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Terms in this set (100)
,A nurse is caring for Administer a beta-blocking medication to
a client who is 2 the client.
days postoperative (The nurse should administer a beta-
following an above- blocking medication to the client. This
the-knee classification of medication has been
amputation. The shown to relieve the phantom limb pain
client states he is manifestations of constant dull and
experiencing a dull, burning type pain.)
burning pain in the
leg that was
amputated. Which
of the following
actions should the
nurse take to treat
the client's
neuropathic pain?
A newly licensed "The state board of nursing can provide
nurse asks a charge this information"
nurse where to find (each state develops a nurse practice act,
information about which defines scope of practice for nurses
scope of practice in that state. This practice act is available
for registered on the board of nursing website for each
nurses. Which of the state.)
following responses
should the charge
nurse make?
,A nurse is planning Perform hand hygiene before touching
care to prevent a the IV tubing.
catheter-related (The nurse should perform thorough hand
bloodstream hygiene before touching any part of the
infection for a client infusion system or the client to reduce the
who is receiving IV risk of catheter-related blood stream
fluid therapy. Which infections.)
of the following
interventions should
the nurse include in
the plan?
A nurse is creating a Offer the client a glass of water every two
plan of care for a hour when repositioning.
client who is non- (The nurse should offer the client a glass
ambulatory and has of water every two hours on the clients
bladder and bowel repositioning schedule. This helps prevent
incontinence. Which dehydration, which increases the risk of
of the following skin breakdown.)
interventions should
the nurse include to
prevent skin
breakdown?
, A nurse is teaching "I should expect to feel a firm ridge along
a young adult the bottom curve of each breast."
female client about (The nurse should instruct the client at a
health screening for firm ridge is expected along the bottom
breast cancer. curve of each breast. The client should be
Which of the able to feel this area during the BSE.
following Performing a BSE promotes breast self
statements by the awareness so that the client knows how
client indicates an her breast normally feel. The awareness
understanding of increases the clients ability to identify
breast self- changes that require further evaluation.)
examination (BSE)?
A nurse is caring for Inform the parent that anger is a natural
an adolescent who response when dealing with loss.
is in critical (The nurse should identify that the parent
condition following is in the anger stage of grief. The nurse
a motor vehicle should assist the parent to understand that
crash which he was anger is a natural response to loss and
the passenger. The encourage her to talk about her feelings.)
clients parent shout
at the nurse, asking
why her son is dying
instead of the
driver. Which of the
following actions
should the nurse
take to provide
emotional support
to the parent?