A home health nurse is completing an admission assessment of an older adult client who
has their caregiver present. Which of the following finding should the nurse identify as a
potential indication of elder abuse?
-the caregiver is the clients financial power of attorney
- the client is in a wheelchair with the wheels locked
-the client reports receiving a full bath twice each week.
-the caregiver insists on remaining in the room.
,Give this one a try later!
-the caregiver insists on remaining in the room
A nurse is caring for a client who has limited mobility in his lower extremities. Which of
the following actions should the nurse take to prevent skin breakdown?
-place the client in high-Fowler's position
-increase the clients intake of carbohydrates.
-massage reddened areas with unscented lotion
-have the client use a trapeze bar when changing position.
Give this one a try later!
-have the client use a trapeze bar when changing position.
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To
prevent self-injury, which of the following actions should the nurse take when lifting this
objects?
-bend at the waist
-keep his feet close together
-use his back muscles for lifting
-stand close to the cabinet when lifting it.
Give this one a try later!
-stand close to the cabinet when lifting it.
,A nurse is caring for a client who has a sodium level of 125meq/L . Which of the following
findings should the nurse expect?
-numbness of the extremities
-bradycardia
-positive Chvostek's sign
-abdominal cramping
Give this one a try later!
-abdominal cramping (sodium levels are low, this a symptom of low sodium
A nurse is assessing the clients readiness to learn about insulin self-administration. Which
of the following statements should the nurse identify as an indication that the client is
ready to learn?
-" I can concentrate best in the morning"
-" it is difficult to read the instructions because my glasses are at home"
-" I'm wondering why I need to learn this "
-" you will have to walk to my wife about this "
Give this one a try later!
-"i can concentrate best in the morning" (setting time to learn)
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the presence of the fire, which of the following actions should the nurse
take next?
, - activate the emergency fire alarm.
-extinguish fire
- evacuate the client
- confine the fire
Give this one a try later!
-evacuate the client
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and
has fluid deficit. Which of the following changes should the nurse identify as a indication
that the treatment was successful ?
-increase in hematocrit
-increase in respiratory rate
-decrease in heart rate
-decrease in capillary refill time.
Give this one a try later!
-decrease in heart rate (fluid volume deficit causes tachycardia)
A nurse is taking care for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the clients risk of developing plantar flexion
contractures.
-place a pillow under the client's knees.
-position a trochanter roll under each of the clients hips.
has their caregiver present. Which of the following finding should the nurse identify as a
potential indication of elder abuse?
-the caregiver is the clients financial power of attorney
- the client is in a wheelchair with the wheels locked
-the client reports receiving a full bath twice each week.
-the caregiver insists on remaining in the room.
,Give this one a try later!
-the caregiver insists on remaining in the room
A nurse is caring for a client who has limited mobility in his lower extremities. Which of
the following actions should the nurse take to prevent skin breakdown?
-place the client in high-Fowler's position
-increase the clients intake of carbohydrates.
-massage reddened areas with unscented lotion
-have the client use a trapeze bar when changing position.
Give this one a try later!
-have the client use a trapeze bar when changing position.
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To
prevent self-injury, which of the following actions should the nurse take when lifting this
objects?
-bend at the waist
-keep his feet close together
-use his back muscles for lifting
-stand close to the cabinet when lifting it.
Give this one a try later!
-stand close to the cabinet when lifting it.
,A nurse is caring for a client who has a sodium level of 125meq/L . Which of the following
findings should the nurse expect?
-numbness of the extremities
-bradycardia
-positive Chvostek's sign
-abdominal cramping
Give this one a try later!
-abdominal cramping (sodium levels are low, this a symptom of low sodium
A nurse is assessing the clients readiness to learn about insulin self-administration. Which
of the following statements should the nurse identify as an indication that the client is
ready to learn?
-" I can concentrate best in the morning"
-" it is difficult to read the instructions because my glasses are at home"
-" I'm wondering why I need to learn this "
-" you will have to walk to my wife about this "
Give this one a try later!
-"i can concentrate best in the morning" (setting time to learn)
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the presence of the fire, which of the following actions should the nurse
take next?
, - activate the emergency fire alarm.
-extinguish fire
- evacuate the client
- confine the fire
Give this one a try later!
-evacuate the client
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and
has fluid deficit. Which of the following changes should the nurse identify as a indication
that the treatment was successful ?
-increase in hematocrit
-increase in respiratory rate
-decrease in heart rate
-decrease in capillary refill time.
Give this one a try later!
-decrease in heart rate (fluid volume deficit causes tachycardia)
A nurse is taking care for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the clients risk of developing plantar flexion
contractures.
-place a pillow under the client's knees.
-position a trochanter roll under each of the clients hips.
