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 -
ANSWER-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 - ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-Drink hot water with lemon juice each morning when you
wake up
,22 - ANSWER-No question
A nurse is caring for a client who is preparing his advance directives, which of the
following statements by the client indicates an understanding of advance
directives SATA - ANSWER-I have the right to refuse treatment
My health care proxy can make medical decisions for me
A nurse is caring for a client who is 32 weeks gestation and has a history of
cardiac disease which of the following positions to the nurse place the client to
best promote optimal, cardiac output - ANSWER-Left lateral
A nurse is caring for a group of clients which of the following client. Should the
nurse assigned to an AP. - ANSWER-Client who had a cerebral vascular accident
two days ago, and needs help toileting
A nurse is providing discharge, teaching to a client who has schizophrenia, isn't
starting therapy with clozapine which of the following is the highest priority for
the client to report to the provider - ANSWER-Fever
A nurse observes an AP providing care to a child, who is in a skeletal traction,
which of the following action requires intervention - ANSWER-Placing weights as a
child's bed
,A nurse is planning to delegate twin a piece of fasting blood glucose testing for a
client who has diabetes which of the following action should the nurse take -
ANSWER-Determine if the AP is qualified to perform the test
A nurse is assessing a client brought to the hospital psychiatric emergency
service by law-enforcement officer. The client has just organized incoherent
speech with loose associations and religious contact. You should recognize the
signs and symptoms as being consistent with which of the following. - ANSWER-
Schizophrenia
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. -
ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-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. - ANSWER-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 - ANSWER-Head
compression