With Perfect Answer
Complete the following sentence by using the list of options.CORRECT ANSWERS✔✔The nurse
understands that the patient has likely developed Lithium toxicity and will
need to be monitored for seizure activity
A nurses preparing to initiate intravenous fluids via infusion pump to our client. Which of the following
actions should the nurse take?
Obtain a surge protector that can accommodate the pump and several other
appliances
verify that the extension cord for the pump is ungrounded
report the pump has a frayed cord and proceed with the infusion
check the expiration date on safety inspection sticker of the pumpCORRECT ANSWERS✔✔check the
expiration date on safety inspection sticker of the pump
A nurse is caring for a client who has an implanted venous access port. Which of the following should
the nurse use to access the port?
,A non coring needle
An angio catheter
A butterfly needle
A 25 gauge needleCORRECT ANSWERS✔✔A non coring needle
A nurse is conducting an initial assessment of a client and notices A discrepancy between the client's
current IV infusion and the information received during the shift report. Which of the following actions
should the nurse take?
a. Contact the charge nurse to see if the prescription was changed
b. complete an incident report and place it in the client's medical record
c. submit a written warning for the nurse involved in the incident
d. compare the current infusion with the prescription and the client's medicationCORRECT ANSWERS✔
✔compare the current infusion with the prescription and the client's medication
case studyCORRECT ANSWERS✔✔case study
case study, client diagnosed with schixophreniaCORRECT ANSWERS✔✔indicated :
- ask the client about the content of their hallucinations
- instruct the client on expected hygiene practices
- access the client for suicidal ideation
contraindicated :
- allow the client to watch tv at a high volume
- place the client in a room near the activity room
,A nurse is caring for a client who is near the end of life and is on a complete bed rest. The client states
that he needs to have a bowel movement. The nurse offers a bed pan. The client states "I ve always
used the bathroom". Which of the following responses should the nurse make?
a. Tell me what concerns you have about using a bedpan
b. make sure to use a nearby furniture to support yourself when walking to the bathroom
c. I will have the physical therapist ambulate you to the bathroom
d. you have to use the bedpan for your own safetyCORRECT ANSWERS✔✔Tell me what concerns you
have about using a bedpan
A nurse is caring for a client who is in labor. Select the five actions the nurse should take.
a. Increase the flow rate of the maintenance IV fluid
b. have the charge nurse notify the provider
c. place the client in a trendelenburg position
d. exert upward pressure on the presenting part
e. attempt to push the umbilical cord back into the cervix
f. administer oxygen at 10L/min via non rebreather face maskCORRECT ANSWERS✔✔Increase the flow
rate of the maintenance IV fluid
Have the charge nurse notify the provider
Place the client in a trendelenburg position
Exert upward pressure on the presenting part
, Administer oxygen at 10L/min via non rebreather face mask
A nurse is providing an in service about client evacuation during a fire. Which of the following client
should the nurse instruct the staff to evacuate first?
a. a client who is ambulatory and receiving oxygen
b. a client who has a fracture in is imbalance suspension traction
c. a client who is bedridden and wears a hearing aid
d.a client who uses a wheelchair and is confusedCORRECT ANSWERS✔✔a client who is ambulatory and
receiving oxygen
Case Study
client is 4 days postpartum following a cesarean birth assessment findingsCORRECT ANSWERS✔✔
Mastitus :
- painful tender breast
- temperature
- chills
Endometritus :
- foul smelling lochia
- temperature
- chills
A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings
should the nurse expect the?