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A nurse is providing teaching to a client who has come to the family planning clinic requesting an IUD.
Which of the following information should the nurse provide the client? - CORRECT ANSWER- "Your risk
for ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and persistent otitis media. When obtaining the
child's history from her parent, which of the following questions should the nurse ask? - CORRECT
ANSWER- "Does anyone smoke around or in the same house as your child?"
A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid
therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of
the following information should the nurse provide the parent? - CORRECT ANSWER- Oral
glucocorticoids are hazardous during times of stress.
A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the
nurse if he should continue to take St. John's wort for depression. Which of the following instructions
should the nurse give the client? - CORRECT ANSWER- Stop taking the herbal supplement while taking
the medications.
A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following
assessments is the nurses priority? - CORRECT ANSWER- Pulmonary function
A nurse is teaching a client how to use an albuterol metered dose inhaler. After removing the cap from
the inhaler and shaking the canister, identify the sequence of instructions the nurse should give the
client. - CORRECT ANSWER- 1. Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
,5. Depress the medication canister I'll taking a slow deep breath to facilitate delivery of the medication
through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the following
laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which of the
following findings is the priority for the nurse to report to the provider? - CORRECT ANSWER-
Hyperkalemia
A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the
following data should the nurse use as a common example of a suggestive finding? - CORRECT ANSWER-
Arm cast for a spiral fracture of the forearm
Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. The
nurse has limited experience with children. Which of the following actions should the nurse manager
take? - CORRECT ANSWER- Assign a unit nurse to act as a resource for the medical-surgical nurse.
A nurse is assisting with developing a plan of care for a client who has GERD. The nurses should suggest
monitoring the client for which of the following complications? - CORRECT ANSWER- Aspiration
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections
during pregnancy. Which of the following responses should the nurse make? - CORRECT ANSWER- "The
hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more
common."
A community health nurse is preforming client triage while participating in a disaster drill. The nurse
should recommend that which of the following clients receives treatment first? - CORRECT ANSWER-
Hemothorax
A nurse is reinforcing teaching with the school-age child has just had a fiberglass cast application follow
a lower extremity fracture. Which of the following instructions should the nurse reinforced with the
child and his parents about care during the first 48 hours? - CORRECT ANSWER- Keep the cast above the
level of your heart
, A nurse is collecting data from a toddler who has aids. The nurse should identify which of the following
findings as an indication infection? - CORRECT ANSWER- Candidiasis
A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which of the following
findings should indicate to the nurse that the AAA is expanding? - CORRECT ANSWER- Report of sudden
severe back pain
A nurse is reinforcing discharge teaching to a client who does not speak the same language as the nurse.
The clients neighbor, who speaks to the clients native language and the nurses, arrives to drive the client
home. Which of the following actions should the nurse take? - CORRECT ANSWER- Obtain the services
of an interpreter
A nurse is caring for a client who is receiving IV ampicillin and develops urticaria and dyspnea. Which of
the following actions should the nurse take first? - CORRECT ANSWER- Stop the medication infusion.
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical
procedure in the morning. The child has been crying despite his parents presence at his bedside. The
nurse should recommend engaging the child in therapeutic play for the care plan because it offers which
of the following benefits? - CORRECT ANSWER- Allows the child to manipulate toy medical equipment
A nurse on a mental health unit is caring for a client who has depression. Which of the following actions
should the nurse take to foster a therapeutic environment for this client? - CORRECT ANSWER- Build
trust with the client by sitting quietly with him
A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse
should identify that an increase in which of the following parameters is an early indication of
agranulocytosis? - CORRECT ANSWER- Temperature
A nurse is assisting with the plan of care for a client who is post operative following a hip arthroplasty. In
the clients medical record, the nurse notes a history of COPD. Which of the following oxygen delivery
method should the nurse recommend to use this client? - CORRECT ANSWER- A nasal cannula
A nurse is caring for a client who has dehydration hypovolemic shock. Which of the following laboratory
values should the nurse expect for this client? - CORRECT ANSWER- Hematocrit 55%