A client diagnosed with schizophrenia first speaks animatedly to another client, with
exaggerated clarity of pronunciation. The nurse then observes the client turning
abruptly away, mumbling to themselves and speaking to the wall. Which priority
goal/outcome should the nurse select for the client's plan of care?
Give this one a try later!
Client will engage in meaningful and understandable verbal
communication.
The nurse is caring for a female client with a body mass index (BMI) of 45. Which
conditions should the nurse plan to discuss with the client due to the risks associated
with her weight? (Select all that apply.)
Give this one a try later!
, Breast cancer
Coronary artery disease (CAD)
Obstructive sleep apnea (OSA)
Gallstones
The nurse has given discharge instructions to a client who suffers from sensory
neuropathy due to diabetes. The client was prescribed gabapentin. Which of the
following statements indicates that the client understands the nurse's instructions
regarding the medication?
Give this one a try later!
"My doctor prescribed it for the pain in my legs."
A client has an order for ibuprofen oral drops, 10 mg/kg of body weight. The client
weighs 62 lbs. The medication is supplied in a bottle containing 40 mg/mL. How many
mL will the nurse administer?
Give this one a try later!
7.05 mL or 7 mL
A client with Parkinson's disease is prescribed benztropine (Cogentin). For which of
the following should the nurse call the health care provider immediately?
Give this one a try later!
, The client has a history of primary angle-closure glaucoma.
A client is being prepped for a surgical procedure and the nurse is reviewing the
consent form with the client. The client asks, "Is there any other way to take care of this
without having surgery?" What should the nurse do next?
Give this one a try later!
Notify the surgeon that the client has additional questions about the
surgery.
The nurse is administering medication to a client who does not speak English. Which
of the following strategies should the nurse implement to ensure the client
understands the purpose of the medication? (Select all that apply.)
Give this one a try later!
Use the translation phone line to interpret information between the client
and nurse.
Communicate through a facility-approved interpreter.
Plan to take a longer amount of time than usual for medication
administration.
Maintain eye contact with the client, even when speaking to an interpreter.
Where can the nurse find the most reliable guidelines regarding the appropriate
delegation of tasks to unlicensed assistive personnel (UAP)?
, Give this one a try later!
That state's nurse practice act (NPA).
The nurse enters the room while a student nurse is taking a manual blood pressure on
a client sitting in the chair. For which of the following observations should the nurse
reinforce teaching with the student nurse? (Select all that apply.)
Give this one a try later!
The client is talking on the telephone and laughing
The client is crossing his legs
The client is drinking a cup of black tea
The air is released rapidly while auscultating for Korotkoff sounds
A client received hydromorphone orally one hour ago. When the nurse enters the
client's room, the client is unresponsive to verbal stimuli and has a respiratory rate of
six. Which action should the nurse take next?
Give this one a try later!
Prepare to administer naloxone.
The nurse is reinforcing teaching about levothyroxine for a client newly-diagnosed
with hypothyroidism. Which information should the nurse make sure to reinforce
about this medication?
exaggerated clarity of pronunciation. The nurse then observes the client turning
abruptly away, mumbling to themselves and speaking to the wall. Which priority
goal/outcome should the nurse select for the client's plan of care?
Give this one a try later!
Client will engage in meaningful and understandable verbal
communication.
The nurse is caring for a female client with a body mass index (BMI) of 45. Which
conditions should the nurse plan to discuss with the client due to the risks associated
with her weight? (Select all that apply.)
Give this one a try later!
, Breast cancer
Coronary artery disease (CAD)
Obstructive sleep apnea (OSA)
Gallstones
The nurse has given discharge instructions to a client who suffers from sensory
neuropathy due to diabetes. The client was prescribed gabapentin. Which of the
following statements indicates that the client understands the nurse's instructions
regarding the medication?
Give this one a try later!
"My doctor prescribed it for the pain in my legs."
A client has an order for ibuprofen oral drops, 10 mg/kg of body weight. The client
weighs 62 lbs. The medication is supplied in a bottle containing 40 mg/mL. How many
mL will the nurse administer?
Give this one a try later!
7.05 mL or 7 mL
A client with Parkinson's disease is prescribed benztropine (Cogentin). For which of
the following should the nurse call the health care provider immediately?
Give this one a try later!
, The client has a history of primary angle-closure glaucoma.
A client is being prepped for a surgical procedure and the nurse is reviewing the
consent form with the client. The client asks, "Is there any other way to take care of this
without having surgery?" What should the nurse do next?
Give this one a try later!
Notify the surgeon that the client has additional questions about the
surgery.
The nurse is administering medication to a client who does not speak English. Which
of the following strategies should the nurse implement to ensure the client
understands the purpose of the medication? (Select all that apply.)
Give this one a try later!
Use the translation phone line to interpret information between the client
and nurse.
Communicate through a facility-approved interpreter.
Plan to take a longer amount of time than usual for medication
administration.
Maintain eye contact with the client, even when speaking to an interpreter.
Where can the nurse find the most reliable guidelines regarding the appropriate
delegation of tasks to unlicensed assistive personnel (UAP)?
, Give this one a try later!
That state's nurse practice act (NPA).
The nurse enters the room while a student nurse is taking a manual blood pressure on
a client sitting in the chair. For which of the following observations should the nurse
reinforce teaching with the student nurse? (Select all that apply.)
Give this one a try later!
The client is talking on the telephone and laughing
The client is crossing his legs
The client is drinking a cup of black tea
The air is released rapidly while auscultating for Korotkoff sounds
A client received hydromorphone orally one hour ago. When the nurse enters the
client's room, the client is unresponsive to verbal stimuli and has a respiratory rate of
six. Which action should the nurse take next?
Give this one a try later!
Prepare to administer naloxone.
The nurse is reinforcing teaching about levothyroxine for a client newly-diagnosed
with hypothyroidism. Which information should the nurse make sure to reinforce
about this medication?
