FUNDAMENTALS KAPLAN INTERGRATED TEST

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A nurse is assisting client from a bed to a wheelchair. Which nursing action is appropriate? The nurse uses assistive devices when lifting more than 35 lb (16 kg) of client weight. A nurse is fil... ling out an incident report after an older adult client fell while attempting to transfer from her bed to a commode. Which health problem should the nurse consider when client falls occur? orthostatic hypotension The nurse is transferring the client from the bed to a wheelchair when the client reports dizziness. What is the next step for the nurse? Firmly grasp the gait belt and gently lower the client into bed. the nurse begin? A client is scheduled for thoracentesis. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client? "The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position." A client's primary care provider has informed the nurse that the client will require thoracentesis. The nurse should suspect that the client has developed which disorder of lung function? Pleural effusion An indwelling urinary catheter has been ordered for a client experiencing urinary retention after surgery. When the nurse enters the room to place the catheter, the client reports voiding in the bathroom. Which is the nurse's most appropriate action? Reassess whether the client still needs the urinary catheter. The health care provider has prescribed an indwelling catheter for a 48-year-old male client who is in traction with leg fractures. Which information will the nurse give the client when he states not wanting the indwelling catheter? "Let me talk to your health care provider about a condom catheter." The nurse is caring for an older adult with a recurrent wound infection. Which precautions will contact The nurse has admitted a client on airborne precautions onto the medical-surgical unit. When the client asks, "When will these airborne precautions be removed?" what is the appropriate nursing response? "When your sputum culture is negative." The nurse is caring for a client with tuberculosis. Which precautions will the nurse select for this client? airborne The nurse is caring for a pediatric client with whooping cough. Which precautions will the nurse begin? droplet The nurse is caring for an older adult with influenza. Which precautions will the nurse begin? droplet The physician tells the nurse that the elderly client has presbycusis. Which of the following interventions will the nurse place in the client's care plan? Decrease background noises, as much as possible, before speaking. the nurse is caring for Mr. Cantrell, a 69-year-old client. He has gradually lost much of the ability to hear in both ears due to working with loud machinery all of his working life. Which interventions will the nurse add to Mr. Cantrell's care plan in order to make him more comfortable with his hearing loss? Choose all that apply. Face the client; use meaningful g [Show More]

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