1. A nurse is planning care for a client who is receiving heparin to treat a L leg DVT. Nursing intervention?
a. elevate the leg
2. A nurse is teaching about child safety measures. What statement indicates understandin
...
1. A nurse is planning care for a client who is receiving heparin to treat a L leg DVT. Nursing intervention?
a. elevate the leg
2. A nurse is teaching about child safety measures. What statement indicates understanding?
a. avoid sun exposure 10am-2pm
3. A home health nurse is teaching about infection prevention to a cancer pt on chemo. Which statement
indicates understanding?
a. "I'll walk short distances throughout the day"- reduces pulmonary stasis, prevents resp. infections
b. NOTE: liquids at room temp >1-hr increase risk of infection, toothbrush cleaned at least 1x a
week in dishwasher, temperature taken once a day
4. A nurse is providing dietary teaching to the parents of a 6mo old. What education should the nurse give?
a. introduce new foods over 5-7 days
b. NOTE: infant size portion: 1 TBSP per year of age
5. A charge nurse is planning care for a client in mechanical restraints. What interventions?
a. provide a staff member to stay with the client continuously
b. NOTE: check physical needs q15-30 min and document findings, renew RX every 4h for patient
18>, a staff member must be able to view patient at all times (in room or video)
6. A community health nurse is assisting with the development of a disaster management plan. What
nursing responsibility should be included in the disaster response stage?
a. perform a rapid needs assessment
7. A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following
requires manager intervention?
a. tells the hospital chaplain a client's diagnosis
8. A nurse is caring for a client that is in labor at 39 weeks gestation. During the second stage of labor, the
nurse observes early decelerations on the monitor. What action should the nurse take?
a. Continue observing the fetal heart rate-Early decelerations indicate the progression of labor and
are an expected finding
b. NOTE: The nurse should prepare for an emergency cesarean birth if the monitor indicates late or
variable decelerations despite interventions
10. A nurse manager is planning to make changes to the current scheduling system on the unit. To facilitate
staff acceptance, what should the nurse manager do first?
a. provide information about scheduling issues to staff
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