PN Fundamentals Exam B - Questions and Answers 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 qu... estion for the nurse to ask? Have you had small liquid stools? 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 include in the plan? Support the client's feet with foot boots 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 caring for an older adult client who has advanced rheumatoid arthritis but seldom requests pain medication. Which of the following actions should the nurse take? Observe the client for nonverbal indications of pain A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents an ethical dilemma? Please don't tell my doctor, but i am taking my partner's oxycodone A nurse is documenting client care in a client's electronic health record. Which of the following statements should the nurse include in the documentation? The client became short of breath when ambulating 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 mean 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 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 reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching? I will place a gel pad directly above your pubic area before I place the probe A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching? Removing and inverting a lid before placing it onto a nonsterile surface 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 caring for a client who is receiving chemotherapy and has stomatitis. Which of the following actions should the nurse take to reduce the client's discomfort? Use 0.9% sodium chloride solution to rinse the client's mouth. A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify her religious preferences? Do you consume pork products? 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 A nurse is preparing to administer a medication to a preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weigh? 13.6 A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take? Remove the staple from the skin after both sides are visible A nurse is planning to administer medication to a client who has a Clostridium difficile infection. To prevent the transmission of this infection to others, which of the following actions should the nurse plan to take? Remove the cover gown in the client's room after providing care A nurse is administering an intramuscular (IM) injection to an adult client. Which of the following actions should the nurse take? Identify the landmarks for the ventrogluteal site before cleaning the skin A nurse is caring for a client who has chronic pain. The nurse recommends that the client concentrate on a memory of a pleasurable experience. Which of the following complementary therapies is the nurse suggesting? Guided imagery [Show More]
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