Nurs 465 Practice Questions on Setting Priorities With 125 Questions and answers Latest RATED A+

Nurs 465 Practice Questions on Setting
Priorities With 125 Questions and answers
Latest RATED A+
A nurse is caring for a client who has dementia. The client is agitated and is having difficulty staying in his
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chair. Which of the following actions should the nurse take first? - Correct Answers place a seat alarm in
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the client's chair
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II! A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord
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II! protruding from the vagina. Which of the following actions should the nurse perform first? - Correct
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II! Answers Insert a gloved hand into the vagina to relieve pressure on the cord
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II! A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media.
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II! For which of the following client finding should the nurse intervene first? - Correct Answers stridor
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II! A nurse is caring for a client who has CHF and is taking digoxin daily. The client refused breakfast and is
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II! complaining of nausea and weakness. Which of the following actions should the nurse take first? -
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II! Correct Answers check the client's vital signs
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II! A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following
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II! PPE items should the nurse remove first? - Correct Answers Gloves
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II! A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting.
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II! Which of the following actions should the nurse take first? - Correct Answers Auscultate for wheezing
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II! A nurse sees and assistive personnel (AP) entering the room of a client who requires transmission based
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II! precautions without using the appropriate PPE. Which of the following actions should the nurse take
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II! first? - Correct Answers Provide the appropriate PPE to the AP
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II! A nurse is working with an assistive personnel (AP) to care for a group of clients on the pediatric unit.
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II! Which of the following tasks should the nurse have the AP perform first? - Correct Answers check to see
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, II! if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft
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II! A nurse is caring for a client who attacked one of her friends and is administered to the psychiatric unit.
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II! Which of the following actions should the nurse take first? - Correct Answers Set behavioral limits for
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II! the client
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II! A nurse is caring for a client who has a spinal cord injury and suspects the client is developing autonomic
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II! dysreflexia. Which of the following actions should the nurse take first? - Correct Answers Place the
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II! client in a sitting position
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II! A nurse is assessing four clients on a medical surgical unit. Which of the following client should the nurse
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II! care for first? - Correct Answers A client who has a cast on the left leg and reports numbness and
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II! paresthesia



II! A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions
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II! should the nurse implement first? - Correct Answers Administer oxygen therapy
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II! While caring for a client, the nurse experiences a needle stick injury. Which of the following actions
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II! should the nurse take first? - Correct Answers Wash the site of the injury with soap and water
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II! A nurse is assessing a client's abdomen who reports stomach pain. Which of the following actions should
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II! the nurse take first? - Correct Answers Inspect
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II! A nurse in a clinic is collecting a history from a client who reports that a member of his family just received
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II! a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of
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II! the following diagnostic tests first? - Correct Answers Nucleic acid amplification test (NAAT)
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II! A nurse is caring for a client who is in active labor and notes late deceleration in the FHR. Which of the
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II! following actions should the nurse take first? - Correct Answers Change the client's position
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II! A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the
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II! following actions should the nurse take first? - Correct Answers Ask what she will be assigned to do
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