WITH QUESTIONS AND WELL VERIIFED
ANSWERS ALREADY GRADED A+ REAL!!!
REAL!!!
A nurse is assessing a client who is postoperative following abdominal surgery
and has an indwelling urinary catheter that is draining dark yellow urine at 25
mL/hr. Which of the following interventions should the nurse anticipate? - -----
ANSWER----Obtain a urine specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory tests
should the nurse plan to report to obtain the prescription for the warfarin? - -----
ANSWER----INR
A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse document
as a manifestation of pseudoparkinsonism? - -----ANSWER----Shuffling gait
A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client? - -----ANSWER----
Having interdisciplinary team meetings for the client on a regular basis.
,A nurse is caring for a 2-year-old toddler. Which of the following food choices
should the nurse recommend to promote independence in eating? - -----
ANSWER----Banana slices
A nurse on a medical-surgical unit is notified that a mass casualty event has
occurred in the community. Which of the following actions should the nurse plan
to take? - -----ANSWER----Recommend to the provider specific acute care
clients for discharge.
A nurse is receiving change-of-shift report for four clients. Which of the following
clients should the nurse assess first? - -----ANSWER----A client who was just
given a glass of orange juice for low blood glucose level.
A nurse is performing postmortem care for a recently deceased client prior to the
client's family visit. Which of the following actions should the nurse plan to take?
- -----ANSWER----Hold the client's eyes shut for a few seconds.
A nurse is admitting a client who has schizophrenia. The client states, "I'm
hearing voices." Which of the following responses is the priority for the nurse to
state? - -----ANSWER----"What are the voices telling you?"
A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following as an indication that
the medication has been effective? - -----ANSWER----Weight loss
, A nurse is caring for a client who requires nasotracheal suctioning. Identify the
sequence the nurse should follow to perform suctioning. - -----ANSWER----1.
Turn on the suction and set the pressure.
2. Don sterile gloves.
3. Insert the catheter during the client's inspiration.
4. Apply suction while rotating the catheter.
5. Rinse the catheter to remove secretions.
A nurse is caring for a client who is in a coma and is scheduled for a surgical
procedure. Which of the following actions should the nurse take? - -----
ANSWER----Determine if the client's health care surrogate is aware of the risks
and benefits of the procedure.
A nurse is preparing to administer vancomycin IV to an adult client. The client
asks the nurse if the medication can be given 2 hours earlier. Which of the
following statements should the nurse make? - -----ANSWER----"I can start the
medication 30 minutes earlier."
A nurse is caring for a client who requires seclusion to prevent harm to others on
the unit. Which of the following is an appropriate action for the nurse to take? - --
---ANSWER----Offer fluids every 2 hours.
A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take? - -----ANSWER----Initiate seizure
precautions.