COMP EXAM 2 NURS 420 1. A nurse is caring for the client who begins to exhibit seizure activity while in bed. Which of the following actions does the nurse implement to care for the client? Select ... all that apply. 2. 2.ID: 383727420 Which of the following infection-control measures would the nurse implement for a client in whom smallpox is diagnosed? Select all that apply. Awarded 0.0 points out of 1.0 possible points. 3. 3.ID: 383727418 A nurse is caring for a client in labor who is receiving an oxytocin (Pitocin) infusion. The nurse notes that the client is experiencing uterine hypertonicity. The nurse should immediately: . 4. 4.ID: 383806671 A physician prescribes morphine sulfate, gr 1/8 intramuscular stat, for a client with cancer. The medication ampule reads, "Morphine sulfate 10 mg/mL." How many milliliters of medication does the nurse prepare to administer the correct dose? Please enter the number only: Correct Correct Responses Conversion: Awarded 1.0 points out of 1.0 possible points. 5. 5.ID: 383727433 An emergency department nurse is caring for an older client who may have been physically abused by her caregiver. In planning care for the client, the nurse makes a priority of: . 6. 6.ID: 383727441 A nurse responds to an external disaster in a large city involving an explosion at a shopping mall. Numerous victims require treatment. Which victim will the nurse attend to first? Awarded 0.0 points out of 1.0 possible points. 7. 7.ID: 383727414 A nurse on the day shift receives the client assignment for the day. Which assigned client will the nurse assess first? Awarded 0.0 points out of 1.0 possible points. 8. 8.ID: 383727431 A nurse assesses the chest tube drainage system of a client who has undergone surgery and notes intermittent bubbling in the water seal chamber. One hour later, the nurse notes the presence of continuous bubbling in the chamber. On the basis of this finding, the nurse would first check: : Saunders. Awarded 1.0 points out of 1.0 possible points. 9. 9.ID: 383727404 A nurse on the day shift is assigned to care for four clients. Which client will the nurse assess first after receiving report from the night shift? References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues: Trends & management (4th ed., pp. 518, 519). St. Louis: Mosby. Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., pp. 220, 1397). St. Louis: Mosby. Awarded 1.0 points out of 1.0 possible points. 10. 10.ID: 383727435 As a nurse is providing care, the client suddenly experiences a tonic-clonic seizure. The nurse would immediately: Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 959). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points. 11. 11.ID: 383727416 A nurse is providing care to a client with a closed chest tube drainage system. When the nurse assists the client in turning onto his side, the chest tube is accidentally dislodged from the insertion site. The nurse must immediately: Content Area: Adult Health Reference: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed., p. 1624). St. Louis: Saunders. Awarded 1.0 points out of 1.0 possible points. 12. 12.ID: 383726895 A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to cough, and the nurse notes an audible wheeze. The nurse tries to remove the suction catheter from the client’s trachea but is unable to do so. After immediately disconnecting the suction source from the catheter, which intervention does the nurse implement next? question. Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Adult Health Reference: Perry, A., & Potter, P. (2010). Clinical nursing skills & techniques (7th ed., p. 681). St. Louis: Mosby. Awarded 1.0 points out of 1.0 possible points. 13. 13.ID: 383727408 A nurse stops at the scene of an automobile accident. One of the victims is sitting in the driver’s seat, complaining of severe muscle spasms in the neck area. The nurse must first: Integrated Process: Nursing Process/Implementation Content Area: Adult Health Reference: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed., p. 2199). St. Louis: Saunders. Awarded 1.0 points out of 1.0 possible points. 14. 14.ID: 383726889 A nurse is preparing client assignments for the day. Which assignments would be appropriate for a registered nurse who is pregnant? Select all that apply. Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Planning Content Area: Delegating/Prioritizing Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 420). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points. 15. 15.ID: 383727439 A female client is examined in the clinic, and gonorrhea is diagnosed. The nurse provides information to the client about the disease and tells the client that: Reference: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity nursing (8th ed., p. 74). St. Louis: Mosby. Awarded 0.0 points out of 1.0 possible points. 16. 16.ID: 383727437 A client with skeletal traction applied to the right leg complains to the nurse of severe pain in the leg. The nurse realigns the client’s position, but this intervention does not relieve the pain. Which action would the nurse take next? Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Adult Health Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 1190). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points. Page 2 of 4 Top of Form Bottom of Form [Show More]
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