A nurse, an emergency department complete an assessment on an adolescent client that has
conduct disorder. The client threaten suicide to a teacher at school which of the following
statements should the nurse include in the assessment. - Tell me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions by the
client requires the nurse to intervene - Viewing the newborn's actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding should
indicate that the medication was effective - Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - Keep the cord dry until it falls off (cord should
be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased
cardiac output - oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the following
client. Should the nurse identify as a priority. - A client with indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse assess
first - A client who is chronic kidney disease with cloudy, diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate
nursing intervention. - Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The
nurse is reviewing the monitor tracing in notes early decelerations, which of the following should
the nurse expect - Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of
the following laboratory values as an indication of hemodialysis. - Glomerular filtration rate of
14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - Heat the skin one minute prior to
placing the program
A nurse in a mental health facility receives a change of shift report on four clients which of the
following client. Should the nurse plan to assess first. - Client placed in restraints to the
aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is an
, appropriate description of the use of hypnosis during labor - Hypnosis promotes increase control
of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation? - I think that people just you're just lazy and should earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide
monotitrate which of the following should the nurse identify as a contraindication to medication -
glaucoma
16 - No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the
following intervention should the nurse include in the point of care - Obtain a cardiac
rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the provider -
WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action. Should
the nurse include in the plan of care - Place a daily calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - Client who has gastroenteritis and his
lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to treat
constipation which of the following statements by the nurse is appropriate - Drink hot water with
lemon juice each morning when you wake up
22 - No question
A nurse is caring for a client who is preparing his advance directives, which of the following
statements by the client indicates an understanding of advance directives SATA - I have the right
to refuse treatment
My health care proxy can make medical decisions for me
A nurse is caring for a client who is 32 weeks gestation and has a history of cardiac disease
which of the following positions to the nurse place the client to best promote optimal, cardiac
output - Left lateral
A nurse is caring for a group of clients which of the following client. Should the nurse assigned
to an AP. - Client who had a cerebral vascular accident two days ago, and needs help toileting