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A nurse at a long-term care facility is caring for a client who requires oral
suctioning. Which of the following supplies should the nurse plan to use for this
task?
Ans: yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing
oral and oropharyngeal suctioning to remove secretions from the client's mouth
to facilitate breathing or obtain a sample for diagnostic evaluation.
Quiz A nurse in a long-term care facility is serving on the ethics committee, which
is addressing a client care dilemma. Which of the following strategies will
facilitate resolving the dilemma? (Select all that apply.)
Ans: [1] determine the facts related to the dilemma.
[2] identify possible solution
,[3]consider the client wishes
Quiz A nurse is talking with a client whose son died in a motor-vehicle crash 2
weeks ago. The client states, "l really thought I'd be back to my usual routines by
now, but I can't think of anything else except that my son is gone." Which Of the
following responses should the nurse make?
Ans: Grieving for your son is hard work. it will take as much time as you need to
come to terms with your loss.
Quiz A nurse is reinforcing teaching with a client about cancer prevention. The
nurse should include that frequent consumption of which of the following foods
increases the risk for developing cancer?
Ans: Lamb
rationale: including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
Quiz A nurse notices an assistive personnel (AP) taking a nap in the break room
during meal time. The nurse also notes that the AP is drowsy while performing
routine tasks. Which of the following actions should the nurse take?
,Ans: Report the observation about the AP to the Unit nurse manager
Quiz A nurse on a pediatric unit is collecting data from four newly admitted
clients. Which of the following clients should the nurse identify as being at risk for
urinary retention?
Ans: A school age child who has allergic rhinitis and is taking diphenhydramine.
Quiz A nurse is caring for a client following a bronchoscopy. Which of the
following actions should the nurse take first?
Ans: check for gag reflex
Quiz A nurse is assisting with the admission of a client who has a latex allergy. The
nurse should identify that which of the following supplies has the potential to
contain latex?
Ans: Indwelling urinary catheter
Quiz A nurse is performing postmortem care for a client prior to the arrival Of the
client's family for viewing Of the body. Which Of the following actions should the
nurse take?
Ans: Gently close the client's eyelids
, Quiz A nurse is reinforcing teaching with a client who has dumping syndrome
about measures to reduce manifestations. Which of the following instructions
should the nurse include in the teaching?
Ans: avoid foods high in sugar content.
rationale: The nurse should instruct the client to avoid sweet foods, which often
increase the manifestations of dumping syndrome. These manifestations include
nausea, sweating, abdominal pain, diarrhea, and weakness.
Quiz A nurse is collecting data from a client who is experiencing a situational crisis
following the loss of a job. The client states, "l don't think I can go through this
again." Which of the following actions is the nurse's priority?
Ans: Determine if the client is experiencing psychotic thinking.
Quiz A nurse is contributing to the plan of care for a client following a
transurethral resection of the prostate (TURP). Which of the following
interventions should the nurse include?
Ans: Irrigate the bladder using sterile technique