QUESTIONS AND ANSWERS 100% CORRECTLY
VERIFIED LATEST UPDATE GRADED A+
A nurse is reviewing the correct use of a fire extinguisher with a
client. Which of thefollowing actions should the nurse direct the
client to take first? A.Aim the hose at the base of the fire
-incorrect: Evidence-based practice indicates aiming the hose of the fire
extinguisher is thesecond step the client should take.
B.Squeeze the handle of the extinguisher
-incorrect: Evidence-based practice indicates squeezing the handle of the
extinguisher is the thirdstep the client should take.
C.Remove the safety pin from the extinguisher
-Evidence-based practice indicates removing the safety pin from the
extinguisher is the first action to take when using a fire extinguisher;
therefore, this is an action the nurse should instructthe client to perform first.
D.Sweep the hose from side to side to dispense material
-incorrect: Evidence-based practice indicates sweeping the hose from side
to side to dispensematerial is the fourth step the client should take.
, A nurse is planning care for a client who is confused and requires a
prescription for wrist restraints. Which of the following interventions
should the nurse include in the plan of care?A. Renew the
prescription for the use of restraints within 24 hours
-The nurse should plan to renew the prescription for the restraints within 24
hours; only after theprovider has evaluated the client.
B. Secure the restraint with the buckle side next to the client’s skin
-incorrect: The nurse should secure the client’s restraints with the softer side
next to the client’sskin with the buckle or Velcro closure on the outside.
C. ensure 4 fingers can be inserted under the secured restraint
-incorrect: The nurse should ensure 2 fingers can be inserted under the
restraints to prevent therestraint from being too loose. If the nurse is unable
to insert 2 fingers under the restraint, it could cause impaired circulation to
the extremities.
D. Remove the restraint every 3 hours
-incorrect: The nurse should remove the restraint at least every 2 hours; at
that time, the nurseshould check the client’s skin, change the client’s
position, and toilet or exercise the client.
, A nurse is caring for a client who has a terminal illness. The client
asks several questionsabout the nurse’s religious beliefs related to
death and dying. Which of the following actionsshould the nurse take?
A.Change the topic because the client is trying to divert attention from the
illness.
-incorrect: Changing the subject is a nontherapeutic communication
technique that will block thedevelopment of an open exchange between
the nurse and the client. B.Encourage the client to express thoughts
about death and dying.
-The nurse should recognize the client’s need to talk about impending death
and encourage theclient to discuss thoughts on the subject. This is the
therapeutic technique of reflecting.
Depending on the situation, the nurse can also share some thoughts on this
topic. Self-disclosure is a communication skill that can encourage sharing when
appropriate. If the nurse does not wantto share personal beliefs, offering self
and listening to the client’s thoughts are appropriate.
C.Tell the client that religious beliefs are a personal matter.
-incorrect: This closed-ended response is a nontherapeutic technique
that will block thecommunication with this client.
D.Offer to contact the client’s minister or the facility’s chaplain.
-incorrect: This response disregards the client’s issue and could create barriers to
communicationbetween the nurse and the client.
A nurse is caring for a middle-aged adult client. The nurse should
identify which of the following statements as an indication that the
client has completed Erikson’s developmental taskfor her age group?
A.“I am comfortable with my decision to choose a lifelong partner.”
-incorrect: This statement relates to Erikson’s developmental task for
young adults, which isintimacy vs. isolation.
B.“I think I have done a good job with my children since they are all
, independent now.”
-According to Erikson, the developmental task for middle adults is generativity