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A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse
should identify which of the following as an indication of hopelessness? -
✔✔ANSWER✔✔>>The client has a decreased level of energy
A nurse is preparing to collect data on a preschooler. Which of the following behaviors
by the child indicates that he is ready to cooperate? (SATA-3) - ✔✔ANSWER✔✔>>1.
Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which of the
following clients should the nurse see first? - ✔✔ANSWER✔✔>>A client who has
schizo and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The newborn is
crying and the client states, "I can't seem to do anything right. What should I do?" Which
of the following responses should the nurse make? - ✔✔ANSWER✔✔>>"Let me show
how to swaddle and cuddle him, then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level. Which
of the following actions should the nurse take? - ✔✔ANSWER✔✔>>Keep the finger in
dependent position
,A nurse is reviewing the home medications with a client who recently had a transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client
that which of the following otc meds interact adversely w clopidogrel? -
✔✔ANSWER✔✔>>Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale w a weak pedal pulse and the client reports foot numbness.
Which of the following actions should the nurse take first? - ✔✔ANSWER✔✔>>Check
for pain w passive movement of the affected extremity
A nurse in a providers office is reinforcing teaching about cigarette smoking w a client.
Which of the following adverse effects should the nurse include in the teaching? -
✔✔ANSWER✔✔>>Somnolence
A nurse is contributing to the development of an in-service program for mental health
nursing staff. The nurse should include that the staff can medicate a client against his
will, without a court hearing in which of the following situations? - ✔✔ANSWER✔✔>>A
client who is attempting to hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin.
Which of the following instructions should the nurse include in the teaching? -
✔✔ANSWER✔✔>>"Monitor for muscle weakness while taking the medication"
A charge nurse is discussing confidentiality requirements w a newly licensed nurse
when sharing a client's medical info. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client info? -
✔✔ANSWER✔✔>>A social worker who's assigned an involuntary committed school-
age client
A nurse is reviewing lab values for a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider? - ✔✔ANSWER✔✔>>Urine
protein plus
A nurse is collecting data from a client who is 4 hr postop following a hemicolectomy.
Which of the following findings is a nurse's priority, requiring immediate intervention? -
✔✔ANSWER✔✔>>O2 sat 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings
should the nurse report to the provider immediately? - ✔✔ANSWER✔✔>>Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of
the following actions should the nurse take first? - ✔✔ANSWER✔✔>>Elevate the
client's HOB
, A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following lab tests is most accurate of blood glucose effective management? -
✔✔ANSWER✔✔>>Glycoslated Hemoglobin
A nurse charge on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse
intervene? - ✔✔ANSWER✔✔>>Tells a client he will lose his phone privileges if he does
not take his medication
A nurse is supervising an AP obtain supplies for a client who is on seizure precautions.
Which of the following materials should the AP place in the client's room? -
✔✔ANSWER✔✔>>Oral suction equipment
A nurse is reinforcing discharge teaching with a family of a client who has dependent
personality disorder. What action should the nurse take? -
✔✔ANSWER✔✔>>Encourage client to be assertive
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate? -
✔✔ANSWER✔✔>>"You should avoid crossing your legs for 3 months"
A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum.
Which of the following instructions should the nurse include in the teaching? -
✔✔ANSWER✔✔>>Eat a small meal every 2-3 hr
A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates and understanding
of the teaching? - ✔✔ANSWER✔✔>>"I should take this medication in the morning and
at night"
A nurse is assisting with the admission of a client who has pulmonary tb. Which of the
following types of isolation precautions should the nurse include? -
✔✔ANSWER✔✔>>Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and reports
problems with maintaining adequate nutrition. Which of the following instructions should
the nurse include? - ✔✔ANSWER✔✔>>"Perform pulmonary hygiene 1 hr before meals"
A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which
of the following outcomes should the nurse expect as a therapeutic effects of the
treatment? - ✔✔ANSWER✔✔>>Reduced fat in stools
A nurse is caring for a client who has paranoid schizo and believes that she is being
followed by FBI agents who are pretending to be the psychiatric staff. Which of the