TI PN COMPREHENSIVE PREDICTOR RETAKE GUIDE (150 Q & A) 1. A client begins treatment with phenytoin (Dilantin). Which following should the nurse reinforce as a measure to help minimize possible adverse effects of this medication? A. Performing da

TI PN COMPREHENSIVE PREDICTOR RETAKE GUIDE (150 Q & A) 1. A client begins treatment with phenytoin (Dilantin). Which following should the nurse reinforce as a measure to help minimize possible adverse effects of this medication? A. Performing daily gum massage 2. A nurse who is facilitating a support group notices that one client in the group is extremely talkative, to the point where others in the group have difficulty sharing their own ideas. Which of the ff. strategies should the nurse use to facilitate the group process with this client? A. Speak privately to the client about this behavior. 3. The partner of a client who died from leukemia tells a nurse, “It’s so unfair that God took him from me. I just can’t live without him.”. Which of the following actions by the nurse is the priority? A. Ask the client she has had suicidal thoughts. 4. A nurse is preparing to remove a client’s peripheral IV catheter. Which of the following actions should the nurse plan to take? A. Maintain the catheter parallel to the vein when withdrawing the catheter. 5. A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for nystatin (Mycostatin) for oral candidiasis. Which of the following should the nurse include in the teaching? A. Instill the medication 1 hr. after feeding. 6. A nurse is reinforcing teaching about an IV urography (IVP) with the parent of a 3yr. old child. Which of the ff. statements indicates the parent understands the teaching? A. My child will need to have a soapsuds enema before this procedure. 7. A nurse is reinforcing teaching with the parent of a school-age child who has nephrotic syndrome with peripheral edema. Which of the ff. statements by the parent indicates understanding of the teaching? A. I will provide a low-sodium diet for my child. 8. A nurse is caring for a client who is on complete bed rest and is unable to change positon in bed without assistance. The nurse delegates the task of repositioning the client every 2 hr. to an assistive personnel(AP). Which of the ff. is an appropriate method to ensure that the AP has performed the task correctly? A. Check that the client is in a new position every 2hr. 9. A newly hired nurse discovers that some medication doses provided on a client’s medication record have not been updated since yesterday. Coworkers admit that new changes in the medication orders have not been processed yet, but they advise the nurse to administer the new prescriptions anyway. The nurse should notify which of the ff.? A. The nurse manager. 10. A registered nurse and a licensed practice nurse (LPN) on a medical–surgical unit are collaborating to provide care for a group of clients. The LPN should recognize that which of the ff. tasks are not within the LPN scope of practice? A. Develop a plan of care for a client who requires bladder training. 11. Which of the ff. should a nurse recognize as indicative of a positive client response to systematic desensitization for treatment of a phobia? A. The client remains relaxed when thinking of the phobia. 12. A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive personnel(AP). The nurse should instruct the AP that which of the ff. should be used to clean up a blood spill?   Chlorine bleach solution. 13. nurse is caring for a client who is 3 days postoperative ff. a transurethral resection of the prostate and has an indwelling urinary catheter. Which of the ff. findings should the nurse expect? A. Yellow urine with red sediment. 14. A nurse is preparing to administer cephalexin (Keflex) to a client when he states, “ I just remembered that I have an allergy to penicillin. “Which of the ff. actions should the nurse take? A. Call the provider who prescribed the medication. 15. A nurse is observing a newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the ff. solutions to clean the inner cannula? A. Hydrogen peroxide.