1. A nurse and an experienced LPN are caring for a group of clients. Which of the
following should the nurse delegate to the LPN Ans: Obtain vital signs from a client
who is 6 hours postop.
Administer a tap water enema to a client who is preop. Catheterize a
client who has not voided in 8 hrs.
2. A nurse is assisting an older adult client who sometimes loses her balance while
walking. Which of the following devices should the nurse use when helping the client
ambulate Ans: Gait belt
3. A nurse is assessing a client who is experiencing complications due to immobility.
Which of the following findings should the nurse expect Ans: Contrac- tures of the
extremities.
Crackles in the lungs. Pressure
ulcers.
4. A nursing is talking with a client who is beginning a program of moderate exercise.
The client asks the nurse why warm up exercises are necessary. Which of the
following responses should the nurse make Ans: Warm up exercises reduce the risk of
injury.
5. A nurse is assisting a client during ambulation when the client begins to fall. Which
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, of the following actions should the nurse take Ans: Lower the client to the floor.
6. A home health nurse is assessing an older adult client in the home who has
decreased vision due to a history of glaucoma. Which of the following findings should
the nurse identify as a safety risk Ans: Scatter rugs are present in the kitchen.
7. A nurse is caring for a client who has HF and a prescription for digoxin 125 mcg
PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse
administer per dose Ans: 0.5 tablets
8. A nurse in a long term care facility is planning care for several clients.Which of the
following activities should the nurse delegate to the LPN Ans: Scheduling a diagnostic
study for a client.
9. A client is starting celecoxib to treat osteoarthritis. The nurse should in- struct
the client to watch for and report which of the following adverse ef- fects Ans:
Black, tarry stools.
10. A nurse is teaching a client about how to use her new hearing aids. Which of the
following statements should the nurse identify as an indication that the client needs
further instruction Ans: "I will clean the hearing aids with alcohol wipes."
11. A nurse is caring for a client who has bilateral eye patches in place following an
injury. When the client's food tray arrives, which of the following
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