2024-2025 Upto date Questions and Detailed
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Terms in this set (54)
A nurse is planning care A. Loosen the client's bed linens.
for a client who has
acute pain as a result of
a pressure injury to the
sacrum. Which of the
following
nonpharmacological
Interventions should the
nurse include in the
plan?
A. Loosen the client's
bed linens.
B. Provide bright lights
in the client's room.
C. Massage the client's
sacrum.
D. Offer to play music in
the client's room.
,A nurse is caring for a B. "I will contact your provider to discuss your
client who has a terminal options"
illness. The client states,
"I am not giving up. I
want as much treatment
as possible." Which of
the following responses
should the nurse make?
A. "You need to
understand that you
have very little time
left."
B. "I will contact your
provider to discuss your
options."
C. "Enjoy the time you
have and do the things
you want to do."
D. "Hospice care is the
best thing for you at this
time."
A nurse is assessing a D. A sharp decrease in blood pressure
client who received an
IM antibiotic injection 15
min ago. Which of the
following findings
should the nurse identify
as an indication of a
possible anaphylactic
reaction to the
medication?
A. A feeling of swelling
in the feet
B. Pain at the injection
site
C. A sudden decrease in
heart rate
D. A sharp decrease in
blood pressure
,A nurse is planning care A. Assist the client with a bowel cleansing.
for a client who is
scheduled for an
intravenous pyelogram.
Which of the following
actions is appropriate
for the nurse to include?
A. Assist the client with a
bowel cleansing.
B. Ensure the client is
free of metal objects.
C. Monitor the client for
pain in the suprapubic
region.
D. Administer 240 mL. (8
oz) of oral contrast
before the procedure
A nurse is performing an A. Eyelashes that curl slightly outward
eye assessment for a
newly admitted client.
Which of the following
findings should the
nurse expect?
A. Eyelashes that curl
slightly outward.
B. Eyelids that blink
involuntarily 30 to 35
times per minute
C. Corneas with an
opaque appearance
D. Pupils that are 8 to 9
mm in diameter
, A nurse is caring for a A. Ensure the client's heels are not touching the
client who is mattress.
postoperative and is on
bed rest. Which of the
following actions should
the nurse take to
decrease the client's risk
of developing a
pressure injury?
A. Ensure the client's
heels are not touching
the mattress.
B. Massage the client's
bony prominences.
C. Raise the head of the
client's bed to a 60°
angle.
D. Reposition the client
every 4 hr.
A nurse is caring for a C. The client drinks their thickened juice with a straw
client who has
dysphagia. When
assisting the client
during breakfast, which
of the following actions
by the client indicates
the nurse should
intervene?
A. The client tucks their
chin when they swallow.
B. The client adjusts the
head of their bed to 90°.
C. The client drinks their
thickened juice with a
straw.
D. The client takes
frequent breaks while
eating.