And Answers
A nurse is reinforcing teaching with a female client about contraception.
Which of the following statements by the client indicates an understanding of the
teaching?
My partner will use condoms with spermicides
A nurse is caring for a client who has bipolar disorder. The client yells at the nurse
whenever medication changes are prescribed by the client's provider.
The nurse should identify that the client is using which of the following defense
mechanisms?
displacement
A nurse is providing care to a client who is immunocompromised.
Which of the following should the nurse identify as a possible source of infection?
Soiled linens are placed on the floor
A nurse is caring for a client who has peptic ulcer disease and is scheduled to undergo an
esophagogastroduodenoscopy.
,Which of the following actions should the nurse take prior to the procedure?
ensure that the client gave informed consent
A nurse is assisting in the care of a client. Nurses' Notes 2000:
Client presents to emergency department and states, "I have been assaulted." Client was
immediately placed in a treatment room.
(Select all that apply)
-Request a consult for case management
-Maintain a safe and private environment for the client
-Administer sexually transmitted infection prophylaxis
-Provide resources for local support services
A nurse is contributing to the plan of care for a client who has leukemia and is experiencing
chronic fatigue.
Which of the following interventions should the nurse plan to include?
Increase protein in the diet.
A nurse is collecting data from a client who has placenta previa. Which of the following
findings should the nurse expect?
Bright red vaginal bleeding
, A nurse on a pediatric unit is caring for a toddler who has poor dietary intake.
Which of the following actions should the nurse take first?
Obtain the child's dietary history
A nurse is reinforcing teaching with a client who is postpartum about the measles, mumps,
andrubella (MMR) vaccine.
Which of the following instructions should the nurse include in theteaching?
Avoid pregnancy for at least 28 days after receiving the vaccine.
A nurse is preparing to perform a wet-to-dry dressing change for a client who has an
infected abdominal wound.
Which of the following techniques should the nurse use when performing this dressing
change?
Clean the wound from center to outer edges
A nurse is assisting with the care of a client. Laboratory Results
1100:
(Select 4)
-Provide the client with written information about advance directives