect the eye for drainage or redness
A nurse in an urgent care clinic is collecting data from a client
who has extensive burns, including on her face. Which of the
following data should the nurse collect first? Correct Answer
respiratory rate
A nurse in an urgent care clinic is collecting data from a client
who sustained a fall. Which of the following findings should the
nurse identify as an indication of a skull fracture? Correct
Answer Clear fluid coming from the nares
A nurse is assisting with the care of a client who has a chest tube
in place following a thoracotomy. Which of the following
, actions should the nurse take? Correct Answer Place the
drainage unit below the client's chest level.
A nurse is assisting with the care of a client who is to receive a
transfusion of packed red blood cells (RBCs).
Which of the following actions should the nurse take? (Select all
that apply.) Correct Answer 1) Check and document the client's
vital signs is correct.
2) Verify that the blood type and Rh of the packed RBCs are
checked by two nurses is correct.
3) Provide the RN with IV tubing that has a filter is correct.
A nurse is caring for a client following a hip arthroplasty. The
nurse should place an abduction pillow on the client for which
of the following purposes? Correct Answer Preventing
dislocation of the hip during position changes or movement
A nurse is caring for a client who begins having a tonic-clonic
seizure while sitting in a chair at the bedside.
Which of the following actions should the nurse take first?
Correct Answer Lower the client to the floor
A nurse is caring for a client who has a stage III pressure ulcer
on his heel. When preparing to irrigate the wound, which of the
following actions should the nurse take first? Correct Answer
Check the client's pain level.
A nurse is caring for a client who has continuous bladder
irrigation following a transurethral resection of the prostate
(TURP). Which of the following actions should the nurse take?