RN COMREHENSIVE PREDICTOR LATEST FORM C

1. A nurse is assessing a client who has left-sided heart failure. Which of the following will the nurse identify as the highest priority? A. Jugular distention B. Frothy pink septum C. Hepatomegaly D. Weight gain 2. A nurse in the emergency department is assisting with the suturing of a laceration to the client. Which of the following actions should the nurse take? A. Pour the sterile cleansing solution holding on the bottle10 cm(4 in) above the sterile field B. Pull the top flap of the suture tray towards the body when opening C. Place the bottle of local anesthetics 5 cm (2 in) inside the sterile field border. D. Drop the suture package on the sterile field from a distance of 30 cm (12 in) 3. A nurse is assessing a client 1 hr following delivery and notes that her uterus is boggy and located near the umbilicus. Which of the following actions should the nurse take fisrt? A. Massage the fundus B. Assess lochia C. Take vital signs