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Terms in this set (173)
A nurse in an emergency C
department completes an
assessment on an
adolescent client that has
conduct disorder. The
client threatened suicide
to the teacher. Which if the
following statements
should the nurse include
in the assessment?
a. Tell me about your
siblings
b. tell me what kind of
music you like
c. tell me how often you
drink
d. tell me about your
school schedule
,A nurse is observing d.
bonding with the client
and her newborn. Which
of the following actions by
the client requires the
nurse to intervene?
a. holding the newborn in
an enface position
b. asking the father to
change the newborns
diaper
c. requesting the nurse
take the newborn to the
nursey so she can rest
d. viewing the newborns
actions to be
uncooperative
The nurse is caring for a A
client who is taking
levothyroxine. Which of
the following findings
should indicate that the
medication is effective?
a. weight loss
b. decreased BP
c. absence of seizures
d. decrease inflammation
,A nurse is planning C
discharge teaching for
cord care for the parent of
a newborn. Which
instructions would you
include in the teaching?
a. Contact provider if the
cord turns black
b. clean the base of the
cord with hydrogen
peroxide daily
c. keep the cord dry until it
falls off
d. the cord stump will fall
off in 5 days
A nurse is assessing a B
client in the PACU. Which
of the following findings
indicates decreased
cardiac output?
a. shivering
b. oliguria
c. bradypnea
d. constricted pupils
, A nurse is assisting with C
mass casualty triage
explosion at a local
factory. Which of the
following client should the
nurse identify as the
priority?
a. client with massive head
trauma
b. client with full thickness
burns
c. client with indications of
hypovolemic shock
d. client with open
fracture
A nurse is receiving 4 C
patients. Which of the
following clients should
the nurse assess first?
a. a client who has ileal
conduit and mucus in the
pouch
b. client AV has additional
vibration palpated
c. client who has chronic
kidney disease with cloudy
dialysate outflow
d. a client with TURP has
red tinged urine in bag