ANSWERS GRADED A+
◉ A nurse is assessing a client who reports increased pain following
physical therapy. Which of the following questions should the nurse ask
when assessing the quality of the client's pain? Answer: "is your pain
sharp or dull"- allows to determine quality of pain
◉ A nurse is admitting a new client. Which of the following actions
should the nurse take while performing medication reconciliation?
Answer: Compare the clients home medications with the providers
prescriptions
◉ A nurse is preparing to administer enoxaparin subcutaneously to a
client. Which of the following actions should the nurse take? Answer:
Administer the medications with the needle at a 45 degree angle for
subcutaneous injections
◉ A nurse is using an open irrigation technique to irrigate a clients
indwelling urinary catheter. Which of the following actions should the
nurse take? Answer: Subtract the amount of irritant used from the
client's urine output.
, ◉ A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressing should the
nurse use? Answer: Hydrocolloid
◉ A nurse is providing discharge teaching to a client about self-
administering heparin. Which of the following instructions should the
nurse include in the teaching? Answer: administer the medication into
the abdomen
◉ A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take? Answer: Pad the clients wrist before applying the
restraints
◉ A nurse is initiating a protective environment for a client who has had
an allogeneic stem cell transplant. Which of the following precautions
should the nurse plan for this client? Answer: Make sure the client wears
a mask when outside her room if there is construction in the air
◉ A nurse is caring for a client who has dementia. Which of the
following interventions should the nurse take to minimize the risk for
injury to the client? Answer: Use a bed exit alarm system
◉ A nurse is preparing to administer 0.9% sodium chloride 750 mL IV
to infuse over 7 hr. The nurse should set the infusion pump to deliver
how many mL/hr? (round the answer to the nearest whole number. Use a