NURSING 202 KAPLAN QUESTION TRAINER 6

NURSING 202 KAPLAN QUESTION TRAINER 6.The nurse returns to the nurse's station after making client rounds and finds four phone messages. Which message should the nurse return FIRST? 2.A client with a cast on the right ...

NURSING 202 KAPLAN QUESTION TRAINER 6.The nurse returns to the nurse's station after making client rounds and finds four phone messages. Which message should the nurse return FIRST? 2.A client with a cast on the right leg who states, "I have a funny feeling in my right leg." Following total hip arthroplasty, an elderly client is ordered to begin ambulation with a walker. Which statement by the nurse is correct? 2."Make sure rubber caps are in place on all four legs of the walker." 4."Have someone help you tie your shoes before you begin ambulating." 6."Always wear non skid footwear when you walk." The OB client comes to the hospital at term in the early stages of labor. A diagnosis of complete placenta previa is made. It is MOST important for the nurse to take which action? 2.Prepare the client for an immediate cesarean section. The RN cares for the 4-year-old diagnosed with epiglottitis. Which observation indicates to the nurse that the child is experiencing an early complication of hypoxemia? Select all that apply. 1.Heart rate of 148 beats per minute (bpm). 4.Throwing toys and kicking the bed. 6.Nasal flaring with activity. Strategy: Determine how each answer choice relates to EARLY hypoxemia. The nurse stabilizes the client with severe multiple trauma injuries from a motor vehicle accident. Which action does the nurse take next? 2.Arranges for clergy to visit with the client and family as requested. The nursing assistive personnel comes to take the client by wheelchair for a magnetic resonance imaging (MRI) scan of the head and neck. Which observation, if made by the nurse, requires an intervention? 3.The client has a nitroglycerine patch on the right chest area. The neonatal nurse instructs the family of a newborn about an apnea monitor. The nurse is MOST concerned if a family member makes which statement? 4."A family member will closely watch the monitor all the time. (4) correct—indicates a feeling that monitor may not let them know if their infant stops breathing The client has a cast applied for a fracture of the right femur. Three hours later, the client reports feelings of heat and pain under the cast. Which is the MOST appropriate action for the nurse to take? 2.Check the circulation in the casted extremity and change the client's position. The client is admitted to the hospital with dry mucous membranes and decreased skin turgor. The client's vital signs are BP 120/70, temperature 101°F (38.3°C), pulse 88, respirations 14. Laboratory tests indicate the serum sodium is 150 mEq/L and the Hct is 48%. The nurse expects the health care provider to order which IV fluids? 2.0.45% NaCl. Which plan is most appropriate for the nurse to use to prepare a 10-year-old for a cardiac catheterization? 3.Draw a picture of a heart and explain where the tube will go and what the health care provider will see. The nurse cares for the client reporting moderate pain. Which nursing action is MOST important to provide the client with effective pain relief? 2.Establish a trusting relationship with the client. KAPLAN QUESTION TRAINER 6 A client diagnosed with a necrotizing spider bite is to perform dressing changes at home. The nurse determines which statement, if made by the client, indicates a correct understanding of aseptic technique? 2."I should wash my hands before redressing my wound." 3."I should keep the wound covered at all times." 4."I should only use whatever my health care provider orders for the dressing change." 5."I should make sure someone looks at my wound every dressing change." 6."I will throw the dressing away in the kitchen garbage wrapped in my glove." An adult client is admitted to an acute locked psychiatric unit one month prior to an election. The client requests the opportunity to vote in the upcoming election. Which response by the nurse is best? 2."I'll make the appropriate arrangements for you to vote." The nurse administers sublingual nitroglycerin to the client reporting chest pain. Which observation is MOST important for the nurse to report to the next shift? 2.Blood pressure has decreased from 140/80 to 90/60. One of the goals the nurse and a client diagnosed with posttraumatic stress disorder (PTSD) mutually agreed upon is that the client will increase participation in out-of-the apartment activities. Which recommendation, if made by the nurse, is MOST therapeutic to achieve this goal? 3.Join a support group, and participate in a victim assistance organization. The client is scheduled for a traditional abdominal cholecystectomy. Which statement, if made by the nurse to the client the night before surgery, is MOST important? 2."Place the pillow against your abdomen, take three deep breaths, hold your breath, and then cough two or three times." The mother of a 4-year-old boy comes to the prenatal clinic to confirm her second pregnancy. During the initial visit, it is MOST important for the nurse to take which action? 4.Identify the client's general health needs. The nurse prepares the client for a skin biopsy. Which client statement should the nurse report to the health care provider? 1."I've been taking aspirin for my sore knees." 5. "I have changed my mind about having this done." The nurse cares for the client diagnosed with a perforated bowel secondary to a bowel obstruction. At the time the diagnosis is made, which should be the priority in the nursing care plan? 3.Prepare the client for emergency surgery. The health care provider writes an order for piperacillin 3 g IV q6h for the adult client. Before administering this drug, the nurse should take which action appropriate to this medication? 1.Check for known allergies to medications. 2.Obtain specimen for culture and sensitivity 4.Obtain client's current creatinine clearance results. The mother brings her 17-month-old son to the well-baby clinic for a routine checkup. She confides to the nurse that she is concerned because her son sucks his thumb, especially at night when he is put to bed. Which suggestion by the nurse BEST? 2."Don't intervene at this time. This behavior usually subsides after 24 months of age."