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Questions And Answers
The nurse is reviewing medical prescription for the newly admitted clients. It would be a PRIORITY for the nurse to flow up with the physician if a client with - The Answer Is a K level of 4.0 and has kayexalate prescribed The nurse should intervene if the nurse suspects a staff member - The Answer Is Obtain a client consent prior to receiving Ativan The community health nurse is caring for the following clients. It would be a priority for the nurse to initiate a multidisciplinary conference for the client who is - The Answer Is 17 years old, has DM type 1, unemployed, and recent A1C is 13% The Nurse from the postpartum unit has been temporarily assigned to a med surg floor. It would be most appropriate to assign the nurse to the client who - The Answer Is had surgery two hours ago, appendectomy The nurse in a well baby clinic has assigned several children today. It would be appropriate to suggest follow up for the child who is - The Answer Is 18 months old and needs support to ambulate
Questions And Answers
The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Directive is not documented in the medical record. It would be most appropriate to obtain consent for organ donation from the
The Answer Is Clients closest family member The nurse has received report on 4 clients, who should the nurse assess first - The Answer Is been admitted with Guillian Barre syndrome and has begun plasmapheresis therapy It would be appropriate to assign which of these task to the CNA - The Answer Is one - on - one client observation for safety The nurse should intervene is a staff member - The Answer Is discussing a client's DX with visiting family member The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse would be correct to include which of the following examples. - The Answer Is Putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch TV... Example of false imprisonment
Questions And Answers
The Answer Is The LPN dons clean gloves on the dominant hand before trach suctioning The nurse at a health promotion fair has taught a group of parents about car seat safety. Which of the following statement, if made by the parents, would indicate a correct understanding of the information given? - The Answer Is "I will place my newborn infant in a rear facing car seat in the middle of the rear seat." The nurse is caring for a client with VRE. The nurse should place the client on - The Answer Is Contact precaution The nurse should initiate protective precaution for a client who has - The Answer Is WBC 2500 mm The nurse has provided health teaching for a group of clients who recently DX with HIV. Which statement made by the clients will require further teaching - The Answer Is "I will miss not being able to work in my garden." The nurse in the ED is caring for clients admitted following a rescue from the burning bus. You would first
Questions And Answers
see the client - The Answer Is Who has soot on face and the nares and is coughing A nurse is observing a new hire nurse provide care for assigned clients. The nurse should intervene if the new hire nurse is observed - The Answer Is Cleansing the wound from the outer surface to the inner surface for the client how wound is infected with MRSA The nurse is caring for a client who has been DX with RA. The nurse should anticipate the PT to be prescribed - The Answer Is NSAID The nurse is assessing a 2 month old. The nurse should anticipate the infant should - The Answer Is smile socially The nurse is teaching a class on infant nutrition. The nurse should instruct the parents to introduce - The Answer Is Pureed chicken at 7 months The nurse is caring for a 7 year old with thrombocytopenia and is on protective precaution. Which
Questions And Answers
The nurse is teaching a group of parents about the expected growth and development of 3 year old children. The nurse should include that a 3 year old should - The Answer Is play in a group of 2-3 with one being the leader The Nurse and the nurse assistant are caring for a group of clients. Which of the following client care activity should the nurse assign to the nursing assistant - The Answer Is Placing a AKA patient 24 hours post op in prone position Assisting a client who had a colon resection 36 hours ago to ambulate The nurse is caring for a client with AIDS who started Zidovidine ATZ. It would be important to assess - The Answer Is CBC The nurse is preforming a ABD assessment. Put in order the correct sequence of assessment - The Answer Is Inspection, auscultation, palpation, percussion The nurse has become aware of the following client situations. The nurse should first assess the client who - The Answer Is Had an ABD hysterectomy yesterday and is reporting calf pain
Questions And Answers
Nursing considerations when admin heparin - The Answer Is ADMIN in ABD, do not massage, protamine sulfate is antidote The nurse has attended a staff development conference on cultural consideration for clients receiving hospice care. Which of the following statement id made by the nurse would require follow up - The Answer Is The family of a client of the Hindu faith may request that the client body be bathed after the clients death The nurse is caring for a client with bipolar disorder who has lithium prescribe. The nurse should suggest that the client have which of the following snacks - The Answer Is Tuna fish on saltine crackers (sodium) The nurse has provided discharge instructions for a client who has been prescribed digoxin. It would require follow up by the nurse if the client says. - The Answer Is "I will avoid avocados, grapefruit and cantaloupe." The nurse is caring for a client who has bumetanide (Bumex) prescribed. The nurse should suggest that the
Questions And Answers
The nurse is assessing a 5 month old. what is an expected finding - The Answer Is roll from ABD to back The home health care nurse is assigned to see four clients who all live within three miles of each other. The nurse should first see the client - The Answer Is who has cancer of the esophagus and given away his favorite shirt A student nurse is admin Maalox. The nurse should intervene if the student plans to admin the antacid - The Answer Is at the same time as Iron he nurse in the ED is assessing a toddler who has swallowed bleach, The toddler is crying. It would be a priority if the patient parents says - The Answer Is "I gave my toddler a tablespoon of Ipecac syrup." Reason for high pressure alarm on a ventilator - The Answer Is Increase bronchial secretions kink in tubing acute bronchospasms tubing is disconnected
Questions And Answers
