1. The nurse is teaching a class of unlicensed assistive personnel (UAP), about turning and repositioning clients in a long-term care setting. Which client requires extreme caution and is at greatest risk for a skin tear
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1. The nurse is teaching a class of unlicensed assistive personnel (UAP), about turning and repositioning clients in a long-term care setting. Which client requires extreme caution and is at greatest risk for a skin tear?
a. An 85-year old client with breathing problems receiving daily doses of prednisone
2. A nurse who is applying eyedrops to a client holds pressure against the corner of the eye nearest the nose after instilling the drops. The client asks what the nurse is doing. What response
a. This prevents systemic absorption
3. A nurse is caring for a client with the meningitis. Which laboratory values would the nurse monitor to identify potential complications of the disorder? Select all that apply
a. Clotting factors
b. Sodium Levels
4. Assessment findings reveal that a client admitted to the hospital has a contact type 1 hypersensitivity (immediate) to latex. Which preventive nursing intervention is best in planning care for this client?
a. Communicate the need for avoidance therapy to the health care team
5. Which finding indicate that a patient may have hypovolemia (select all that apply)
a. Increased Bounding pulse
b. Elevated blood pressure
c. Skin pale and cool touch
6. Which findings indicate that the patient may have hypervolemia? Select all that apply
a. Increased, bounding pulse
b. Jugular venous distention
c. Presence of crackles
d. Elevated blood pressure
7. student nur se is learning about blood transfusion compatibilities. What information does this include? Select all that apply
CONTINUED........
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