A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take?
Tell the nurses that this conversation is not appropriat
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A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take?
Tell the nurses that this conversation is not appropriate
A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take?
Ask the dietitian to recommend alternative food choices for the client
A nurse is collecting data from a client who requires bed rest and reports abdominal discomfort. The nurse notes abdominal distention. Which of the following conditions should the nurse identify as an adverse effect of bed rest?
Constipation
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?
The client has redness and warmth in his calf
A nurse is contributing to the plan of care for four clients. Four which of the following clients should the nurse initiate airborne precautions?
A client who has measles
A nurse is contributing to the plan of care for a client who is at risk for developing foot drop due to immobility. Which of the following actions should the nurse recommend to the include in the plan?
Support the client's feet with foot boots
A nurse is caring for a client who has dysphagia following a stroke. Which of the following interventions should the nurse use when feeding the client?
Instruct the client to tilt her head forward while eating
A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?
A client who has just experienced the death of his child
A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off her right leg. Which of the following is the proper crutch gait for the client?
Three-point
A nurse is caring for an older adult client and is concerned that the client may have a fecal impaction. Which of the following is the most important question for the nurse to ask?
Have you had small liquid stools?
A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the following findings should the nurse report to the provider?
A purple-colored stoma
A nurse is caring for a client who has been vomiting excessively and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Urine specific gravity 1.045
A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions should the nurse take to maintain the client's confidentiality while providing care?
Provide information to another nurse at change of shift
A nurse is preparing to obtain a client's vital signs. When washing her hands, which of the following actions should the nurse take?
Turn off the faucet with a clean paper towel after drying hands
A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the priority action for the nurse to take?
Measure the client's gastric residual before each feeding
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
Tighten your stomach muscles
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