The nurse is caring for a client who has a new colostomy. The colostomy stoma is red moist and raised. The nurse should - The Answer Is Document as normal finding The nurse is attending a staff development conference on medical treatment for various neurologic disorders. Which of the following statement would require follow up - The Answer Is "Clients with MS often receive immunoglobulin G (IVIG)." The nurse has attended a staff development conference on Meniere's disease. Which of the following statements, if made by the nurse would require a follow up - The Answer Is "Assistive listening devices are required for these clients." The nurse is admitting a client to the ED who is reporting progressive visual impairment and loss of peripheral vision. These symptoms are consistent with the medical DX of - The Answer Is Close angel glaucoma The nurse is caring for a client who has left ventricular failure. Which of the following should the nurse recognize
Questions And Answers
over idea body weight. The client has had several DX blood test prescribed. It would be a priority for the nurse to review the result for an elevated - The Answer Is fasting blood glucose The nurse at a health clinic is screening male clients to testicular cancer. It would be priority for the nurse to teach self exams for what age group - The Answer Is 17- The nurse is caring for a 72 year old client who was recently DX with breast cancer. The client is expressing feelings of depression and is asking the nurse, "Why me." According to Erikson, which developmental stage is the client experiencing - The Answer Is Ego integrity VS despair The nurse is caring for several clients who have been prescribed diuretics. The nurse should teach about increasing the consumption of citrus fruit and bananas to the client taking - The Answer Is Torsemide (demedex) The nurse in a health clinic is reviewing prescriptions medications with several clients. It would be a priority for the nurse to follow up with the client who states -
Questions And Answers
The Answer Is " I crush my verapamil (calan sr) to make it easier to swallow The nurse is developing a plan of care for a client DX with fibromyalgia. Which nursing DX should the nurse include - The Answer Is Sleep pattern disturbance The nurse in the community health setting is assessing the following clients. It would be a priority for the nurse to utilize a multidisciplinary approach for the client who is - The Answer Is 21 years old, pregnant, unemployed, and has active TB The nurse is working in the labor and delivery room has become aware of the following situations. The nurse should first assess the client who is - The Answer Is In the first phase of labor, FHR is consistently beating 132 BPM The nurse is caring for a postpartum clients who had vaginal deliveries with in the last eight hours. The nurse should first assess the client who - The Answer Is Reports swelling in her right calf The nurse has become aware of the following client situations. It would be priority for the nurse to follow up if
Questions And Answers
if a client - The Answer Is Is being transported to have a MRI test and has an attach pulse oximeter The nurse is reviewing lab data of the following clients. It would be a priority for the nurse follow up with the primary health care provider if a client with - The Answer Is DM 1 and A1C level of 12% The nurse working on a maternity unit has become aware of the following client situation. It would be priority for the nurse to intervene if a client states - The Answer Is "I cannot breast feed because my nipples are cracked and sore." The charge nurse of a med-surg floor notice a nurse walking with an unsteady gait, slurred speech and a faint smell of alcohol on the breath immediately following a lunch break, The charge nurse priority action would be to
The Answer Is relieve the nurse of assigned clients The staff member of an out patient clinic have successfully assisted the clients to safety during a fire in the waiting area. What would be the next plan of action - The Answer Is Call for additional help
Questions And Answers
While performing an assessment of a 3 year old client, the nurse notes bruises in various stages of healing on the concealed surfaces of the body. What action should the nurse take next - The Answer Is Contact the local reporting agency for suspected child abuse The nurse in the ED is admitting a client who is hallucinating and reports "insects crawling on skin." The client pulse is 124, RR is 10, the nurse notes muscle twitching in the lower extremities. It would be a priority to determine if the client has - The Answer Is recently ingested cocaine The nurse is developing a care plan for a client who is the manic phase of bipolar disorder. Which intervention should the nurse include in the plan of care - The Answer Is Provide the client with finger foods The PCP has prescribed Elavil - Amitriptyline 150 mg daily for a client with major depression. Name some nursing considerations - The Answer Is admin meds with meals instruct the client that medication may cause dry mouth medications may cause photosensitivity
Questions And Answers
The nurse is developing a teaching plan for a client with pulmonary TB who has been prescribed Rifampin, Isoniazid INH, pyrazinamide Tebrazid, and ethambutol Myambutol. The nurse should include in the teaching plan that - The Answer Is The combination of drugs prescribed is necessary to decrease the risk of drug resistance The nurse is caring for a client with VRE wound infection. Which of the following actions would be appropriate for the nurse to take - The Answer Is wear a disposable gown and glove when changing clients dressing The nurse is assessing a child with coarctation of the aorta, which would be an assessment finding - The Answer Is absence of femoral pulse Then nurse has attended a staff development conference on vitamins and minerals. Which of the following statements if made by the nurse would require follow up - The Answer Is Vitamin B6 supplements are given to help prevent macular degeneration A nurse is caring for a 2 month old infant being evaluated for congenital hypothyroidism, The nurse should recognize which of the following findings and being
Questions And Answers
consistent finding of congenital hypothyroidism - The Answer Is The infant sleeps for 6 hours at a time The nurse has attended a staff development conference on a STD. Which of the following statements, if made would require nurse to follow up - The Answer Is Chlamydia infection are strongly linked with cervical cancer The infection control nurse is making rounds on a Med - Surg unit. The infection control nurse should intervene if they observe - The Answer Is Wearing a disposable surgical face mask when entering the room of a client with active pulmonary TB
