,A nurse is providing care to four D) A client who has an IV infusion pump receives an
clients. Which of the following additional 250 mL of IV fluid.
situations requires the nurse to
complete an incident report?
A) A nurse tied a client's restraint
straps to the moveable part of the
bed frame.
B) An assistive personnel placed a
surgical mask on a client who has
tuberculosis before transporting her
to radiology.
C) A nurse administers a medication
to a client 30 min before the dose is
due.
D) A client who has an IV infusion
pump receives an additional 250 mL
of IV fluid.
A nurse is caring for a client who is D) Reassure the client that this is an expected
expressing anger over his diagnosis response to grief.
of colorectal cancer. Which of the
following actions should the nurse
take?
A) Discuss the risk factors for colon
cancer.
B) Focus teaching on what the client
will need to do in the future to
manage his illness.
C) Provide the client with written
information about the phases of loss
and grief.
D) Reassure the client that this is an
expected response to grief.
, A nurse is preparing to administer D) Flush the tube with 15 mL of sterile water.
multiple medications to a client who
has an enteral feeding tube. Which of
the following actions should the
nurse plan to take?
A) Dissolve each medication in 5 mL
of sterile water.
B) Draw up medications together in
the syringe.
C) Push the syringe plunger gently
when feeling resistance.
D) Flush the tube with 15 mL of sterile
water.
A nurse is lifting a bedside cabinet to D) Stand close to the cabinet when lifting it.
move it closer to a client who is
sitting in a chair. To prevent self-
injury, which of the following actions
should the nurse take when lifting
this object?
A) Bend at the waist.
B) Keep his feet close together.
C) Use his back muscles for lifting.
D) Stand close to the cabinet when
lifting it.
clients. Which of the following additional 250 mL of IV fluid.
situations requires the nurse to
complete an incident report?
A) A nurse tied a client's restraint
straps to the moveable part of the
bed frame.
B) An assistive personnel placed a
surgical mask on a client who has
tuberculosis before transporting her
to radiology.
C) A nurse administers a medication
to a client 30 min before the dose is
due.
D) A client who has an IV infusion
pump receives an additional 250 mL
of IV fluid.
A nurse is caring for a client who is D) Reassure the client that this is an expected
expressing anger over his diagnosis response to grief.
of colorectal cancer. Which of the
following actions should the nurse
take?
A) Discuss the risk factors for colon
cancer.
B) Focus teaching on what the client
will need to do in the future to
manage his illness.
C) Provide the client with written
information about the phases of loss
and grief.
D) Reassure the client that this is an
expected response to grief.
, A nurse is preparing to administer D) Flush the tube with 15 mL of sterile water.
multiple medications to a client who
has an enteral feeding tube. Which of
the following actions should the
nurse plan to take?
A) Dissolve each medication in 5 mL
of sterile water.
B) Draw up medications together in
the syringe.
C) Push the syringe plunger gently
when feeling resistance.
D) Flush the tube with 15 mL of sterile
water.
A nurse is lifting a bedside cabinet to D) Stand close to the cabinet when lifting it.
move it closer to a client who is
sitting in a chair. To prevent self-
injury, which of the following actions
should the nurse take when lifting
this object?
A) Bend at the waist.
B) Keep his feet close together.
C) Use his back muscles for lifting.
D) Stand close to the cabinet when
lifting it.
