a home health nurse is conducting a home inspection for a client who
is at risk for falls. Which of the following instructions should the
nurse provide for the client? - ANSWER -move the clients bed to the
main floor of the house
a nurse is collecting data from a client who received oxytocin 10 units
IM 30 mins ago for excessive vaginal bleeding. Which of the following
findings should the nurse expect? - ANSWER -client report of uterine
cramping
a nurse in a providers office is reinforcing teaching about skin care
with a client who has new diagnosis of systemic lupus
erythematousus. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER -i will dry my
skin by patting it with a towel
,a nurse is collecting data from a 4 month old infant at a well child
visit. For which of the following findings should the nurse notify the
provider? - ANSWER -presence of grasp reflex
a nurse is collecting data from a client who is 8 hours postoperative
following an appendectomy. Which of the following manifestations is
the best indications that the client needs a PRN analgesic - ANSWER -
the client reports pain as 7 on a scale of 0-10
a nurse is reinforcing teaching with the support person of a client
who is in the first stage of labor. WHich of the following instructions
should the nurse include regarding effleurage? - ANSWER -gently
stroke her abdomen during contractions
a nurse is assisting with the admission of an adolescent client who is
suspected to have bacterial meningitis. Which of the following
findings should the nurse expect? - ANSWER -nuchal rigidity
, a nurse is about to administer an intermittent enteral feeding to a
client who has an NG tube in place. Besides obtaining an xray, which
of the following methods should the nurse use to verify placement -
ANSWER -test the ph of the gastric asparate
a nurse working in a clinic is reinforcing with a client who has hep a.
which of the following client statements indicates an understanding
of the teaching? - ANSWER -i will use different hand towels than
others in my home
a nurse is reinforcing teaching with a client who has a prescription for
ferrous sulfate elixir. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER -i will mix the
medication with a full glass of water
a nurse is reinforcing teaching with a newly licensed nurse about
caring for a client who has a history of dysphagia. Which of the
following instructions should the nurse include in the teaching? -
ANSWER -place oral suction equipment next to the client's bedside