verified answers
A charge nurse is educating unit staff about the cultural aspects of client care
following death. What statement by an assistive personnel indicates an
understanding of the teaching? Ans✓✓✓ "The body of a client who practices
Islam is washed and wrapped in a cloth following death."
A charge nurse is observing a newly licensed nurse prepare medications for a
client. What actions by the newly licensed nurse adheres to safe medication
administration practices? Ans✓✓✓ The nurse compares the medication label
with the client's medication administration record.
A charge nurse is teaching a group of newly licensed nurses how to prevent errors
during administration of blood transfusions. What actions should the nurse
include? Ans✓✓✓ Use a new blood administration tubing set for each blood bag
infused
A community health nurse is developing a brochure about the use of smokeless
tobacco. What information should the nurse plan to include? Ans✓✓✓
Smokeless tobacco provides a higher dose of nicotine than cigarettes.
A community health nurse is participating in a task force initiative to reduce the
incidence of disease from injection drug use among the city's homeless
population. What plan should the nurse recommend as part of tertiary
prevention? Ans✓✓✓ Start a needle-exchange program
A community health nurse is planning interventions to promote Healthy People
2020 initiatives in the community. What action should the nurse plan to take
,first? Ans✓✓✓ Determine the level of health equity among groups in the
community.
A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify which ethnic
groups in the community is at greatest risk for developing hypertension?
Ans✓✓✓ African Americans
A home health nurse is providing teaching to the parent of a child who is receiving
chemotherapy and experiencing nausea. What statements should the nurse
make? Ans✓✓✓ "Have your child rest with his head elevated after meals"
A home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. What actions should the nurse
manager take the promote interoperability. Ans✓✓✓ Recommend a single
coding system for each department to use.
A hospice nurse is planning care for a client who has terminal cancer. The client
tells the nurse that she practices the Hindu religion. What interventions should
the nurse include in the plan of care to support the client's cultural beliefs?
Ans✓✓✓ Allow time for a family member to perform a ritual bath after the client
dies.
A newly licensed nurse asks a charge nurse where to find information about scope
of practice for registered nurses. What responses should the charge nurse make?
Ans✓✓✓ "The state board of nursing can provide this information"
, A nurse enters a client's room and finds the client lying on the floor. The client
states that on the way to the bathroom her, "knee locked", causing her to fall.
What action should the nurse take first? Ans✓✓✓ Check the client for injuries
A nurse in a community health clinic is screening a 10-yr old girl for scoliosis.
What instructions should the nurse give the child for this examination. Ans✓✓✓
Bend forward at the waist and let your arms hang down.
A nurse in a long term care facility is admitting a new client following a brief stay
in acute care. In adherence with the Joint Commission National Patient Safety
Goals regarding medication administration, what actions should the nurse take?
Ans✓✓✓ Compare a list of the clients current medications with the ones he will
take in LTC
A nurse in a long term care facility is performing a fall risk assessment on a newly
admitted client using the Timed UP and Go (TUG) test. The client reports using a
tripod cane for ambulation. What action should the nurse take when using this
test? Ans✓✓✓ Observe the client ambulating a distance of 3 m (10 feet) during
the TUG test.
A nurse in a long-term care facility discovers a small fire a client's trash can. After
moving the client to safety, which of the following actions should the nurse take
next? Ans✓✓✓ Pull the alarm to notify emergency services.
A nurse in a mental health facility is caring for a client who is exhibiting violent
behavior and has been placed in seclusion. What actions should the nurse take?
Ans✓✓✓ Document the client's status every 15 min.