A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood press
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A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels.
auscultate lung sounds
A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficile infection. Which of the following information should the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting.
have family members wear a gown and gloves when visiting
a nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. which of the following pieces of information is the priority for the nurse to provide?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results
breath sounds
A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-answer meetings
D) Practice sessions
practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the following recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep
maintain a consistent time to wake up each day
a nurse is admitting a client who has rubella. which of the following types of transmission-based precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment
droplet
a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower
I will be sure to remove my hearing aid before taking a shower
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