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A nurse, an emergency department complete an assessment on an adolescent client that
has conduct disorder. The client threaten suicide to a teacher at school which of the
following statements should the nurse include in the assessment. - -correct ans- -Tell me
how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions by
the client requires the nurse to intervene - -correct ans- -Viewing the newborn's actions to
be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding
should indicate that the medication was effective - -correct ans- -Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - -correct ans- -Keep the cord dry until it falls
off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased
cardiac output - -correct ans- -oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the
following client. Should the nurse identify as a priority. - -correct ans- -A client with
indications of hypovolemic shock
,A nurse is receiving report on for clients which of the following client should the nurse
assess first - -correct ans- -A client who is chronic kidney disease with cloudy, diasylate
outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is
appropriate nursing intervention. - -correct ans- -Provide standby assist with the client
from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring.
The nurse is reviewing the monitor tracing in notes early decelerations, which of the
following should the nurse expect - -correct ans- -Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as an indication of hemodialysis. - -correct ans- -
Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - -correct ans- -Heat the skin one
minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which of
the following client. Should the nurse plan to assess first. - -correct ans- -Client placed in
restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is
an appropriate description of the use of hypnosis during labor - -correct ans- -Hypnosis
promotes increase control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of
, reaction formation? - -correct ans- -I think that people just you're just lazy and should earn
money honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide
monotitrate which of the following should the nurse identify as a contraindication to
medication - -correct ans- -glaucoma
16 - -correct ans- -No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the
following intervention should the nurse include in the point of care - -correct ans- -Obtain a
cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the provider -
-correct ans- -WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action.
Should the nurse include in the plan of care - -correct ans- -Place a daily calendar in the
kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - -correct ans- -Client who has
gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to
treat constipation which of the following statements by the nurse is appropriate - -correct
ans- -Drink hot water with lemon juice each morning when you wake up
22 - -correct ans- -No question
UniversitiesAND THE CORRECT ANSWERS Verified
for Academic Excellence Guaranteed to Boost Your
Grades
A nurse, an emergency department complete an assessment on an adolescent client that
has conduct disorder. The client threaten suicide to a teacher at school which of the
following statements should the nurse include in the assessment. - -correct ans- -Tell me
how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions by
the client requires the nurse to intervene - -correct ans- -Viewing the newborn's actions to
be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding
should indicate that the medication was effective - -correct ans- -Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - -correct ans- -Keep the cord dry until it falls
off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased
cardiac output - -correct ans- -oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the
following client. Should the nurse identify as a priority. - -correct ans- -A client with
indications of hypovolemic shock
,A nurse is receiving report on for clients which of the following client should the nurse
assess first - -correct ans- -A client who is chronic kidney disease with cloudy, diasylate
outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is
appropriate nursing intervention. - -correct ans- -Provide standby assist with the client
from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring.
The nurse is reviewing the monitor tracing in notes early decelerations, which of the
following should the nurse expect - -correct ans- -Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as an indication of hemodialysis. - -correct ans- -
Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - -correct ans- -Heat the skin one
minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which of
the following client. Should the nurse plan to assess first. - -correct ans- -Client placed in
restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is
an appropriate description of the use of hypnosis during labor - -correct ans- -Hypnosis
promotes increase control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of
, reaction formation? - -correct ans- -I think that people just you're just lazy and should earn
money honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide
monotitrate which of the following should the nurse identify as a contraindication to
medication - -correct ans- -glaucoma
16 - -correct ans- -No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the
following intervention should the nurse include in the point of care - -correct ans- -Obtain a
cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the provider -
-correct ans- -WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action.
Should the nurse include in the plan of care - -correct ans- -Place a daily calendar in the
kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - -correct ans- -Client who has
gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to
treat constipation which of the following statements by the nurse is appropriate - -correct
ans- -Drink hot water with lemon juice each morning when you wake up
22 - -correct ans- -No question
