AND EXPERT VERIFIED FOR GUARANTEED PASS
A nurse is working in an urgent care clinic when a client who does
not speak the same language arrives with a laceration that will
require suturing. Which of the following actions appropriate for the
nurse to take? -Answer:-Ask an assistive personnel who speaks the
same language as the client to assist in obtaining informed consent.
A nurse is collecting data from a client who has dehydration and is
receiving continuous IV therapy. Which of the following findings
indicates effectiveness of the IV therapy? -Answer:-BUN 16 mg/dL
A nurse is caring for a child who has terminal cancer. Which of the
following responses by the child's siblings should the nurse expect?
-Answer:-The school-age sister is concerned about the impact of her
sibling's death on herself
A nurse is caring for a client who attempted suicide. Which of the
following actions should the nurse take? -Answer:-Serve meals with
plastic utensils.
,A nurse is removing a female client's indwelling urinary catheter.
Which of the following actions should the nurse take? -Answer:-
Withdraw the fluid from the catheter's balloon.
A nurse is collecting data from a parent of a preschooler at a well-
child visit. Which of the following findings is a contraindication to a
measles, mumps, and rubella (MMR) immunization? -Answer:-Long-
term use of immunosuppressants
A home health nurse is reinforcing teaching with a client about
kitchen safety. Which of the following instructions should the nurse
reinforce about using a fire extinguisher? -Answer:-Sweep the
extinguisher from side to side to put out the fire.
A nurse is caring for a client who is asking about the technique of
effleurage and its use in labor and delivery. Which of the following
responses should the nurse make regarding this technique? -
Answer:-"It is a light stroking of the skin during a uterine
contraction."
,A nurse is preparing to administer required immunizations to a
toddler during a well-child visit. The parent asks the nurse how
many baby aspirins he should administer if the toddler develops a
fever. Which of the following responses should the nurse make? -
Answer:-"You should follow the label directions based on your
child's weight."
A nurse is caring for a client who is in mechanical restraints after
becoming violent with a staff member. Which of the following
actions should the nurse take? -Answer:-Request that the provider
write an as-needed prescription for restraints.
A nurse is reinforcing teaching with an older adult client who has a
new prescription for digoxin for heart failure. Which of the following
effects should the nurse include as an expected outcome of this
medication? -Answer:-Increased heart rate
A nurse is assisting with the plan of care for a client who has
Alzheimer's disease. Which of the following actions should the nurse
recommend for the plan of care? -Answer:-Give directions using
simple phrases.
, A nurse is caring for a client in a provider's office. The client asks
about the purpose of a living will. Which of the following is the
appropriate response by the nurse? -Answer:-"It expresses your
wishes regarding health care when you can no longer
communicate."
A nurse is planning to administer an ophthalmic medication to a
client. Which of the following actions will minimize systemic
absorption of the medication? -Answer:-Wait 5 min after instillation
before instilling the drops in the other eye.
A nurse is caring for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infection. Which of the following
actions should the nurse plan to take? -Answer:-Don a gown and
gloves when providing perineal care.
A nurse is reviewing the medical record of a client who is requesting
an oral contraceptive. Which of the following findings should the
nurse identify as a contraindication to the use of oral
contraceptives? -Answer:-History of renal calculi