C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room. - ANSWERS---a
A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative d.Providing postmortem
care to a client - ANSWERS---d
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his
NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C.Allow room for two fingers to fit between the clients skin and the restraints
d. remove the restraints every 4 hours - ANSWERS---c
A nurse is admitting a client who has tuberculosis. Which of the following types of
transmission precautions should the nurse plan to initiate?
A. Droplet
B. Airbornes
c. protective environment
d. contact - ANSWERS---b
A nurse in a well-child clinic receives a telephone call from a parent who states that their
child accidentally swallowed paint thinner. The child is awake and alert. Which of the
following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - ANSWERS---a
A Nurse on a medical-surgical unit is providing care for four clients. The nurse should
identify which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses to
take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will not pay
for his medications.
A nurse is documenting a client's medical record. Which of the following entries should
the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - ANSWERS---b
A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?
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