R: The nurse provides care for clients in the outpatient pediatric clinic. It is most
important for the nurse to perform tuberculosis screening on which client?
Give this one a try later!
A CLIENT WITH A LIVE-IN CAREGIVER WHO JUST EMIGRATED FROM
LATIN AMERICA
*** clients traveling to endemic areas or who have prolonged, close
contact with indigenous persons from endemic regions should undergo
immediate skin testing
- tb is endemis to asia, middle east, africa, and latin america, and caribbean
countries, not europe.
R: a primipara client in labor was admitted to the labor area 2 hrs ago. The cervix is
now 5 cm dilated and 100% effaced, and the fetal head is at -1 station. The membranes
rupture, the fluid is clear, and fetal heart rate is normal. Which action does the nurse
take first?
, Give this one a try later!
ENCOURAGES THE CLIENT TO VOID EVERY 1-2 HOURS AND TAKES THE
TEMPERATURE EVERY HOUR
*** voiding facilitates descent of presenting part. Taking the temperature is
necessary because of ruptured membranes.
Y: The nurse conducts rounds to assess several post-surgical clients. Which
assessment finding requires the nurse to discontinue the IV catheter? SATA
Give this one a try later!
- redness and tenderness along the path of the vein
- cool skin and swelling at or above the IV site
- blister on the IV csite in a client recieving IV promethazine
- pain and warmth around the IV insertion site
*** not for an elevated temperature. You would call the HCP but it may not
be related to the IV catheter.
Y: The nurse assesses the self-care ability of an older client who lives alone. Which
client statement suggest that the client's self-care ability may be compromised? SATA
Give this one a try later!
- I cant bend my arms very well
- i wear slippers and dont bother with socks
- i wish i had a shower at home instead of a bathtub ( suggests the client
has difficulty getting in and out of the bathtub)
- sometimes during dressing, I need to sit down and rest
important for the nurse to perform tuberculosis screening on which client?
Give this one a try later!
A CLIENT WITH A LIVE-IN CAREGIVER WHO JUST EMIGRATED FROM
LATIN AMERICA
*** clients traveling to endemic areas or who have prolonged, close
contact with indigenous persons from endemic regions should undergo
immediate skin testing
- tb is endemis to asia, middle east, africa, and latin america, and caribbean
countries, not europe.
R: a primipara client in labor was admitted to the labor area 2 hrs ago. The cervix is
now 5 cm dilated and 100% effaced, and the fetal head is at -1 station. The membranes
rupture, the fluid is clear, and fetal heart rate is normal. Which action does the nurse
take first?
, Give this one a try later!
ENCOURAGES THE CLIENT TO VOID EVERY 1-2 HOURS AND TAKES THE
TEMPERATURE EVERY HOUR
*** voiding facilitates descent of presenting part. Taking the temperature is
necessary because of ruptured membranes.
Y: The nurse conducts rounds to assess several post-surgical clients. Which
assessment finding requires the nurse to discontinue the IV catheter? SATA
Give this one a try later!
- redness and tenderness along the path of the vein
- cool skin and swelling at or above the IV site
- blister on the IV csite in a client recieving IV promethazine
- pain and warmth around the IV insertion site
*** not for an elevated temperature. You would call the HCP but it may not
be related to the IV catheter.
Y: The nurse assesses the self-care ability of an older client who lives alone. Which
client statement suggest that the client's self-care ability may be compromised? SATA
Give this one a try later!
- I cant bend my arms very well
- i wear slippers and dont bother with socks
- i wish i had a shower at home instead of a bathtub ( suggests the client
has difficulty getting in and out of the bathtub)
- sometimes during dressing, I need to sit down and rest
