A nurse is caring for a client who requests information bout
advance directives. Which of the following responses should
the nurse make? - ...ANSWER..."Advance directives are
written instructions regarding end-of-life care."
A nurse is contributing to the plan of care for a client who is
at risk of developing pressure ulcers. Which of the following
actions should the nurse include in the plan of care? -
...ANSWER...Place the client in a 30° lateral position.
A nurse is assisting with performing a non stress test for a
client who is at 39 weeks of gestation which of the
following instructions should the nurse reinforce with the
client? - ...ANSWER..."You should depress the button on
the handheld marker when you feel your baby move."
A nurse is reinforcing discharge teaching with a client
following cataract surgery. Which of the following
instructions should the nurse include in the teaching? -
...ANSWER...Sleep on the nonoperative side for 2 weeks.
A nurse manager is preparing to complete a performance
analysis for a group of assistive personnel. The manager
asks a staff nurse for feedback on each assistants abilities.
Which of the following actions should the staff nurse take? -
...ANSWER...Discuss how each AP's actions measure
against the job description.
A nurse is preparing to administer a medication to a client
when the client states " I'm sick of all there medication. I'm
not taking any more today!" Which of the following actions
should the nurse take? - ...ANSWER...Inform the client of
the possible consequences of the medication refusal.
a nurse is contributing to the plan of care for a client who is
on suicide precautions. Which of the following interventions
should the recommend? - ...ANSWER...Encourage the client
to sign a no-harm contract.
A nurse is reinforcing reaching for a preoperative client on
how to use an incentive spirometer. Which of the following
actions by the client indicates an understanding of the
teaching? - ...ANSWER...The client attempts to elevate the
cylinder by inhaling deeply.
A nurse at a long term care facility is part of a team
preparing a report on the quality of care at the facility.
Which of the following information should the nurse
recommend including in the report to demonstrate
improvement in care quality? - ...ANSWER...The facility
had 12% fewer urinary tract infections over the past 6
months.
A nurse is reviewing laboratory reports for a client who has
an Escherichia Coli infection and is receiving gentamicin.
Which of the following results should the nurse report to the
provider before administering the next dose? -
...ANSWER...Creatinine 2.5 mg/dL
A nurse working in a community clinic is caring for an
adolescent who has infectious mononucleosis. The client
asks the nurse to explain how the disease was acquired. The
nurse should explain that an individual acquires this disease
by which of the following. - ...ANSWER...Sharing eating
utensils with an infected person
A nurse is reinforcing teaching with a client who has
hypothyroidism and a prescription for levothyroxine. Which
of the following instructions should the nurse include in the
teaching? - ...ANSWER..."You will need to take the
medication for the rest of your life."
A nurse is collecting data from a postpartum client who had
a vaginal birth 2 days ago. Which of the following findings
is the nurse's priority to report to the provider? -
...ANSWER...Client reports during with urination.
A nurse is reinforcing reaching with a client about a planned
thoracentesis. Which of the following information should
the nurse include in the teaching? - ...ANSWER...You will
need to be monitored for 1 hour after the procedure."
A nurse is contributing to the plan of care for an older adult
client who has difficulty sleeping. Which of the following
interventions should the nurse include in the plan? -
...ANSWER...Establish a regular exercise routine 2 hr or
more before bedtime.
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