,A nurse, an emergency department complete an assessment on an adolescent client
that has conduct disorder. The client threaten suicide to a teacher at school which of the
following statements should the nurse include in the assessment. - CORRECT
ANSWERS-Tell me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions
by the client requires the nurse to intervene - CORRECT ANSWERS-Viewing the
newborn's actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding
should indicate that the medication was effective - CORRECT ANSWERS-Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - CORRECT ANSWERS-Keep the cord
dry until it falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates
decreased cardiac output - CORRECT ANSWERS-oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the
following client. Should the nurse identify as a priority. - CORRECT ANSWERS-A client
with indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse
assess first - CORRECT ANSWERS-A client who is chronic kidney disease with cloudy,
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is
appropriate nursing intervention. - CORRECT ANSWERS-Provide standby assist with
the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring.
The nurse is reviewing the monitor tracing in notes early decelerations, which of the
following should the nurse expect - CORRECT ANSWERS-Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as an indication of hemodialysis. - CORRECT
ANSWERS-Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - CORRECT ANSWERS-Heat
the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which
of the following client. Should the nurse plan to assess first. - CORRECT ANSWERS-
Client placed in restraints to the aggressive behavior
, A nurse working at the clinic is teaching a group of clients who are pregnant on the use
of nonpharmacological pain management, which of the following statement by the nurse
is an appropriate description of the use of hypnosis during labor - CORRECT
ANSWERS-Hypnosis promotes increase control of her pain perception during
contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of
reaction formation? - CORRECT ANSWERS-I think that people just you're just lazy and
should earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for
Isosorbide monotitrate which of the following should the nurse identify as a
contraindication to medication - CORRECT ANSWERS-glaucoma
16 - CORRECT ANSWERS-No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of
the following intervention should the nurse include in the point of care - CORRECT
ANSWERS-Obtain a cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the
provider - CORRECT ANSWERS-WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action.
Should the nurse include in the plan of care - CORRECT ANSWERS-Place a daily
calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - CORRECT ANSWERS-Client
who has gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to
treat constipation which of the following statements by the nurse is appropriate -
CORRECT ANSWERS-Drink hot water with lemon juice each morning when you wake
up
22 - CORRECT ANSWERS-No question
A nurse is caring for a client who is preparing his advance directives, which of the
following statements by the client indicates an understanding of advance directives
SATA - CORRECT ANSWERS-I have the right to refuse treatment
My health care proxy can make medical decisions for me
that has conduct disorder. The client threaten suicide to a teacher at school which of the
following statements should the nurse include in the assessment. - CORRECT
ANSWERS-Tell me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions
by the client requires the nurse to intervene - CORRECT ANSWERS-Viewing the
newborn's actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding
should indicate that the medication was effective - CORRECT ANSWERS-Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - CORRECT ANSWERS-Keep the cord
dry until it falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates
decreased cardiac output - CORRECT ANSWERS-oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the
following client. Should the nurse identify as a priority. - CORRECT ANSWERS-A client
with indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse
assess first - CORRECT ANSWERS-A client who is chronic kidney disease with cloudy,
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is
appropriate nursing intervention. - CORRECT ANSWERS-Provide standby assist with
the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring.
The nurse is reviewing the monitor tracing in notes early decelerations, which of the
following should the nurse expect - CORRECT ANSWERS-Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as an indication of hemodialysis. - CORRECT
ANSWERS-Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - CORRECT ANSWERS-Heat
the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which
of the following client. Should the nurse plan to assess first. - CORRECT ANSWERS-
Client placed in restraints to the aggressive behavior
, A nurse working at the clinic is teaching a group of clients who are pregnant on the use
of nonpharmacological pain management, which of the following statement by the nurse
is an appropriate description of the use of hypnosis during labor - CORRECT
ANSWERS-Hypnosis promotes increase control of her pain perception during
contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of
reaction formation? - CORRECT ANSWERS-I think that people just you're just lazy and
should earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for
Isosorbide monotitrate which of the following should the nurse identify as a
contraindication to medication - CORRECT ANSWERS-glaucoma
16 - CORRECT ANSWERS-No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of
the following intervention should the nurse include in the point of care - CORRECT
ANSWERS-Obtain a cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the
provider - CORRECT ANSWERS-WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action.
Should the nurse include in the plan of care - CORRECT ANSWERS-Place a daily
calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - CORRECT ANSWERS-Client
who has gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to
treat constipation which of the following statements by the nurse is appropriate -
CORRECT ANSWERS-Drink hot water with lemon juice each morning when you wake
up
22 - CORRECT ANSWERS-No question
A nurse is caring for a client who is preparing his advance directives, which of the
following statements by the client indicates an understanding of advance directives
SATA - CORRECT ANSWERS-I have the right to refuse treatment
My health care proxy can make medical decisions for me
