1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?
2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR
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1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?
2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8
3. A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina
4. infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider
5. Assessing a newborn heart rate follow actions the nurse should take
6. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool
7. Dietary teaching for a new prescription of phenelzine
8. Nurse administers incorrect dose of medication. Which facts related to incident report should the nurse document in the client's medical record?
9. Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first?
10. Community health nurse providing teaching on home safety for older adults
11. School age child with scald burns on both hands and wrists suspected abuse
12. Client who has acute blood loss following trauma refuses potentially life saving
13. Discussing common prenatal discomfort 20 weeks gestational
14. Discharge instructions to client to received home oxygen therapy
15. Preparing an educational session about advocacy to a group of nurses
16. Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and decreased urinary output
17. Child with sickle cell anemia and is having a vaso-occlusive crisis
18. Client teaching about the basal body temp method for birth control
19. Caring for a client who is unconscious and requires emergency medical procedures.
20. Client who has fluid volume overload. Which tasks can nurse delegate to UAP
21. Checking for Chvostek's sign
22. Reviewing urinalysis report of client with acute glomerulonephritis expected
23. Newly admitted child. Which of the following actions should the nurse include in the
24. Client with cancer deciding between two treatment plans
25. Caring for a client receiving hemodalysis with AV fistula
26. Oncology unit nurse is administering doxorubicin to breast cancer patient
27. Hospice nurse consulting about receiving home services
28. Client with major depressive disorder has signed informed consetn for ECT. Discharge instructions about newborn care to a client 2 days postpartum
29. Assigning task roles for group of clients in community mental health clinic. Which should be assigned to group functioning the orienter
30. Nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster
31. Developing a client education program about osteoporosis for older adult clients
32. Charge is providing educational session about infection control for a group of staff on isolation precautions
33. Preparing to assist with a thoracentesis for a client who has pleurisy
34. Caring for a school age child taking valporic acid. Diagnostic tests
35. Inpatient mental health unit is monitoring a visit between client with aggressive behavior and the client's partner
36. Home health nurse evaluating a school age child with cystic fibrosis initiates a
37. Planning care for a client with left sided weakness following a stroke
Support the client's left arm on a pillow while sitting
38. Caring for a child with a fever and fluid filled vesicles on trunk and extremities. Identify priority
39. Assessing client for compartment syndrome expected findings
40. Just received change of shift report on 4 clients. Which should the nurse assess first
41. Assessing a client after administering epinephrine for anaphylactic reactions. Identify adverse effect of this med
42. Provide teaching to client 24 wks gestation scheduled for glucose tolerance test
43. Assessing older adult client with pneumonia
44. Teaching for client about right to confidentiality
45. Caring for a client reporting nausea and vomiting the past 2 days
46. Caring for a client postop after receiving moderate conscious sedation suddenly becomes restless and reports feeling lightheaded
47. Assessing client who is 11 wks gestation and reports drinking ginger tea. signs of it's Teaching a client who newly diagnosed with DM. Instructions on manifestations of hypoglycemia
48. caring for a client with DVT
49. Providing info to a client immediately before Romberg test
50. Providing teaching to parents of child with autism spectrum disorder
51. Teaching a client undergoing ECT about adverse effects
52. Caring for a client with active TB about disease transmission
53. Assess 1 wk old for palmer grasp reflex
54. Conducting a mental status examination on newly admitted client. Priority assesment
55. Caring for a client with a prescription of chlorpromazine indications of effectiveness
56. Assessing a client whose partner recently died. States I don't know what to do without my partner. Life is not worth living
57. Developing discharge plan for school age child with thrombocytopenia. What should the child avoid
58. Reviewing lab report for client in end stage kidney disease who received hemodialysis 24 hr ago.
59. Caring for a client with a magnesium level of 2.5 mEq/l
60. Outpatient mental health clinic clients which of the following clients is effectively using sublimation as a defense mechanism
61. Caring for a group of clients which one should the nurse see first
62. Preparing to teach about dietary management to a client with Crohn's disease with aenteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in his diet
63. Caring for a client who is in resuscitation phase of burn injury
64. Teaching self-administration of insulin to a client with short acting and intermediate acting insulin
65. Teaching a client 26 wks gestation about a glucose tolerance test.
66. Caring for a client who has hyperthyroidism
Caring for a newborn with herpes simplex virus which precautions should be initiated
67. Postpartum nurse is caring for 4 clients which one should be on seizure precautions.
68. Assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Assess for adverse effects
69. Caring for older adult who is experiencing chronic anorexia and receiving tube feedings. Lab values that indicate additional nutrients are needed
70. Teaching to school age child with asthma using albuterol dose inhaler instructions
71. Assessing a client with decreased visual acuity due to cataracts. Identify physiological changes
72. Mental health clinic caring for clients. Which of the following clients is using dissociation as a defense mechanism?
73. Assessing a 2 wk old newborn with a birth weight of 3.64 kg being breastfed.
74. Reviewing client's right with the nurses on the unit. Informed consent promotes which of the following ethical principles
75. Teaching about lithium to client who has bipolar disorder
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