GUIDE EXAM NEWEST ACTUAL QUESTIONS AND ANSWERS (A+
GUIDE SOLUTION)
Terms in this set (34)
A nurse is caring for an 89- A) The client is alert and oriented to person, place, and
year-old client admitted time.
with pneumonia. He has an
IV of normal saline running
at 100 mL/hr and
antibiotics that were
initiated in the emergency
department 3 hours ago.
He has oxygen at 2
liters/nasal cannula. What
assessment finding by the
nurse indicates that goals
for a priority diagnosis have
been met for this client?
A) The client is alert
andoriented to person,
place, and time.
B) Blood pressure is
withinnormal limits and
client's baseline.
C) Skin behind the
earsdemonstrates no
redness or irritation.
D) Urine output has
been>30 mL/hr per Foley
catheter
,A client with pneumonia B) Draw aerobic and anaerobic blood cultures.
caused by aspiration after
alcohol intoxication has just
been admitted. The client is
febrile and agitated. Which
health care provider order
should the nurse implement
first?
A) Administer levofloxacin
(Levaquin) 500 mg IV. B)
Draw aerobic and anaerobic
blood cultures. C) Give
lorazepam (Ativan) as
needed for agitation.
D) Refer to social worker for
alcohol counseling.
, A) Check the resident's oxygen saturation.
An older adult resident in a
long-term-care facility
becomes confused and
agitated, telling the nurse,
"Get out of here! You're
going to kill me!" Which
action will the nurse take
first?
A) Check the resident's
oxygen saturation. B) Do
a complete neurologic
assessment.
C) Give the prescribed
PRN lorazepam (Ativan). D)
Notify the resident's primary
care provider.