ACTUAL VERIFIED CORRECT ANSWERS.
A nurse in an emergency department is preparing to perform an ocular
irrigation for a
client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - CorreCt Answers
-D. Perform the irrigation with sterile water for irrigation
A nurse is caring for a client who has cervical cancer and a sealed radiation
implant.
Which of the following actions should the nurse take?
a. Place long-handled forceps at the client's bedside
b. Attach a dosimeter badge to the client's gown
c. Leave unused equipment in the client's room until discharge
d. Move the client's soiled linens to a designated container outside the room
- CorreCt Answers -A. Place long-handled forceps at the client's bedside
A nurse is teaching a client who has Graves' disease about recognizing the
manifestations of the thyroid storm. Which of the following findings should
the nurse
include in the teaching?
a. Increased temperature
,b. Decreased HR
c. Hypotension
d. Lethargy - CorreCt Answers -a. Increased temperature
A nurse is caring for a client who is postoperative following a complete
thyroidectomy.
Which of the following findings is the priority for the nurse to report to the
provider?
a. Serosanguineous drainage
b. Muscle twitching
c. Client report of nausea
d. Client report incisional pain - CorreCt Answers -b. Muscle twitching
A nurse is reviewing ECG rhythm strips for a group of clients. The nurse
should identify that which of the following rhythms indicates bradycardia? -
CorreCt Answers -the ****ing bradycardic one maybe
A nurse is caring for a client who is receiving epidural analgesics. Which of
the following
assessment findings in the nurse's priority?
a. Bladder distention
b. Hypoactive bowel sounds
c. Hypotension
d. Weakness to lower extremities - CorreCt Answers -c. Hypotension
,A nurse is planning care for a client who has status epilepticus. Which of
the following
interventions is the nurse's priority to include?
a. Turn the client to the lateral position during seizure activity
b. Provide the client oxygen at 6 l/min using a nasal cannula
c. Administer phenytoin IV bolus to the client
d. Administer diazepam intravenously to the client - CorreCt Answers -a.
Turn the client to the lateral position during seizure activity
A nurse is caring for a client following a below-the knee amputation. The
client states.
"my life is over." Which of the following responses should the nurse make?
a. "you are upset. We can talk about this later?"
b. "would you like to meet with another client who is an amputee?"
c. "why do you think your life is over?"
d. "most people can adjust following this surgery" - CorreCt Answers -b.
would you like to meet another client who is an amputee?
A nurse in a clinic is providing preventive teaching to an older adult client
during a well
visit. The nurse should instruct the client that which of the following
immunizations are
recommended for healthy adults after the age of 60? Select All That Apply
a. Herpes zoster
b. Influenza
c. Meningococcal
, d. Human papillomavirus
e. Pneumococcal polysaccharide - CorreCt Answers -a. Herpes zoster
b. Influenza
E. Pneumococcal polysaccharide
A nurse is planning care for a client who has dementia. Which of the
following
interventions should the nurse plan to include?
a. Turn off all lights in the client's room at night
b. Place the client's bed at the lowest height
c. Request a prescription for a nightly sedative
d. Assist the client with toileting at least once every 4 hour - CorreCt
Answers -b. Place the client's bed at the lowest height
A nurse is assessing a client who has a new diagnosis of type 1 diabetes
mellitus.
Which of the following findings indicates that the client is experiencing
hypoglycemia?
a. Abdominal cramping
b. Increased perspiration
c. Dehydration
d. Fruity odor to breath - CorreCt Answers -b. Increased perspiration
A nurse in the PACU is assessing a client who is postoperative following
general
anesthesia. Which of the following findings is the priority to address?