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A+ VERIFIED QUESTIONS AND ANSWERS
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1. 1. A nurse is planning care for a group of clients.Which of the following tasksshould the n
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urse delegate to an assistive personnel?
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ANS d. Providing postmortemcare to a client
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2. 2. A nurse is conducting a health assessment for a client who takes herbalsupplement
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s. Which of the following statements by the client indicates an understanding of the use
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of the supplements?
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ANS C. I use ginger when I get car sick
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3. 3. A nurse is caring for a client who has influenza and isolation precautionsin place. Wh
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ich of the following actions should the nurse take to prevent the spread of infection?
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ANS A. Wear a mask when working within 3 feet of the client
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4. 4. A nurse obtains a prescription for wrist restraints for a client who is trying to pull o
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,ut his NG tube.Which of the following actions should the nursetake?
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ANS C. Allow room for two fingers to fit between the clients skin and the restraints
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5. 5. A nurse is admitting a client who has tuberculosis.Which of the followingtypes of tra
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nsmission precautions should the nurse plan to initiate?
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ANS A. Droplet
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6. 6. A nurse in a well-
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child clinic receives a telephone call from a parent whostates that their child accidentally
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swallowed paint thinner.The child is awakeand alert. Which of the following responses s
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hould the nurse make?
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ANS A. Haveyour child drink one large glass of water.
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7. 7. A nurse is documenting a client's medical record. Which of the followingentries sho
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uld the nurse record.
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ANS B. Administered pain medication
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,8. 8. A nurse is providing oral care for a client who is unconscious. Which ofthe followin
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g actions should the nurse take?
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ANS A. Place the client in a side-lyingposition.
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9. 9. A nurse is collaborating with a risk management team about potentiallegal issue
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s involving client care. The nurse should identify which of the following situations is a
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n example of negligence?
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ANS C. A nurse begins a bloodtransfusion without obtaining consent.
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10. 10. A nurse is collecting a sputum specimen for culture from a client whohas a respir
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atory infection. Which of the following actions should the nurse take?
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ANS B. Offer the client oral hygiene after the collection
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11. 11. A nurse is assessing an older client. Which of the following findingsshould the n
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urse expect?
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ANS a. Decreased sense of balanced
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12. 12. A nurse is completing discharge teaching about ostomy care with a client who ha
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s a new stoma. Which of the following instructions should the nurse include in the teachi
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, ng? (select all that apply)
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ANS a. "Cut the opening of thepouch 1D8 of an inch larger than the stoma " YES
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b. "Place a piece a gauze over the stoma while changing the pouch" YES
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c. "Use povidone-iodine to clean around the stoma" YES
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