The nurse should assess the client with _______________ activity first. This client is at increased risk for
injury, aspiration, and airway obstruction.
#71941465 (10) Correct Answer: seizure
The nurse is admitting
...
The nurse should assess the client with _______________ activity first. This client is at increased risk for
injury, aspiration, and airway obstruction.
#71941465 (10) Correct Answer: seizure
The nurse is admitting a client with heart failure related fluid overload. Which ACTION should the nurse
complete "FIRST"? #71941465 (11)
1. Administer oxygen
2. Assess the client's breath sounds
3. Initiate cardiac monitoring
4. Insert a peripheral IV catheter. Correct Answer: 2
A young adult with obesity comes to the free clinic for a 2 week post antibiotic follow-up visit for a
superficial abdominal skin abscess. The client has a history of major depressive disorder and was
hospitalized twice in the past 6 months for ATTEMPTED SUICIDE. The client now reports
feeling"EMOTIONALLY UPSET, alone and a the end of my rope." due to difficulty finding a job and
inability to qualify for medical insurance. The client is currently prescribed fluoxetine but has not been
able to follow up with the prescribing health care provider (HCP). What is the "PRIORITY" nursing
diagnosis (ND) at this time? #71941465 (12)
1. Hopelessness
2. Ineffective coping
3. Risk for infection
4. Risk for suicide Correct Answer: 4
The nurse at the radiological imaging center is admitting a client for an MRI of the right knee. Which
information obtained by the nurse should be reported IMMEDIATELY to the prescribing health care
provider? #71941465 (13)
1. The client ate a full breakfast that morning
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