DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) A
NEW UPDATED VERSION LATEST| GUARANTEED A+
1) A nurse is caring for a client who is D. Contractions
at 33 weeks of gestation following an
amniocentesis. The nurse should
monitor the client for which of the
following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
2) A nurse is providing teaching to an D. Eat a light snack before bedtime
older adult client about methods to
promote nighttime
sleep. Which of the following
instructions should the nurse
include?
, A. Stay in bed at least 1 hr if unable
to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to
bedtime
D. Eat a light snack before bedtime
3) A nurse on a telemetry unit is caring B. Defibrillate
for a client who becomes
unconscious and whose monitor
displays ventricular tachycardia.
Which of the following actions should
the nurse take first after determining
the client does not have a palpable
pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
4) A nurse is admitting a client who 1 C. Request a female interpreter
week postpartum and reports through the facility
excessive vaginal bleeding. The
nurse does not speak the same
language as the client. The client's
, partner and 10-year-old child are
accompanying her. Which of the
following actions should the
nurse take to gather the client's
admission data?
A. Have the client's child translate
B. Allow the client's partner to
translate
C. Request a female interpreter
through the facility
D. Ask a nursing student who speaks
the same language as the client to
translate
5) A nurse is caring for a client who is d. Shivering
febrile. To reduce the client's fever,
the nurse applies a cooling blanket.
Which of the following findings
indicates the client is having an
adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
, 6) A nurse is caring for a client who has B. Withhold heparin IV infusion
deep-vein-thrombosis of the left PTT- 30-40 seconds; x2 if on
lower extremity. Which of the heparin
following actions should the nurse
take? (Exhibit)
A. Position the client with the
affected extremity lower than the
heart
B. Withhold heparin IV infusion PTT-
30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity
every 4 hr
7) A nurse is reviewing assessment B. A client who has a nonhealing
data from several clients. For which leg ulcer
of the following clients should the
nurse recommend referral to a
dietitian?
A. An older adult client who has a
BMI of 24
B. A client who has a nonhealing leg
ulcer
C. An older adult client who has