1.A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse plan to include in the plan? (Select all That Apply)
A.Lock beds and wheelchairs when n
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1.A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse plan to include in the plan? (Select all That Apply)
A.Lock beds and wheelchairs when not providing care
B.Administer a sedative at bedtime
C.Provide information about home safety checks D. Teach balance and strengthening exercises
E. Place the bedside table within the clients reach
2.A nurse is providing teaching to a client who has schizophrenia about thioridazine. Which of the following instructions should the nurse include in the teaching?
A.Report any sign of infection to the provider immediately
B.Expect your blood pressure to increase
C.Easy bruising may occur while taking this medication
D.Muscle rigidity is an expected adverse effect during the first few days of therapy
3.A nurse is teaching a client who has a new prescription for amoxicillin clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?
A.I will double my dose if I miss one
B.I should take this medication on an empty stomach between meals
C.I will take medication until my sore throat goes away D. I will stop taking this medication if I develop itching
4.A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?
A.A client who has pneumonia a WBC count of 11,500/mm3 and is prescribed piperacillin
B.A client who is post coronary artery bypass graft (CABG) has total cholesterol of 318mg/dl and is prescribed atorvastatin
C.A client who has anemia hemoglobin of 11g/dl and is prescribed epoetin alfa
D.A client who has renal failure, a serum potassium of 5.8/mEq/L and is prescribed sodium polystyrene sulfonate
5.A nurse caring for a client who is vomiting. Which of the following actions should the nurse take first?
A.Administer an antiemetic to the client
B.Notify housekeeping
C.Prevent the client from aspirating
D.Providing the client with an emesis basin
6.A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?
A.Rice
B.Barley
C.Wheat
D.Rye
7.A nurse is caring for a client who is postoperative and has a prescription stockings. which of the following actions should the nurse take?
A.Check the stockings for wrinkles
B.Apply the stockings while the client is sitting in a chair
C.Measure the size of the client’s foot
D.Remove the stockings once each day
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