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A charge nurse in a long term care facility notices an assistants repeated failure to provide oral care for
clients. Which of the following actions should the nurse take? - Correct Answers-Discuss the
unacceptable behavior with the AP while reinforcing expections.
A charge nurse in a long term care facility notices an assistants repeated failure to provide oral care for
clients. Which of the following actions should the nurse take? - Correct Answers-Discuss the
unacceptable behavior with the AP while reinforcing expectations.
A client who is diagnosed with Parkinson's disease verbalizes frustration due to increased following culty
with ambulation.
Which of the following responses should the nurse take? - Correct Answers-Perform active ROM with
your arms and legs two times a day.
A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees
at a childcare facility.
Which of the following characteristics should the nurse identify as an external factor that can impede
learning for the participants? - Correct Answers-Poor lighting in the learning setting
A licensed practical nurse on a medical surgical unit is working with an RN and an As sistive personnel.
Which of the following assignments should the LPN expect to receive? - Correct Answers-
Administering an NG tube feeding to a client who had a stroke
A nurse assisting with a childbirth class is discussing non pharmacological strategies used during labor.
Which of the following statements by a client indicates an understanding of cutaneous stimulation? -
Correct Answers-"I should use counterpressure for back pain during labor."
A nurse at a clinic is performing vision testing for a client following a head injury. Which of the following
findings should the nurse identify as a problem with pupil accommodation? - Correct Answers-Lack
of change in pupil size when the client looks from a far to a near object.
A nurse at a long term care facility is part of a team preparing a report on the quality of care at the
facility. Which of the following information should the nurse recommendincluding in the report to
demonstrate improvement in care quality? - Correct Answers-The facility had 12% fewer urinary
tract infections over the past 6 months.
A nurse at a long term care facility is transcribing new prescriptions for 4 client
s. Which of the following prescriptions is accurately transcribed by the nurse? - Correct Answers-
Potassium chloride 20 mEq PO every morning
, A nurse delegates the collection of a sputum specimen from a client who has tu berculosis to an assistive
personnel. At which of the following times should the nurse instruct the AP to collect the specimen? -
Correct Answers-As soon as the client wakes up.
A nurse has to administer medications to a group of clients. For which of the following client situations
should the nurse complete and incident report? - Correct Answers-The nurse administered insulin
lispro to a client who has diabetes mellitusand is NPO.
A nurse I caring for a client who has expressive aphasia following a stroke. Which of the following
communication methods should the nurse use? - Correct Answers-Provide a picture board.
A nurse I caring for a client who has expressive aphasia following a stroke. Which of the following
communication methods should the nurse use? - Correct Answers-Provide a picture board.
A nurse in a long term care facility is contributing to the plan of care for a client whohas a new ostomy.
Which of the following
actions should the nurse plan include? - Correct Answers-Change the appliance two times each week.
A nurse in a long term care facility is reviewing information about health care associated infection with a
newlylicensed nurse. Which of the following information should the nurse include? - Correct
Answers-prolonged use of corticosteroids is a risk factor for infection
A nurse in a long term care facility is serving on the ethics committee, which is addressing a client care
dilemma. Which of the following strategies will facilitate reso Iving the dilemma? - Correct Answers-
Determine the facts related to the dilemma. Identify possible solutions. Consider the client's wishes
A nurse in a long term care facility is using validation therapy with a client wh o has dementia. The client
becomes agitated and asks why his wife who died several years ago has not visited him.
Which of the following responses should the nurse make? - Correct Answers-You must miss your
wife. Let's take a walk and you can tell me about her.
A nurse in a long-
term care facility is assisting with the admission of a client who requires oropharyngeal suctioning.
Which of the following supplies does the nurse need to perform this task? - Correct Answers-
Yankauer catheter|
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel
about legal issues within the facility. Which of the following should the nurse include as an example of
assault? - Correct Answers-Informing a client the nurse is going to administer an injection even
though the client refuses.
A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are inconsistent
with the parent's stated cause. Which of the following actions should the nurse take? - Correct
Answers-Report the suspected abuse to a appropriate agency.