A nurse is assisting with monitoring a client who is Apply the external fetal heart rate monitor.
in labor and has spontaneous rupture of
membranes following a vaginal examination. The
provider reports the client's cervix is dilated to 1
cm with an unengaged presenting part. Which of
the following actions should the nurse take?
A Nurse is collecting data from a client who has lack of sleep
bipolar disorder and is experiencing acute mania.
Which of the following findings is the nurse's
priority?
A nurse is reinforcing teaching with a client who Eat a bedtime snack
has a type 2 diabetes mellitus and reports waking
during the night with tremors and anxiety. which of
the following information should the nurse
provide to help the client manage his symptoms?
a Nurse is reinforcing teaching for a client who has Antiplatelet
a coronary artery disease and is taking low-dose
aspirin daily. The nurse should include that this
medication has which of the following therapeutic
effects for CAD?
,A nurse is collecting data from a client who has an Hydromorphone 5 mg orally.
unprepared femur fracture and rates his pain as 8
on a scale of 0 to 10. The client is talking and
caught with a visitor. Which of the following of the
prescribed medication should the nurse
administer?
A nurse is reinforcing preoperative teaching with a liquid with little odor
client scheduled for a bowel retention with
ileostomy. which of the following descriptions
should the nurse give of the expected output
from a mature ileostomy?
A nurse is caring for a client who is 16 hr compare capillary refill in toes bilateraly
postoperative following a total hip arthroplasty.
the client reports numbness, pain, and tingling in
the affected leg. Which of the following actions
should the nurse take first?
A nurse is reinforcing teaching with a client who "I will receive the nutrient I need through my IV Fluid"
has acute diverticulitis. Which of the following
statements by the client indicates an
understanding of the teaching about the acute
phase of diverticulitis?
,A nurse in reinforcing teaching with a client about Lamb
cancer prevention. The nurse should include that
frequent consumption of which of the following
foods increases the risk of cancer?
A nurse is assisting in teaching a group of staff Consumption of contaminated food.
nurses about hepatitis A. Which of the following
modes should the nurse include as a method of
transmitting hepatitis A?
A nurse is reinforcing teaching with a client who is Although is is unnecessary to be rigid about feeding times, six to eight
bottle feeding he full-term newborn with formula. feedings every 24 hrs should support a full-term newborn's nutrition
Which of the following instructions should the adequately. Fewer feedings in the initial weeks could delay the
nurse include in the teaching? estabilment of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a The nurse should irrigate the bladder using strict sterile technique and
client following a transurethral resection of the maintain closed catheter drainage system to minimize the rick of
prostate. Which of the following interventions infection.
should the nurse include in the plan of care?
A nurse is reviewing a client's electronic medical Check the client's temperature.
record and finds that an assistive personnel
recorder the client's temperature as 35.3 degrees
Celsius (95.5 degrees F) 2 hrs earlier. Which of the
following actions should the nurse take firsT?
, A nurse is receiving change-of-shift report for four A client whose urinary output was 100mL for the past 12 hrs
clients. Which of the following clients should the
nurse see first?
A nurse in reinforcing teaching about weight loss keep fat intake to no more that 30% of daily caloric intake.
with a female older adult client who is overweight.
Which of the following statements should the
nurse include in teaching?
A nurse is collecting data from a client who has Difficulty concentrating.
iron deficiency anemia. Which of the following
findings should the nurse expect?
A Nurse is collecting data from an older adult The client has absent bowel sounds.
client who is 48 hr postoperative following
abdominal surgery. The provider writes a
prescription to advance the client to a regular
Diet. For which of the following findings should
the nurse notify the provider?
A nurse is reinforcing discharge teaching with a perform Kegel exercises daily.
client who is postoperative following transurethral
resection fo the prostate. Which of the following
instructions should the nurse include in the
teaching?
in labor and has spontaneous rupture of
membranes following a vaginal examination. The
provider reports the client's cervix is dilated to 1
cm with an unengaged presenting part. Which of
the following actions should the nurse take?
A Nurse is collecting data from a client who has lack of sleep
bipolar disorder and is experiencing acute mania.
Which of the following findings is the nurse's
priority?
A nurse is reinforcing teaching with a client who Eat a bedtime snack
has a type 2 diabetes mellitus and reports waking
during the night with tremors and anxiety. which of
the following information should the nurse
provide to help the client manage his symptoms?
a Nurse is reinforcing teaching for a client who has Antiplatelet
a coronary artery disease and is taking low-dose
aspirin daily. The nurse should include that this
medication has which of the following therapeutic
effects for CAD?
,A nurse is collecting data from a client who has an Hydromorphone 5 mg orally.
unprepared femur fracture and rates his pain as 8
on a scale of 0 to 10. The client is talking and
caught with a visitor. Which of the following of the
prescribed medication should the nurse
administer?
A nurse is reinforcing preoperative teaching with a liquid with little odor
client scheduled for a bowel retention with
ileostomy. which of the following descriptions
should the nurse give of the expected output
from a mature ileostomy?
A nurse is caring for a client who is 16 hr compare capillary refill in toes bilateraly
postoperative following a total hip arthroplasty.
the client reports numbness, pain, and tingling in
the affected leg. Which of the following actions
should the nurse take first?
A nurse is reinforcing teaching with a client who "I will receive the nutrient I need through my IV Fluid"
has acute diverticulitis. Which of the following
statements by the client indicates an
understanding of the teaching about the acute
phase of diverticulitis?
,A nurse in reinforcing teaching with a client about Lamb
cancer prevention. The nurse should include that
frequent consumption of which of the following
foods increases the risk of cancer?
A nurse is assisting in teaching a group of staff Consumption of contaminated food.
nurses about hepatitis A. Which of the following
modes should the nurse include as a method of
transmitting hepatitis A?
A nurse is reinforcing teaching with a client who is Although is is unnecessary to be rigid about feeding times, six to eight
bottle feeding he full-term newborn with formula. feedings every 24 hrs should support a full-term newborn's nutrition
Which of the following instructions should the adequately. Fewer feedings in the initial weeks could delay the
nurse include in the teaching? estabilment of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a The nurse should irrigate the bladder using strict sterile technique and
client following a transurethral resection of the maintain closed catheter drainage system to minimize the rick of
prostate. Which of the following interventions infection.
should the nurse include in the plan of care?
A nurse is reviewing a client's electronic medical Check the client's temperature.
record and finds that an assistive personnel
recorder the client's temperature as 35.3 degrees
Celsius (95.5 degrees F) 2 hrs earlier. Which of the
following actions should the nurse take firsT?
, A nurse is receiving change-of-shift report for four A client whose urinary output was 100mL for the past 12 hrs
clients. Which of the following clients should the
nurse see first?
A nurse in reinforcing teaching about weight loss keep fat intake to no more that 30% of daily caloric intake.
with a female older adult client who is overweight.
Which of the following statements should the
nurse include in teaching?
A nurse is collecting data from a client who has Difficulty concentrating.
iron deficiency anemia. Which of the following
findings should the nurse expect?
A Nurse is collecting data from an older adult The client has absent bowel sounds.
client who is 48 hr postoperative following
abdominal surgery. The provider writes a
prescription to advance the client to a regular
Diet. For which of the following findings should
the nurse notify the provider?
A nurse is reinforcing discharge teaching with a perform Kegel exercises daily.
client who is postoperative following transurethral
resection fo the prostate. Which of the following
instructions should the nurse include in the
teaching?
