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Anurse is collecting data from a client who has diabetic ketoacdosis. Which of the following findings
should expect - correct answer✨✔✔ Frutiy breath
A nurse is collecting data from a client who has sickle cell anemia and is experiencing a vaso-occlusive
which of the following actions should the nurse take? (Click on the "Exhibit" button for additional
information There are three tabs that contain separate categories data.) Exhibit - correct
answer✨✔✔ Recommend a transfusion of packed Rbcs
nurse is caring requesting assistance with smoking cassation. The nurse should anticipoce presoription
for which of the following - correct answer✨✔✔ Bupropion Naltrexone Methadone Disulfiram
A nurse is contributing to the development of an in-service training about the differences in mental
health bellefs across various cultural groups. Which of the following culture-bound syndromes should
the nurse include when discussing Navajo Indian cultural beliefs? - correct answer✨✔✔ Ghost
sickness
A nurse is assisting with the care of a client who has schizophrenia and auditory hallueinations. Which of
the following responses should the nurse make - correct answer✨✔✔ "Let's talk about what the
voices are saying to you."
A nurse is assisting with the care of a client who has schizophrenia and auditory hallucinations. Which of
the following reaponsea should the nurse make - correct answer✨✔✔ Let's talk about what the
voices are saying to you.
A nurse is discussing informed consent with a newly licensed nurse. Which of the following statements
by the newly liscensed nurse indicates an understanding of the information - correct answer✨✔✔ "A
client can. withdraw consent at any time after signing the informed consent form."
,A nurse is reinforcing teaching with a client who has hypertension about decreasing sodium intake.
Which of the following foods should the nurse recommend? - correct answer✨✔✔ 1 baked potato
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. The
nurse notes bright red urinary drainage after notifying the surgeon which of the following actions should
the nurse take? - correct answer✨✔✔ Request a prescription to obtain the clients bun level.
A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance for a client
who has a sigmoid colostomy which of the following instruction should the nurse include in the teaching
- correct answer✨✔✔ Empty clients asked me pouch before removing skin barrier
A charge nurse is observing a newly licensed nurse performing dressing change on a peripheral IV site.
For which of the following actions by the new nurse should the charge nurse intervene - correct
answer✨✔✔ Use a sterile gloves to remove the old dressing
A nurse is caring for a client who has a peanut allergy the client states I feel like my throat is closing
which of the following actions should the nurse take - correct answer✨✔✔ Give epinephrine
intramuscularly
A nurse is transcribing a clients prescription for erythromycin 500 mg four times per day which of the
following information shared the news clarify with the provider - correct answer✨✔✔ Time
A nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new
prescription for timilol Eyedrops which of the following statements by the client indicates an
understanding of the teaching - correct answer✨✔✔ I should check my heart rate while taking this
medicine
A nurse in a long-term care facility is caring for a client who has methicillin resistant Staphylococcus
aureus (Mrsa)which of the following actions should the nurse take - correct answer✨✔✔ Wear a
gown when assisting the client with personal hygiene
,A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the following
information should the nurse include in the teaching - correct answer✨✔✔ Interlace the fingers
while rubbing hands together
A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking insulin lispro and
insulin glargine which of the following instruction should the nurse include in the teaching - correct
answer✨✔✔ Drawl up the insulin list Bro and insulin glargine in separate syringes
A nurse is contributing to the plan of care for a client who has ascites Due to cirrhosis which of the
following interventions should the nurse recommend to include in the plan - correct answer✨✔✔
Measure the clients abdominal girth daily
A nurse is caring for a newborn who has hyperbilirubinemia and is receiving photo therapy which of the
following findings should the nurse report to the provider - correct answer✨✔✔ Loose stools
A nurse is caring for a client who is today's postoperative the client has a prescription for
acetaminophen 300 mg with codeine 30 mg one tablet every 3 to 4 hours PRN for pain the nurse in
advertently administers two tablets to the client in which of the following location should the nurse
document the eror - correct answer✨✔✔ Controlled substance inventory record
A nurse is caring for a adolescent client who is bulimia nevosa which of the following actions should the
nurse take first - correct answer✨✔✔ Observe the client during and after meals
A nurse is assigned an assistive personnel to perform a Gastroatomy Feeling for a client who has been
receiving feedings at homeWhich of the following actions should the nurse take to monitor the APs
performance of the task - correct answer✨✔✔ Request the AP to provide a return demonstration of
the task
A community health nurse is a system in the development of a brochure about hypertension which of
the following actions should the nurse take - correct answer✨✔✔ Explain the medical terminology
using basic one syllable words
, And charge nurse assigned a nurse to care for a group of clients which of the following client should the
nurse ask the charge nurse to reassign to an RN - correct answer✨✔✔ A client who has a new
diagnosis of diabetes mellitus and needs to learn self administration of insulin
A nurse is caring for a client who has depressive disorder the client states everyone will be better off if I
were not around which of the following responses should the nurse make - correct answer✨✔✔ Are
you thinking of hurting yourself?
A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning which of
the following actions should the nurse take - correct answer✨✔✔ Discontinue use and take the IV
pump
A nurse is Reinforcing teaching with the Client family about home oxygen use via nasal cannula which of
the following statements by a family member indicates an understanding of the teaching - correct
answer✨✔✔ We will frequently check the top of his ears for sores
A nurse is caring for a client who has been giving methylergonovine intramuscularly for postpartum
hemorrhage which of the following should the nurse monitor for adverse reactions - correct
answer✨✔✔ Elevated blood pressure
A nurse is collecting data from a child who is one hour postoperative following a tonsillectomy which of
the following findings is the nurses priority - correct answer✨✔✔ Frequent swallowing
A nurse is caring for a client who is in stage kidney disease the client has decided to stop dialysis
treatment which of the following actions should the nurse take - correct answer✨✔✔ Support the
clients
Decision and stop the treatment
A nurse is receiving change of shift report on a group of clients which of the following client should the
nurse see first - correct answer✨✔✔ A client who is postoperative following hip arthroplasty and
reports calf pain