,1. A nurse coworker is called into work from home to help care for an influx
of clients being admitted after a bus accident. While assisting the coworker
prepare for incoming clients, the nurse becomes concerned that the coworker
may be under the influence of an impairing substance. Which action by the
nurse is best?
1.
Ask another coworker to observe the individual to confirm the suspicion
2.
Confront the coworker about the concern and offer emotional support
3.
Speak with the nursing supervisor about the concern
4.
Telephone the appropriate regulatory agency and make a report ANS>> 3.
2. A nurse is administering a rituximab infusion to a client with lymphoma in
an oncology clinic. Which client symptom would be a priority to report to the
health care provider?
1.
Dizziness and sudden diarrhea
2.
,Nausea and onset of vomiting
3.
New-onset tachypnea and dyspnea
4.
Temperature of 101 F (38.3 C) ANS>> 3.
3. The student nurse plans postmortem care for an Orthodox Jewish client
hospitalized for the last week with heart failure who did not sign consents
for any postmortem actions. Which statement by the student would require
further education by the supervising nurse?
1.
"I will allow the family to remain with the client at all times."
2.
, "I will call the next of kin before providing any postmortem care."
3.
"I will prepare the client for transfer to the morgue for autopsy."
4.
"I will provide a sheet to be placed over the client's face." ANS>> 3.
4. The nurse is caring for a client with chronic pancreatitis. Which meal should
the nurse recommend when assisting the client in selecting food items from a
menu?
1.
Baked tilapia with lemon wedge, sweet potatoes, and green peas
2.
Cream of potato soup and roast beef sandwich on a croissant
3.
Sautéed salmon, macaroni and cheese, string beans, and a biscuit
4.
Shrimp enchiladas with tomato salsa, rice, cornbread, and refried beans ANS>>
1.