1. The nurse knows that which statement by the mother indicates that
the mother understands safety precautions with her four month-old
infant and her 4 year-old child?
2. Upon completing the admission documents, the n
...
1. The nurse knows that which statement by the mother indicates that
the mother understands safety precautions with her four month-old
infant and her 4 year-old child?
2. Upon completing the admission documents, the nurse learns that
the 87 year-old client does not have an advance directive. What action
should the nurse take?
3. A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after the immunization was given, the client
complains of itchy and watery eyes, increased anxiety, and difficulty
breathing. The nurse expects that the first action in the sequence of
care for this client will be to
7. An adult client is found to be unresponsive on morning rounds. After checking
for responsiveness and calling for help, the next action that should be taken by
the nurse is to:
8. A client has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been infused after 4 hours. What is the priority
nursing action?
9. Following change-of-shift report on an orthopedic unit, which client should the
nurse see first?
4. Which of these children at the site of a disaster at a child day care
center would the triage nurse put in the "treat last" category? 10. A nurse observes a family member administer a rectal suppository by having
the client lie on the left side for the administration. The family member pushed
the suppository until the finger went up to the second knuckle. After 10 minutes
the client was told by the family member to turn to the right side and the client
did this. What is the appropriate comment for the nurse to make?
5. When admitting a client to an acute care facility, an identification
bracelet is sent up with the admission form. In the event these do not
match, the nurse’s best action is to
6. The nurse is having difficulty reading the health care provider's
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