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1. Complete the following sentence 1 review medications that might be causing
confusion
The nurse should first ________________ fol- 2 using nother methods to keep the client safe
lowed by ______________
2. A nurse is evaluating teaching for a client I know to call my doctor if I gain 3 Ora more
who has heart failure. Which of the fol- pound in two days
lowing 3 statements by the client indi-
cates an understanding of the teaching? I am eating fewer potato chips and more fruit
for snacks
I am limiting my sodium
3. Click to highlight the assessment find- Urinary output
ings below that the nurse should report Reported pain level
to the provider. Vital signs
4. After reviewing the assessment findings, Administer analgesic prior to planned activi-
which of the following actions should the ties
nurse plan to take? Select 3 actions.
Assist client to dangle their legs at bedside
prior to standing
Delegate the application of sequential com-
pression devices to assistive personnel
5. The nurse is providing teaching for the Eat probiotic foods, such as yogurt
client who has diarrhea. Select the 4 in-
structions that the nurse should include Avoid alcohol while experiencing diarrhea
in the teaching.
Avoid caffeine while experiencing diarrhea
Follow a low fiber diet
, NGN: Practice A
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6. A nurse is caring for a client who is refus- Withhold the blood transfusion.
ing a blood transfusion for religious rea-
sons. The clients partner wants the client
to have the blood transfusion. Which of
the following actions should the nurse
take?
7. A nurse is assessing a client who received Distended neck veins
an IV fluid bolts for dehydration. Which of
the following findings should the nurse Indications of fluid volume excess include dis-
identify as an indication of fluid volume tended neck veins, edema, tachycardia, crack-
excess? les in the lungs, dyspnea, a bounding pulse,
and an increase in blood pressure.
8. A nurse is planning care for an adoles- Allow the adolescent to make decisions re-
cent who is postoperative following a garding their daily routine
lumbar laminectomy. Which of the fol-
lowing interventions should the nurse in-
clude in the plan of care?
9. A nurse in a surgical suite notes docu- Wrap monitoring cords with stockinette and
mentation on a client's medical record taped them in place
that he has a latex allergy. In preparation
for the client's procedure, which of the
following precautions should the nurse
take?
10. A nurse is preparing to delegate client Ambulating a client who is postoperative
care tasks to an assistive personnel (AP).
Which of the following tasks should the
nurse delegate?
11. Notify the nurse manager