ANSWERS GRADED A+ ASSURED SUCCESS !!
Client presents at the emergency department reporting a raspy
voice, cold intolerance, and fatigue. Laboratory tests indicate an
elevated thyroid stimulating hormone and a low T3 and T4 levels.
After the client is admitted to the telemetary unit, which
intervention is most appropriate for the nurse to implement?
A) administer prescribed dose of level thyroxine.
B) Note clients most recent hemoglobin level.
C) Offer additional blankets and a warm drink.
D) Assess for the presence of nonpitting edema. - ANSWER -A)
administer prescribed dose of level thyroxine.
Entering the room of a sedated postoperative client, which
assessment requires
immediate intervention by the
nurse?
A) Low intermittent suction prescribe for the nasal gastric tube is
turned off.
B) The urinary catheter drainage bag is almost completely full of
amber urine.
,C) A Hemovac drain is partially full of serious drainage and he's
not impressed. D) Oxygen has been administered via nasal
cannula at 4 L per minute without humidification. - ANSWER -C)
A Hemovac drain is partially full of serious drainage and he's
not impressed.
An older adult client presents to the emergency department with
abdominal pain due to constipation. The nurse is providing a list
of high fiber foods to the client that the healthcare provider has
recommended. Which action should the nurse implement when
reviewing the list of foods?
A) Turn on overhead lights while giving instructions.
B) Stand behind the client to avoid intimidation.
C) Use background music to promote relaxation.
D) Provide handouts written at a 12th grade reading level. -
ANSWER -A) Turn on overhead lights while giving instructions.
The nurse leading the care team on a medical surgical unit is
assigning client care to a practical nurse and an unlicensed
assistive personnel. Which activity should the nurse assigned to
the UAP?
A) Change the hydrocolloid dressing to a clients venous ulcer.
B) Start an adverse event report related to a clients fall incident.
,C) Empty and measure drainage from closed will containers.
D) Introduced client teaching forecast care and crutch walking. -
ANSWER -C) Empty and measure drainage from closed will
containers.
Older adult client is admitted to the stroke unit after recovery from
the acute phase
of an ischemic cerebral vascular accident. Which intervention
should the nurse
include in the plan of care during convalescence and
rehabilitation.? Select all that
apply.
A) Place a bedside commode next to bed.
B) Measure neurological bagel signs every four hours.
C) Play classical music in room while client is awake.
D) Section oral cavity every four hours.
E) Encourage family to participate in the clients care. - ANSWER -
A) Place a bedside commode next to bed.
E) Encourage family to participate in the clients care.
The nurse enters the room of a client with Parkinson's disease
who is taking carbidopa levodopa. The client is a rising slowly
from the chair while the unlicensed assistive personnel stands
next to the chair. Which action should the nurse take?
, A) Offer a PRN analgesic to reduce painful movement.
B) Tell the UAP to assess the quiet and moving more quickly.
C) Affirm that the client should arise slowly from the chair.
D) Demonstrate how to help the client move more efficiently. -
ANSWER -C) Affirm that the client should arise slowly from the
chair.
The healthcare provider prescribes 500 mL IV bolus of 0.9%
normal saline to be infused over 30 minutes. How many milliliters
per hour should the nurse at the infusion pump? (Enter numerical
value only.) - ANSWER -1000
The nurse observes an unlicensed assistive personnel begin to
remove exam gloves after emptying a bedpan containing feces.
The UAP slides two fingers inside one of the gloves and begins to
roll the glove off which action should the nurse implement?
A) Advise the UAP that the technique being used will result in
hand contamination. B) Suggest that the UAP row both of the
gloves off and inside out at the same time.
C) Instructor UAP to use two pairs of gloves when fecal
contamination is likely.