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What is the priority nursing intervention for a client during the immediate
postoperative period?
1.Monitoring vital signs
2.Observing for hemorrhage
3.Maintaining a patent airway
4.Recording the intake and output - CorreCt Answers -3.Maintaining a
patent airway
As a nurse prepares an older adult client for sleep, actions are taken to help
reduce the likelihood of a fall during the night. What nursing action is most
appropriate when targeting older adults' most frequent cause of falls?
1.Moving the client's bedside table closer to the bed.
2.Encouraging the client to take an available sedative.
3.Instructing the client to call the nurse before going to the bathroom.
4.Assisting the client to telephone home to say goodnight to the spouse. -
CorreCt Answers -3.Instructing the client to call the nurse before going to
the bathroom.
When providing care for a client with a nasogastric (NG) tube, the nurse
should take measures to prevent what serious complication?
, 1.Skin breakdown
2.Aspiration pneumonia
3.Retention ileus
4.Profuse diarrhea - CorreCt Answers -2.Aspiration pneumonia
Which nursing behavior is an intentional tort?
1.Miscounting gauze pads during a client's surgery.
2.Causing a burn when applying a wet dressing to a client's extremity.
3.Divulging private information about a client's health status to the media.
4.Failing to monitor a client's blood pressure before administering an
antihypertensive. - CorreCt Answers -3.Divulging private information about
a client's health status to the media.
What is the most important factor relative to a therapeutic nurse-client
relationship when a nurse is caring for a client who is terminally ill?
1.Knowledge of the grieving process
2.Personal feelings about terminal illness
3.Recognition of the family's ability to cope
4.Previous experience with terminally ill clients - CorreCt Answers -
2.Personal feelings about terminal illness
A nurse applies an ice pack to a client's leg for 20 minutes. The cold
application will cause what physiological effect?