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1. What should a nurse do Encourage the family to be with the child during mealtimes.
first for a toddler with
poor dietary intake?
2. What instruction should Avoid pregnancy for at least 28 days after receiving the vaccine.
a postpartum nurse in-
clude about the MMR
vaccine?
3. What technique should Clean the wound from the center to the outer edges.
a nurse use for
a wet-to-dry dressing
change?
4. What indicates a client My partner will use condoms with spermicides.
understands contracep-
tion teaching?
5. What defense mecha- Displacement.
nism is a client with
bipolar disorder using
when yelling at the
nurse?
6. What is a possible Soiled linens are placed on the floor.
source of infection
for an immunocompro-
mised client?
7. What should a Ensure that the client gave informed consent.
nurse ensure be-
fore an esophagogas-
troduodenoscopy?
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8. What intervention Maintain a safe and private environment for the client.
should a nurse imple-
ment for a client who
has been assaulted?
9. What should a nurse Provide resources for local support services.
provide to a client who
has been assaulted and
is seeking support?
10. What is an appropri- Contribute to the plan of care that addresses energy conservation.
ate action for a nurse
caring for a client with
leukemia experiencing
chronic fatigue?
11. What should a nurse do Request a consult for case management.
regarding a client who
has been sexually as-
saulted?
12. What should a nurse do Identify it as a possible source of infection.
if a client is immuno-
compromised and has
uncapped sharps?
13. What should a nurse The procedure will take approximately 60 minutes.
inform a client about
the duration of
an esophagogastro-
duodenoscopy?
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14. What should a nurse Identify that the client is using displacement as a defense mechanism.
do when a client
yells during medication
changes?
15. What should a postpar- Avoid breastfeeding for 3 days after receiving the vaccine.
tum nurse tell a client
about the MMR vaccine
and breastfeeding?
16. What should a nurse do Obtain the child's dietary history if they have poor dietary intake.
regarding a client's di-
etary history?
17. What is a safe practice Wear sterile gloves to remove the dressing.
for a nurse when chang-
ing a dressing on an in-
fected wound?
18. What should a nurse ad- It should not be used as it can weaken the condom.
vise a client about using
petroleum jelly with la-
tex condoms?
19. What should a nurse do Provide resources for local support services.
if a client reports a his-
tory of depression after
an assault?
20. What should a nurse Provide resources to the client for the local Alcoholics Anonymous chap-
do for a client who has ter.
been drinking socially
and reports an assault?
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21. What should a nurse Identify this as a potential source of infection.
do if soiled linens are
found on the floor
in an immunocompro-
mised client's room?
22. What should a nurse do Encourage rest and energy conservation strategies.
to support a client with
chronic fatigue due to
leukemia?
23. What intervention Encourage strength-training exercise.
should a nurse include
in the care plan for a
client with leukemia ex-
periencing chronic fa-
tigue?
24. What finding should a Bright red vaginal bleeding.
nurse expect when col-
lecting data from a
client with placenta pre-
via?
25. What are the responsi- 1. Provide written information about advance directives. 2. Instruct that
bilities of a nurse re- it is a legal document that must be honored. 3. Communicate advance
garding a client's ad- directives status via medical record and shift report. 4. Document dis-
vance directives? cussions about do-not-resuscitate status.
26. Which action is an Giving change-of-shift report to a nurse outside the client's room.
example of protecting
client confidentiality?