a nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit. which
of the following statements by the parent indicates an understanding of the teaching ? Ans- I will
use the cool mist va
...
a nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit. which
of the following statements by the parent indicates an understanding of the teaching ? Ans- I will
use the cool mist vaporizor in my baby's room
a nurse is reinforcing teaching with a client who has a new presciption for verapamil. which of
the following instructions should the nurse include in the teachings? Ans- change positions
slowly
a nurse recieves change of shift report for a group of clients. which of the following clients
should the nurse check first? Ans- a client admitted to the facility who has ascending Guillain
barrel syndrome
a nurse is caring for a client who has chlamydial infection and the new prescription for
doxycycline the client reports nausea and vomiting after starting medication. which of the
following recommendations should the nurse make? Ans- take the medications with crackers
a nurse is caring for a client who is postopperative following joint replacement and has a new
prescription for enoxaparin for which of the following adverse effects should the nurse monitor?
Ans- epistaxis
a nurse is collecting a health history from a parent of 4 year old child. which of the following
statements to be is the priority for the nurse to address? Ans- I have noticed that my child is
withdrawn since we switched day care providers
a nurse is caring for a client who has heart failure and is taking furosemide. which of the
following findings should the nurse recognize as an adverse effect of this medication? Anshypokalemia
a nurse is reinforcing teaching about home safety with a parent of a 12 month old infant. which
of the following statements by the parent indicates understanding of the teaching? Ans- I will
turn pot handles to the side of the stove while cooking
a nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian culture
which of the following communication techniques by the nurse demonstrates cultural sensitivity?
Ans- holding eye contact for brief instances
a nurse is checking for gastric residual volume(GRV) on a client who is scheduled to receive an
intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML on two
consecutive measurements. which of the following actions should the nurse take? Ans- hold the
feeding and recheck the GRV in 1 Hr
a nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the
following tasks should the nurse delegate to the AP? Ans- performing indwelling urinary
catheter care
a nurse is caring for a client who has terminal cancer which of the following actions should the
nurse take to promote the clients autonomy? Ans- be honest with the client about prognosis
a nurse finds client's partner crying in the hallway the partner states I just don't know how I am to
go on after my husband is gone. which of the following responses should the nurse make? Ansexplain to me more about how you are feeling
a nurse is caring for an adolescent client who has bulimia nervosa. which of the following action
should the nurse take? Ans- observe the client during and after meals
a nurse is checking a client who is postoperative and has a midline abdominal incision. the nurse
notes a separate of the incision. which of the following actions should the nurse take? Ans- place
the client supine with the knee flexed
a nurse is caring for a school age child who has ADHD and is taking methylphenidate. the nurse
should identify which of the following is the adverse effect of this medication? Ans- Tinnitus
a nurse is administering medication to a client. which of the following actions should the nurse
take? Ans- verify with another nurse when calculating a new dose of medication
a nurse is preparing to administer protamine to a client. which of the following therapeutic
effects should the nurse expect to document in the clients medical record? Ans- decreased
clotting time
a nurse is caring for a client in a mental health facility who is pacing back and fourth and
wringing his hands. which of the following actions should the nurse take? Ans- walk with the
client to the recreation room
a nurse is caring for a client who is 2 days postoperative following an above the knew
amputation. which of the following actions should the nurse take to promote progression toward
independence and mobility for the client? Ans- encourage the client to use the over the bed
trapeze
a nurse is at a pediatric clinic and is checking the vital signs of a 2 month old infant prior to
administrating immunizations. the nurse should recognize that a respiratory rate of 30/min
indicates which of the following findings? Ans- the reference rate is within the expected
reference range
a nurse in a clinic is collecting data from a client who had a vaginal birth 6 weeks ago. which of
the following findings should the nurse expect? Ans- report of lochia
a nurse is reinforcing discharged teaching with the family of a client who has dependent
personality disorder. which of the following instructions should the nurse include in the
teachings? Ans- assume responsibility for making the clients decision
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