1) A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques should the nurse use? ANS: Have the client stand with her arms at her side and ... her feet together. 2) A nurse is planning an deduction session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client? ANS: Allow extra time for the client to respond to questions 3) A nurse is teaching an older client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? ANS: Walking briskly 4) A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention? ANS: Erythema on pressure points 5) A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take? ANS: Gently shake the container of medication prior to administration. 6) A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? ANS: Check the client for injuries 7) A nurse is caring for a client who is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take? ANS: Reassure the client that this is an expected response to grief. 8) A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does that involve?" Which of the following responses should the nurse make? ANS: "You should have a fecal occult blood test every year." 9) A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take? ANS: Flush the tube with 15 mL of sterile water. 10) A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? ANS: Cleanse the wound from the center outward. 11) A nurse is providing care to four clients. Which of the following situations requires the nurse the complete an incident report? ANS: A client who has an IV infusion pump receives an additional 250 mL of IV fluid. [Show More]
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