Terms in this set (110)
"Wash your hands when you return home from running
errands."
The nurse should instruct clients that handwashing is one way
to avoid organisms that can cause pneumonia. Handwashing
after using the restroom or being in public areas can minimize
A community health nurse is the risk of developing pneumonia.
teaching a group of older adult
clients about interventions to
prevent pneumonia. Which of
the following instructions
should the nurse include in the
teaching?
"Obtain a pneumococcal
vaccination every 2 years."
"Contact your provider if you
have a fever that lasts 18
hours."
"Wash your hands when you
return home from running
errands."
"Avoid exposure to cold air by
shopping inside enclosed
, "Let's talk about a few ways you have dealt with stress in the
past."
This statement by the nurse combines two therapeutic
responses, active listening and focusing. Used together, these
techniques facilitate communication by letting the parent
know one's feelings are heard and taken seriously, which
A hospice nurse is caring for a conveys acceptance and respect. Therefore, the parent feels
preschooler who has a the nurse validates the concerns and becomes comfortable
terminal illness. One of the asking the nurse sensitive questions about the child.
child's parents tells the nurse
that it is too difficult to cope
any longer and has decided to
move out of the house. Which
of the following responses
should the nurse make?
"Let's talk about a few ways
you have dealt with stress in
the past."
"I believe that you will regret
that decision. Your family
needs your support."
"I agree that you have to do
what is best for your well-
being at this time."
"I think you should try to put
your feelings aside and focus
, The nurse should first call 911 and examine the amputation
site. Next, the nurse should apply direct pressure with layers
of dry cloth to slow or stop the bleeding. Then, the nurse
should elevate the affected extremity above the client's heart
A nurse has arrived at the site to slow the bleeding. Next, the nurse should find the toe and
of an accident where a client wrap it in sterile gauze or a clean cloth to decrease
has sustained a traumatic contamination for possible surgical reattachment. Finally, the
amputation of the big toe. nurse should place the wrapped toe in a bag and place the bag
Identify the sequence of steps in 1 part ice and 3 parts water to maintain tissue integrity for
the nurse should take to treat possible reattachment.
the musculoskeletal trauma.
(Move the steps into the box
on the right, placing them in
the order of performance. Use
all the steps.)
, Vomiting
The nurse should identify that heat exhaustion is usually the
result of excess sweating, leading to dehydration.
A nurse in an emergency Manifestations include nausea, vomiting, headache, dizziness,
department is assessing a fainting, and a temperature typically between 38.3º C and
client who has hyperthermia. 38.9º C (101º F and 102º F).
Which of the following
findings should the nurse
identify as an indication that
the client has heat exhaustion?
Hallucinations
Vomiting
Bradycardia
Seizures
"Wash your hands when you return home from running
errands."
The nurse should instruct clients that handwashing is one way
to avoid organisms that can cause pneumonia. Handwashing
after using the restroom or being in public areas can minimize
A community health nurse is the risk of developing pneumonia.
teaching a group of older adult
clients about interventions to
prevent pneumonia. Which of
the following instructions
should the nurse include in the
teaching?
"Obtain a pneumococcal
vaccination every 2 years."
"Contact your provider if you
have a fever that lasts 18
hours."
"Wash your hands when you
return home from running
errands."
"Avoid exposure to cold air by
shopping inside enclosed
, "Let's talk about a few ways you have dealt with stress in the
past."
This statement by the nurse combines two therapeutic
responses, active listening and focusing. Used together, these
techniques facilitate communication by letting the parent
know one's feelings are heard and taken seriously, which
A hospice nurse is caring for a conveys acceptance and respect. Therefore, the parent feels
preschooler who has a the nurse validates the concerns and becomes comfortable
terminal illness. One of the asking the nurse sensitive questions about the child.
child's parents tells the nurse
that it is too difficult to cope
any longer and has decided to
move out of the house. Which
of the following responses
should the nurse make?
"Let's talk about a few ways
you have dealt with stress in
the past."
"I believe that you will regret
that decision. Your family
needs your support."
"I agree that you have to do
what is best for your well-
being at this time."
"I think you should try to put
your feelings aside and focus
, The nurse should first call 911 and examine the amputation
site. Next, the nurse should apply direct pressure with layers
of dry cloth to slow or stop the bleeding. Then, the nurse
should elevate the affected extremity above the client's heart
A nurse has arrived at the site to slow the bleeding. Next, the nurse should find the toe and
of an accident where a client wrap it in sterile gauze or a clean cloth to decrease
has sustained a traumatic contamination for possible surgical reattachment. Finally, the
amputation of the big toe. nurse should place the wrapped toe in a bag and place the bag
Identify the sequence of steps in 1 part ice and 3 parts water to maintain tissue integrity for
the nurse should take to treat possible reattachment.
the musculoskeletal trauma.
(Move the steps into the box
on the right, placing them in
the order of performance. Use
all the steps.)
, Vomiting
The nurse should identify that heat exhaustion is usually the
result of excess sweating, leading to dehydration.
A nurse in an emergency Manifestations include nausea, vomiting, headache, dizziness,
department is assessing a fainting, and a temperature typically between 38.3º C and
client who has hyperthermia. 38.9º C (101º F and 102º F).
Which of the following
findings should the nurse
identify as an indication that
the client has heat exhaustion?
Hallucinations
Vomiting
Bradycardia
Seizures
