testbank 100 questions with verified answers
Terms in this set (86)
A hospitalized male client After clearing the tube with 30 ml of air, check the pH
is receiving nasogastric of fluid withdrawn from the tube.
tube feedings via a small-
bore tube and a
continuous pump infusion.
He reports that he had a
bad bout of severe
coughing a few minutes
ago, but feels fine now.
What action is best for the
nurse to take?
A client is in the radiology Give the missed dose at 1300 and change the
department at 0900 when schedule to administer daily at 1300.
the prescription
levofloxacin (Levaquin)
500 mg IV q24h is
scheduled to be
administered. The client
returns to the unit at 1300.
What is the best
intervention for the nurse
to implement?
,A client who is in hospice Give an around-the-clock schedule for administration
care complains of of analgesics.
increasing amounts of
pain. The healthcare
provider prescribes an
analgesic every four hours
as needed. Which action
should the nurse
implement?
After completing an determine the etiology of the problem
assessment and
determining that a client
has a problem, which
action should the nurse
perform next?
What is the most A decreased flow rate could result in the formation of
important reason for a thrombosis.
starting intravenous
infusions in the upper
extremities rather than the
lower extremities of
adults?
The nurse notices that the Continue asking the mother questions about the child.
mother of a 9-year-old
Vietnamese child always
looks at the floor when
she talks to the nurse.
What action should the
nurse take?
Which intervention is most Assess for bladder distention.
important for the nurse to
implement for a male
client who is experiencing
urinary retention?
, A client who is a Jehovah's Blood transfusions are forbidden.
Witness is admitted to the
nursing unit. Which
concern should the nurse
have for planning care in
terms of the client's
beliefs?
While instructing a male Acknowledge that she is supporting the arm correctly.
client's wife in the
performance of passive
range-of-motion exercises
to his contracted shoulder,
the nurse observes that
she is holding his arm
above and below the
elbow. What nursing
action should the nurse
implement?
An elderly male client Fowler's.
who is unresponsive
following a cerebral
vascular accident (CVA) is
receiving bolus enteral
feedings though a
gastrostomy tube. What is
the best client position for
administration of the bolus
tube feedings?