questions with solutions(100%)
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has not documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first?CORRECT ANSWERS-Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process?CORRECT ANSWERS-Verify
that there is a signed and witnesses consent form in the client's chart.
A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take
first?CORRECT ANSWERS-Elevate the head of the client's bed.
A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take
first?CORRECT ANSWERS-Elevate the head of the client's bed.
A client who is prescribed metoprolol for hypertension tells the nurse, "I don't want to
take this medication because it makes me tired all the time." Which of the following is
the appropriate response?CORRECT ANSWERS-"Let's talk with your doctor about
other options."
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an understanding
of an appropriate strategy?CORRECT ANSWERS-"I need to recognize the signs that my
husband is becoming abusive."
"I need to identify what triggers my husband's anger to prevent his abuse."
, A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
following clients is an appropriate assignment for the nurse to accept?CORRECT
ANSWERS-A client who had a cesarean delivery 24hr ago
A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks
the nurse to enter data for her because the AP has forgotten her password and needs to
leave. Which of the following actions should the nurse take?CORRECT ANSWERS-Tell
the AP to contact the IT department for charting assistance.
A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a
combination contraceptive transdermal patch. Which of the following should the nurse
include in the teaching?CORRECT ANSWERS-"Apply the patch to the lower abdomen."
A nurse in a provider'a office is collecting data from a client who was discharged from
the hospital 7 days ago following treatment from deep-vein thrombosis. Which of the
following findings is the nurse's priority?CORRECT ANSWERS-The client takes
ibuprofen to treat musculosketal pain.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cyctic fibrosis. Which of the following supports a diagnosis of cystic
fibrosis?CORRECT ANSWERS-Frothy stools.
A nurse in a provider's office is talking on the phone with the parent of a school-age
child who has varicella. The parent asks the nurse when the child can return to school.
The nurse should tell the parent that which of the following is an indication that the
longer contagious?CORRECT ANSWERS-All lesions are healed.
A nurse in an acute mental health facility observes a client having a panic attack. Which
of the following interventions should the nurse implement first?CORRECT ANSWERS-
Instruct the client to use abdominal breathing.
A nurse in an urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia?CORRECT ANSWERS-Muscle weakness
A nurse is applying a condom catheter to a male client who is incontinent. Which of the
following is an appropriate technique to use?CORRECT ANSWERS-Leave space
between the tip of the penis and the end of the condom catheter.
A nurse is assisting in the care of a client who is experiencing a postpartum
hemorrhage. Which of the following medications should the nurse plan to
administer?CORRECT ANSWERS-Methylergonovine