A nurse is caring for a client who reports difficulty nurse that the client is ready to hear information
falling asleep. Which of the following regarding palliative care? - - I want you to
recommendations should the nurse make? - tell me about measures available to keep me
- Maintain a consistent time to wake up comfortable.
each day.
A nurse is caring for a client who has
A nurse is caring for a client who has diarrhea tuberculosis. Which of the following actions
due to shigella. Which of the following should the nurse take? (Select all that apply.) -
precautions should the nurse implement for this - Place the client in a room with negative-
client? - - Wear a gown when caring for the pressure airflow.
client. Wear gloves when assisting the client with oral
care.
Use antimicrobial sanitizer for hand hygiene.
A nurse is assessing a client who reports
increased pain following physical therapy. Which
of the following questions should the nurse ask A nurse is caring for a client who is postoperative
when assessing the quality of the client's pain? - and is exhibiting signs of hemorrhagic shock. The
- Is your pain sharp or dull? nurse notifies the surgeon, who tells the nurse to
continue to measure the client's vital signs every
15 min and to report back in 1 hr. Which of the
A nurse in a surgical suite notes documentation following actions should the nurse take next? -
on a client's medical record that they have a - Notify the nursing manager.
latex allergy. In preparation for the client's
procedure, which of the following precautions
should the nurse take? - - Wrap monitoring A nurse on a medical-surgical unit is caring for a
cords with stockinette and tape them in place. client who has a new prescription for wrist
restraints. Which of the following actions should
the nurse take? - - Pad the client's wrist
A nurse is caring for a client who has a sodium before applying the restraints.
level of 125 mEq/L (136 to 145 mEq/L). Which of
the following findings should the nurse expect? -
- Abdominal cramping A nurse is discussing the use of herbal
supplements for health promotion with a client.
Which of the following client statements indicates
A nurse is admitting a client who has an an understanding of herbal supplement use? -
abdominal wound with a large amount of - I take echinacea to improve my immune
purulent drainage. Which of the following types system.
of transmission precautions should the nurse
initiate? - - Contact precautions
A nurse is planning care for a client who has had
a stroke, resulting in aphasia and dysphagia.
A nurse is caring for a client with a diagnosis of Which of the following tasks should the nurse
terminal cancer. Which of the following assign to an assistive personnel (AP)? (Select all
statements by the client should indicate to the that apply.) - - Assist the client with a
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, RN Funds Practice A Questions and Answers Rated A
partial bed bath. nurses caring for clients who have Clostridium
Measure the client's BP after the nurse difficile infection. Which of the following
administers an antihypertensive medication. information should the nurse include in the
Use a communication board to ask what the teaching? - - Have family members wear a
client wants for lunch. gown and gloves when visiting.
A nurse is initiating a protective environment for A nurse is assessing a client who received an IV
a client who has had an allogeneic stem cell fluid bolus for dehydration. Which of the following
transplant. Which of the following precautions findings should the nurse identify as an indication
should the nurse plan for this client? - - of fluid volume excess? - - Distended neck
Make sure the client wears a mask when outside veins
their room if there is construction in the area.
A nurse is administering 1 L of 0.9% sodium
A nurse has just inserted a nasogastric (NG) chloride to a client who is postoperative and has
tube for a client. Which of the following findings fluid volume deficit. Which of the following
should the nurse expect to confirm correct tube changes should the nurse identify as an
placement? - - An x-ray shows the end of indication that the treatment was successful? -
the tube above the pylorus. - Decrease in heart rate
A nurse is reviewing the laboratory results of a A nurse is preparing to delegate client care tasks
female client who has hypovolemia. Which of the to an assistive personnel (AP). Which of the
following laboratory result would be priority for following tasks should the nurse delegate? -
the nurse report to the provider? - - - Ambulating a client who is postoperative
Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
A nurse is caring for a client who has terminal
A nurse is caring for a client who requires a 24-hr diagnosis and whose health is declining. The
urine collection. Which of the following client requests information about advance
statements by the client indicates an directives. Which of the following responses
understanding of the teaching? - - I flushed should the nurse make? - - We can talk
what I urinated at 7:00 am and have saved all about advance directives, and I can also give you
urine since. some brochures about them.
A nurse is caring for a client who is refusing a A nurse is preparing to apply a dressing for a
blood transfusion for religious reasons. The client who has a stage 2 pressure injury. Which
client's partner wants the client to have a blood of the following types of dressing should the
transfusion. Which of the following actions should nurse use? - - Hydrocolloid
the nurse take? - - Withhold the blood
transfusion.
A nurse is admitting a client who has been having
frequent tonic-clonic seizures. Which of the
A charge nurse is discussing the responsibility of
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