8. a nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every
...
8. a nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are aggressive
11. A nurse in a provider’s office is reviewing the laboratory results
of a group of clients. The nurse should identify that which of the
following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
17. A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the following manifestations should the nurse
expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
19. A charge nurse is teaching a newly licensed nurse about clients
designating a health care proxy in situations that require a durable
power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
A. “The proxy should make health care decisions for the client
regardless of the client’s
ability to do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under
anesthesia.”
D. “The proxy should manage legal issues for the client.”
21. A nurse is caring for a client who has a history of depression and
is experiencing a situational crisis. Which of the following actions
should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
29. A nurse is caring for a client who has end-stage kidney disease.
The client’s adult child asks the nurse about becoming a living
kidney donor for her father. Which of the following condition in the
child’s medical history should the nurse identify as a contraindication
to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients.
The nurse should recommend a referral to a dietitian
A. A client who
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