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Terms in this set (154)
A nurse is assisting with The nurse should irrigate the bladder using
the plan of care for a strict sterile technique and maintain closed
client following a catheter drainage system to minimize the rick of
transurethral resection infection.
of the prostate. Which
of the following
interventions should
the nurse include in the
plan of care?
A nurse is reviewing a check the clients temp
client's electronic
medical record and
finds that an assistive
per sonnel recorder
the client's
temperature as 35.3
degrees Celsius (95.5
degrees F) 2 hrs
earlier. Which of the
following actions
should the nurse take
firsT?
,A nurse is receiving A client whose urinary output was 100mL for the
change-of- past 12 hrs
shift report for four
clients. Which of the
following clients
should the nurse see
first?
A nurse in reinforcing keep fat intake to no more that 30% of daily
teaching about weight caloric intake.
loss with a female
older adult client who
is overweight. Which of
the following
statements should the
nurse include in
teaching?
A nurse is collecting difficulty concentrating
data from a client who
has iron deficiency
anemia. Which of the
following findings
should the nurse
expect?
A Nurse is collecting The client has absent bowel sounds
data from an older
adult client who is 48
hr postoperative
following abdominal
surgery. The provider
writes a prescription to
advance the client to a
re gular Diet. For which
of the following
findings should the
nurse notify the
provider?
, A parent brings her Methamphetamines
adolescent son to an
urgent care center and
states. "He is high on
something and needs
help" The client is
exhibiting agitation and
paranoia and reports
visual hallucinations.
The nurse should
suspect intoxication
with which of the
following substances?
A nurse notices an Report the observations about the ap to the
assistive personnel unit's nurse manager.
taking a nap in the
break room during he
meal t ime. The AP
appears drowsy while
performing routine
tasks. Which of the
following a ctions
should the nurse take?
A nurse is reinforcing cherry tomatoes
teaching with a client
who has a fluid volume
deficit about selec ting
foods that have a high
water content. The
nurse should include
that which of the
following raw foods
contains the highest
amount of water per 1
cup serving?