William Rainey Harper College
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What can be delegated to Assistive personnel (AP)? 
A nurse on a med surge unit has recieved change of shift report 
and will care for 4 clients. Which of the following clients needs will 
the nurse assign to an AP? 
A. Feeding a client who was admitted 24 hours ago with aspiration 
pneumonia 
B. Reinforcing teaching with a client who is learning to walk with 
a quad cane 
C. Reapplying a condom catheter for a client who has urinary 
incontinence 
D. Applying a sterile dressing to a pressure ulc...
A nurse On the pediatric unit is assisting with 
the plan of care for a preschooler who will 
have a surgical procedure in the morning. 
The child has been crying despite his 
parents presence at his bedside. The nurse 
should recommend engaging the child in 
therapeutic play for the care plan because it 
offers which of the following benefits? 
Allows the child to manipulate toy medical equipment 
A nurse is collecting data from a school age 
child who has celiac disease. Which of the 
followin...
A nurse is caring for a client 
who had abdominal surgery 24 
hr ago. Which of the following 
actions is the nurse's priority? 
Assist with deep breathing and coughing 
A nurse is talking with a client "I told my doctor that I would like to start a support 
who has stage IV breast group for other women who are sick in my 
cancer. The nurse should community" 
recognize which of the 
following statements by the 
client as a constructive use of a 
defense mechanism? 
A nurse is caring for a clie...
a nurse is caring for a client who had an abdominal surgery 24 hours ago. Which of the following actions is the nurse's priority? 
 
 
 
 
 
Assist with deep breathing and coughing 
 
A nurse is conducting group therapy with clients who have breast "I told my doctor that I would like to start a support group for other 
 
cancer. The nurse should recognize which of the following statements by a client as an example of altruism? 
A nurse is caring for a client who has immunosuppression and a ...
1.	Describe the actions and important nursing actions for the medications below: 
 
Thiazide Diuretics 
To treat high blood pressure and reduce fluid retention, by reducing the ability of kidneys to reabsorb salt & water from urine & by increasing production & output of urine 
•	Should not be used in people with renal impairment 
•	Pts with diabetes may have increased blood sugar 
Nurses should be checking HR & BP & Potassium levels because of all the potassium being wasted/spared 
 
 
“-l...
The large intestine is impacted by the illness known as irritable bowel syndrome (IBS). It is an idiopathic disease that results from environmental and/or genetic factors. There are two types of IBS which are Crohn’s Disease which is a terminal ileum with colon patchy involvement throughout all layers of the bowel from mouth to rectum. Can have skip lesions. 
Ulcerative Colitis is the second one which occurs in the colon and rectum. Constipation, diarrhea, bloating, gas, and cramps are some of...
1.	What labs and levels tell you that someone has Hypothyroidism? Hyperthyroidism? TSH labs, T3, T4 with both hypo and hyperthyroidism 
TSH: 0.4-4.2 
T4: 4.6-12 
T3: low is less than 70mg/dL 
 
 
2.	Describe the symptoms of hypothyroidism. Describe what labs you might see and describe why. Which symptoms may you need to call the healthcare provider for? 
Hypothyroidism: everything is low. Cold, slow heart rate, fatigue, lethargic, constipation, dry skin, anorexia, LOW, weight loss, edema around ...
1.	Describe the actions and important nursing actions for the medications below: Thiazide Diuretics (Hydrochlorothiazide, Chlorothiazide, Metolazone) 
Actions: Keeps chloride, sodium, and water in the tubule to be excreted in the urine, thus preventing reabsorption in the vascular system. 
 
Side effects: electrolyte imbalances (sodium/potassium), Hyperglycemia (monitor DM patients blood sugar), Hyperuricemia (monitor uric acid levels for patients with kidney stones or gout), Hyperlipidemia (mon...
A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? 
 
a)	Tell me about your siblings 
b)	Tell me what kind of music you like 
c)	Tell me how often do you drink alcohol 
d)	Tell me about your school schedule 
A nurse is observing bonding to the client her newborn. Which of following actions by the client requir...
A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? 
A.	Feeding a client who was admitted 24 hours ago with aspiration pneumonia 
B.	Reinforcing teaching with a client who is learning to walk with a quad cane 
C.	Reapplying a condom catheter for a client who has urinary incontinence 
D.	Applying a sterile dressing to a pressure ulcer 
A nurse is delegating the ambulation of a client who ...