Questions with 100% Correct Answers
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions
should the nurse include in the plan of care? - ✔✔The nurse should irrigate
the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an
assistive per sonnel recorder the client's temperature as 35.3 degrees
Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions
should the nurse take firsT? - ✔✔check the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse
see first? - ✔✔A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult
client who is overweight. Which of the following statements should the
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,nurse include in teaching? - ✔✔keep fat intake to no more that 30% of daily
caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia.
Which of the following findings should the nurse expect? - ✔✔difficulty
concentrating
A Nurse is collecting data from an older adult client who is 48 hr
postoperative following abdominal surgery. The provider writes a
prescription to advance the client to a re gular Diet. For which of the
following findings should the nurse notify the provider? - ✔✔The client has
absent bowel sounds
A parent brings her adolescent son to an urgent care center and states.
"He is high on something and needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The
nurse should suspect intoxication with which of the following substances? -
✔✔Methamphetamines
A nurse notices an assistive personnel taking a nap in the break room
during he meal t ime. The AP appears drowsy while performing routine
tasks. Which of the following a ctions should the nurse take? - ✔✔Report
the observations about the ap to the unit's nurse manager.
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,A nurse is reinforcing teaching with a client who has a fluid volume deficit
about selec ting foods that have a high water content. The nurse should
include that which of the following raw foods contains the highest amount of
water per 1 cup serving? - ✔✔cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The
nurse should assist the client into which of the following positions? -
✔✔lateral recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2
weeks ago. The client states "I really thought I'd be back to my usual
routines by now, but I can't think of anythingelse except my son is gone"
Which of the following responses should the nurse make? - ✔✔Grieving for
your son is hard work. It will take as much time as you need to come to
terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeks of gestation
and is in active labor. The nurse recognizes late deceleration on the fetal
monitor tracing. Whichof the following actions should the nurse take? -
✔✔Place the client in the lateral position.
A nurse manager is providing an in-
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, service on hand hygiene to assistive personnel. which of the following
information should the nurse manager include in the in-service? -
✔✔Remove rings when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a
newborn. Which of the following statements should the nurse include in the
instructions? - ✔✔Place your baby's crib away from heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's
identity? - ✔✔Scan the facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of
the following actions should the nurse perform first? - ✔✔check for a gag
reflex
While administering a medication to a client, a nurse notices a trayed
electrical cord connecting the client's continuous passive motion machine
to the electrical outlet. Which of the following actions should the nurse
take? - ✔✔Remove the device from the client's room.
A nurse is caring for a client who is 4 hr postoperative following a total
thyroidectomy. Which of the following manifestations should the nurse
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