Kelvincari540

A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an a...

A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan? - Maintain abduction of the right hip. A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first? - Feel for a carotid pulse. A nurse is caring for a client scheduled for coronary artery bypass grafting who reports ...

Question 1: A nurse Is providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant. Which of the following nutrients should the nurse recommend? ● Calcium ● Folate ● Vitamin B12 ● Magnesium Question 2: A nurse is caring for a client who had a stroke and has manifestations of dysphagia. Which of the following interventions should the nurse take? ● Tilt the clients head backward to facilitate swallowing. ● Use liquids to clear fo...

1. A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? a. Recommend checking weight once weekly. b. Obtain a 24-hr dietary recall. c. Assist with creating an exercise plan. d. Initiate a plan for diet modification. 2. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? a. Consume high-fat...

1. When administering the drug senna to a patient, a health care provider must inform the patient of which of the following a. This drug is intended to lower blood pressure and is best used in combination with other antihypertensives b. This drug is not intended for long term use c. The patient must limit his/her fiber intake d. Advise patient to change positions slowly to limit the risk of orthostatic hypotension 2. When giving digoxin (Lanoxin) to a patient, the health care provider no...

1. A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness? a. The client wants to talk about the diagnosis with nursing staff b. The client has a decreased energy level c. The client makes funeral arrangements d. The client requests a second opinion 2. A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to c...

1. A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit doors at the end of the hallway. The clients appears to be anxious and agitated. Which of the following actions should the nurse take? Escort the client to a quiet area on the nursing unit 2. A nurse is assisting with the plan of care for a client who has a continent urinary division. Which of the following interventions should the nurse plan to implement to facilitate urinary eliminatio...

1. A nurse in a long-term care facility is assisting with an inservice for newly hired assistive personnel about legal issues within the facility. WhichofIthe following should the nurse include as an example ofIassault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses . 2. A nurse is collecting data from who is severe pain. Which ofIthe following questions should the nurse ask first? ANS: "Where is your pain located?" 3. A nurse is ...

1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a group of assistive personnel (AP). Which of the following instructions should the nurse include? ANS: Use lower-body strength RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to reduce stress on the back 2. A nurse is participating in a quality improvement study about the effectiveness of client pain management in the unit. Which of the following strate...

1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety The correct answer is D: Safety 2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age? A) They are able to make simple association of ideas B) They are able to think logically in organizing facts C) Interpretation of events o...

A newborn with apnea is being discharged from the hospital with home monitoring. What information concerning the infant's care should the practical nurse review with the parents? A. Cardiopulmonary resuscitation (CPR). B. Administration of intravenous antibiotics. C. Reassurance that the infant cannot be electrocuted during monitoring. D. Advise that the infant not be left with caretakers, such as babysitters. A. Cardiopulmonary resuscitation (CPR). Rationale: Apnea of infancy (AOI) eng...

The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next? ANSWER: Check the client’s temperature 2 The nurse is caring for a client with ...

The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next? ANSWER: Check the client’s temperature 2 The nurse is caring for a client with ...