2024/2025. BEST RATED A+
a nurse is caring for a client who is taking alprazolam. Which of the
following
prescriptions should the nurse clarify with the provider? - ANSWER ceftriaxone
a nurse is assessing a client who is postoperative following abdominal surgery. The
client states "I feel like my incision ripped open" the nurse notes dehiscence of the
incision. which of the following actions should the nurse take? - ANSWER place the
client in a low-fowlers position
a nurse is caring for a client who is receiving radiation therapy through a sealed
implant.
Which of the following actions should the nurse take? - ANSWER wear a lead apron
when providing care for the
client.
a nurse is inserting an IV catheter for a client who requires fluid replacement. Which
of
the following actions should the nurse take? - ANSWER apply the tourniquet 15 cm
above the insertion
site
a nurse is administering medications to a client who has dysphagia and a
new
prescription for divalproex sodium extended release tablets. which of the
following
actions should the nurse take? - ANSWER administer the medication with applesauce
a nurse is completing a dietary assessment for a client who is jewish and observes
kosher dietary practices. which of the following behaviors would the nurse expect to
fine? - ANSWER meat and dairy products are eaten separately
a nurse is assessing a client who has minor injuries following a motor-vehicle crash and
appears agitated and apprehensive. The nurse identifies that the client is in the arm
stage of general adaptation syndrome and should expect which of the following
findings.
- ANSWER tachycardia
a nurse is caring for a client who has a femur fracture and is on bedrest with bucks
extension traction. which of the following actions should the nurse take? - ANSWER
inspect the clients skin under the device every 8 hours
a charge nurse is creating assignments for the next shift for several nurses and one
of
them is pregnant. which of the following clients should the charge nurse assign to
,a
nurse who is not pregnant? - ANSWER 60 year old client who is recovering from
shingles
a nurse is caring for a client who has a partial laryngectomy and is receiving continuous
internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings
requires immediate intervention by the nurse? - ANSWER the client is lying in a supine
position
a nurse is teaching a client about smoking cessation. Which of the following client
statements should the nurse identify as an understanding of the teaching? - ANSWER I
will set a specific date to stop smoking
a nurse has been caring for a female client who has bruises on her arms that are a
result of physical abuse by her partner. The client states "I don't know how much longer
I can take this, but I'm afraid he'll really hurt me if I leave" Which of the following is an
appropriate nursing intervention? - ANSWER help the client to recognize the signs of
escalation of abusive behavior
a client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune
globulin. The client is gravid 2, para 2, and her blood type is AB negative. The
newborn's blood type is B Positive. which of the following statements is appropriate? -
ANSWER you should receive Rh immune globulin within 72 hours of delivery
a client hospitalized for a bone marrow transplant is in protective isolation while
undergoing total body radiation and intense chemotherapy. the clients sibling comes to
visit but has obvious manifestations of an upper respiratory infection. which of the
following nursing actions is appropriate at this time? - ANSWER allow the sibling to visit
after donning a sterile gown, mask, gloves, but prohibit physical contact
a nurse is planning care for a client who takes haloperidol for the treatment of
schizophrenia. which of the following should the nurse include in the plan of care? -
ANSWER screen the client for tardive dyskinesia
a nurse is performing a vision screening for a client. which of the following
findings should the nurse identify as an indication that the client has cataracts? -
ANSWER
increased opacity of the lens of the
eye
a nurse is caring for a client who reports difficulty falling asleep at night. which of the
following actions should the nurse take? - ANSWER schedule routine care tasks during
the hours when the client is awake
, a nurse is providing discharge teaching to a client who is postpartum and plans to
breastfeed. which of the following should the nurse recommend the client increases in
their diet during lactation? - ANSWER calcium
a nurse is providing nutritional counseling to the parents of a toddler. which of the
following instructions should the nurse include in the teaching? - ANSWER offer snacks
throughout the day
a nurse is assessing a clients cardiovascular system. identify where the nurse should
place the diaphragm of the stethoscope to best hear the closing of the aortic valve. -
ANSWER option A
A nurse is planning to perform wound irrigation for a client who has an open secondary
wound. when creating a sterile field. which of the following actions should the
nurse
take? - ANSWER place the lid of a bottle sterile solution with the sterile field
a nurse is planning an education session for a client who has type 1 diabetes
mellitus.
which of the following should the nurse plan to include when teaching the client
to
monitor for hypoglycemia? - ANSWER diaphoresis
a nurse is instructing a group of newly hired nurses about medication to promote
fetal
lung maturation. which of the following medications should the nurse include in
the
instructions? - ANSWER betamethasone
a nurse is caring for a client who has atypical depression and is taking
phenelzine.
which of the following is appropriate for the nurses to offer as an evening snack? -
ANSWER low fat
yogurt
a nurse is planning care for a newborn who is receiving phototherapy. which of the
following actions should the nurse include the plan of care? - ANSWER assess the
infants eyes for corneal irritation every 4
hrs
a nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and
develops a hemolytic reaction. which of the following actions should the nurse perform?
- ANSWER infuse 0.9% sodium chloride IV