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+ VERIFIED QUESTIONS AND ANSWERS
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1. A nurse is caring for a client who requires a 24hr urine collection. Which of the followin
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g statements by the client indicates an understanding of the teaching?
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ANS "I flushed what I urinated at 7:00 a.m.and have saved all urine since."
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2. A nurse is assessing a client who has been on bed rest for the past month.Which of the foll
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owing findings should the nurse identify as an indication thatthe client has developed thro
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mbophlebitis?
ANS Calf Swelling
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3. A nurse manager is overseeing the care on a unit. Which of the followingsituations sho
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uld the nurse manager identify as a violation of HIPAA guide-lines?
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ANS A nurse asks a nurse from another unit to assist with her documentation.
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4. A nurse is caring for a client who requires bed rest and has a prescriptionfor antiemboli
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,c stockings. Which of the following actions should the nurse take?
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ANS Remove the stockings at least once per shift.
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5. A nurse is administering IV fluid to an older adult client. The nurse should performwhic
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h priority assessment to monitor foradverse effects?
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ANS AuscultateLung Sounds
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6. A nurse is teaching an older client who is at risk for osteoporosis about beginning a progr
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am of regular physical activity.Which of the following typesof activity should the nurse reco
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mmend?
ANS Walking Briskly
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7. A nurse is assessing an adult client who has been immobile for the past 3 weeks.The nurs
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e should identify that which of the following findings requiresfurther intervention?
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ANS Erythema on pressure points
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8. A nurse isresponding to acall light and findsaclient lying onthe bathroomfloor. Which of t
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, he following actions should the nurse take first?
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ANS Check the client for injuries
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9. A nurse in aclinic is caring for a middle adult client who states,"The doctorsays that,since I
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l am at an average risk for colon cancer,I should have routinescreening.What does that involv
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e?"Which of the following responses shouldthe nurse make?
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ANS "You should have a fecal occult blood test every year."
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10. A nurse manager is preparing to review medication documentation with agroup of new
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ly licensed nurses.Which of the following statements should thenurse manager plan to incl
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ude in the teaching? l l l
ANS "Use the complete name of themedication magnesium sulfate."
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11. A nurse is caring for a client who has tuberculosis.Which of the followingactions should
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the nurse take? l l
ANS Place theclient inaroomwith negative-pressureairflow.
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Wear gloves when assisting the client with oral care.Use anti
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