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Answers|Verified
An infant is admitted and diagnosed with pneumonia and suspicious-looking red marks
on the swollen face resembling a handprint. The nurse does further assessment to the
client. How would the nurse document the finding? - ✔️Facial edema, with red marks;
crackles in the lung

The pediatrics unit is understaffed and the nurse manager informs the nurses in the
obstetrics unit that she is going to assign one nurse to float in the pediatric units. Which
statement by the designated float nurse may put her job at risk? - ✔️"I have a vacation
day coming and would like to take that now"

A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The
nurse prepared the consent form and it should be signed by: - ✔️The 15-year-old
mother of the baby boy

The nurse on the night shift is about to administer medication to a preschooler client
and notes that the child has no ID bracelet. The best way for the nurse to identify the
client is to ask: - ✔️Another staff nurse to identify this child

A male client comes to the clinic for check-up. In doing a physical assessment, the
nurse should report to the physician the most common symptom of gonorrhea, which is:
- ✔️pus in the urine

A registered nurse has been assigned to six clients on the 12-hour shift. The RN is
responsible for every aspect of care such as formulating the care of plan, intervention
and evaluating the care during her shift. At the end of her shift, the RN will pass this
same task to the next RN in charge. This nursing care illustrates of what kind of
method? - ✔️case method

An experienced nurse who voluntarily trained a less experienced nurse with the
intention of enhancing the skills and knowledge and promoting professional
advancement to the nurse is called a: - ✔️mentor

A community health nurse is schedule to do home visit. She visits to an elderly person
living alone. Which of the following observation would be a concern? - ✔️Clear and
shiny floors

While in the hospital lobby, the RN overhears the three staff discussing the health
condition of her client. What would be the appropriate nursing action for the RN to take?
- ✔️Tell them it is not appropriate to discuss the condition of the client

A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign
the nurse in the obstetrics unit to the pediatrics unit. Which of the following patients

, could the nurse manager safely assign to the float nurse? - ✔️A child who has had a
nephrectomy for Wilm's tumor

The registered nurse is planning to delegate task to a certified nursing assistant. Which
of the following clients should not be assigned to a CAN? - ✔️A client diagnosed with
diabetes and who has an infected toe

A 17-year-old married client is scheduled for surgery. The nurse taking care of the client
realizes that consent has not been signed after preoperative medications were given.
What should the nurse do? - ✔️Call the surgeon

A mother in labor told the nurse that she was expecting that her baby has no chance to
survive and expects that the baby will be born dead. The mother accepts the fate of the
baby and informs the nurse that when the baby is born and requires resuscitation, the
mother refuses any treatment to her baby and expresses hostility toward the nurse
while the pediatric team is taking care of the baby. The nurse is legally obligated to: -
✔️Record the statement of the mother, notify the pediatric team, and observe carefully
for signs of impaired bonding and neglect as a reasonable suspicion of child abuse

The registered nurse is planning to delegate tasks to unlicensed assistive personnel
(UAP). Which of the following task could the registered nurse safely assigned to a UAP?
- ✔️Give an outmeal bath to an infant with eczema

Which of the following would be the most important goal in the nursing care of an infant
client with eczema? - ✔️preventing infection

The nurse is making a discharge instruction to a client receiving chemotherapy. The
client is at risk for bone marrow depression. The nurse gives instructions to the client
about how to prevent infection at home. Which of the following health teaching would be
included? - ✔️Do frequent hand washing and maintain good hygiene"

A client admitted to the hospital and diagnosed with Addison's disease. What would be
the appropriate nursing action to the client? - ✔️reducing physical and emotional stress

A 80-year-old female client is brought to the emergency department by her caregiver,
on the nurse's assessment; the following are the manifestations of the client: anorexia,
cachexia and multiple bruises. What would be the best nursing intervention? -
✔️complete a gastrointestinal and neurological assessment

A 70-year-old client with suspected tuberculosis is brought to the geriatric care facilities.
An intradermal tuberculosis test is schedule to be done. The client asks the nurse what
is the purpose of the test. Which of the following would be the best rationale for this? -
✔️increased incidence of new cases of tuberculosis in persons over 65 years old
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