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A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? - ANSWER-Assist with deep breathing and coughing A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? - ANSWER-"I told my doctor that I would like to start a support group for other women who are sick in my community" A nurse is...

A nurse is obtaining a medical hx from a pt. who is requesting a prescription for bupropion for smoking cessation. which of the following assessment findings in the pts. hx should the nurse report to the provider? A. Recent head injury b. hypothyroidism c. herpes infection d. knee arthroplasty 1 month ago - ANSWER-A. Recent head injury - risk for seizures a nurse is planning care for a pt. who has narcissistic personality disorder. which of the following actions is appropriate for t...

ATI Comprehensive Predictor Study This One with Questions And Answers What can be delegated to Assistive personnel (AP)? - ANSWER-- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admit...

A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse assess the client? - ANSWER-Respiratory depression A nurse in a mental health facility is planning to promote the development of a theraputic relationship with a newly admitted client. Which of the following actions should the nurse plan to take? - ANSWER-Identify professional boundaries during the initial interaction Incorporating th...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). - ANSWER--To assess cognitive ability, I should ask the client to count backward by sevens." -To assess affect, I should observe the client's facial expression. -To assess language ability, I should instruct the client to write a sentence." A nurse is planning care for a client ...

A nurse is caring for a client who states, "My boss accused me of stealing yesterday. I was so angry I went to the gym and worked out." The nurse should recognize the client is demonstrating which of the following defense mechanisms? - ANSWER-Sublimation Rationale: The client is exhibiting behaviors consistent with sublimation, which is displayed when a client substitutes socially unacceptable behavior for acceptable behavior. A nurse is caring for a client who has generalized anxiet...

NCLEX Questions - c/o BrilliantN 202223 The nurse is taking the health history of a patient being treated for Emphysema and Chronic Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Capacity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of cardiac failure - ANSWER-1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volu...

Fisdap Cardiology Practice Quiz|100% Correct Answers A 61 y/o M with chest pain took one dose of nitroglycerine prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22. What should you do? a. assist with the administration of aspirin b. apply oxygen c. transport immediately d. administer a second dose of nitroglycerine - ANSWER-a. assist with the administration of aspirin He is hypotensive and doesn't meet the requirements for additional nitroglycer...

Cardiology FISDAP practice quiz when obtaining a 12 - lead ECG, lead V1 should be placed: A) upper right shoulder just above the clavicle B) approximately 1 inch to the right of the angle of Louis C) In the sec intercostal space just inferior to the sec rib. D) in the fourth intercostal space just to the right of the sternum - ANSWER-D) in the fourth intercostal space just to the right of the sternum A patient experiencing a right ventricular infarction would be expected to present wit...

Delegation - ANSWER-Right Person, Right Task, Right Circumstance, Right Communication, Right Supervision AP's: vitals and ALDs PN: stable clients and the expected outcome Bleeding - ANSWER-Stabilize object Colorectal Screening - ANSWER-Sigmoid: 5 yrs Colon: 10 years ages 50-75 Manual BP - ANSWER-1 Inch above antecubital space Manual Systolic Measurement - ANSWER-Palpate radial pulse, inflate until pulse disappears, inflate another 30 mmHg, release and note when pulse is palpable aga...