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Study with the several resources on Docsity
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Earn points by helping other students or get them with a premium plan
A variety of nursing practices and client care scenarios, including medication administration, client assessment, client education, and delegation of tasks. Multiple-choice questions that test the nurse's knowledge and decision-making skills in various healthcare settings, such as acute care, long-term care, and community health. The questions cover topics like medication reconciliation, enteral feeding, pain management, seizure precautions, oxygen therapy, and infection control. By analyzing the responses to these questions, nursing students and professionals can gain insights into best practices for providing safe and effective patient care, adhering to clinical guidelines, and collaborating with the healthcare team.
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A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process?
a nurse is caring for a client who reports pain. when documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? - CORRECT ANSWER-the pain is like a dull ache in my stomach a nurse is reviewing practice guidelines with a group of newly licensed nurses. which of the following interventions should the nurse include that is within the RN scope of practice? - CORRECT ANSWER-initiate an enteral feeding through a gastrostomy tube A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the fire, which of the following actions should the nurse take next? - CORRECT ANSWER-evacuate the client a nurse is discussing the use of herbal supplements for health promotion with a client. which of the following client statements indicates an understanding of herbal supplement use? - CORRECT ANSWER-i can take echinacea to improve my immune system a nurse enters a client's room and finds her on the floor. the client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. which of the following statements should the nurse document about this incident? - CORRECT ANSWER-client found lying on floor a nurse is performing a Romberg test during the physical assessment of a client. which of the following techniques should the nurse use? - CORRECT ANSWER-have the client stand with their arms at their sides and their feet together a nurse is teaching a client whose left leg is in a cast about using crutches. which of the following statements should the nurse identify as an indication that the client understands the teaching? - CORRECT ANSWER-when descending the stairs, i will first shift my weight to my right leg a nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. which of the following actions should the nurse plan to take? - CORRECT ANSWER-flush the tube with 15 mL of sterile water a community health nurse is checking blood pressures for a group of clients at a community health screening. which of the following clients is at an increased risk for hypertension? - CORRECT ANSWER-a client who smokes one pack of cigarettes each day a nurse is planning care for a client who has vision loss. which of the following interventions should the nurse include in the plan of care to assist the client with feeding? - CORRECT ANSWER-arrange food in a consistent pattern on the client's plate
as a potential indication of elder abuse? - CORRECT ANSWER-the caregiver insists on remaining in the room a nurse is preparing to transfer a client who can bear weight on lone leg from the bed to a chair. after securing a safe environment, which of the following actions should the nurse take next? - CORRECT ANSWER-assess the client for orthostatic hypotension a nurse is admitting a client who has been having frequent tonic-clonic seizures. which of the following actions should the nurse add to the client's plan of care? - CORRECT ANSWER-wrap blankets around all four sides of the bed a nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. which of the following instructions should the nurse provide to the client and his family? - CORRECT ANSWER-1) check the cord routinely for frays or tearing
c) clean contaminated surfaces in the clients room with a phenol solution d) have family members wear a gown and gloves when visiting - CORRECT ANSWER- have family members wear a gown and gloves when visiting a nurse is caring for a client who requires a 24 hr urine collection. which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER-i flushed what i urinated at 7 am and have saved all urine since a nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. determine the correct order of steps for this procedure - CORRECT ANSWER-1) inject 10 units of air into the bottle of NPH insulin
a nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. the prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. at what rate should the nurse set the infusion pump? - CORRECT ANSWER-8 mL/hr a nurse is caring for a client who has an indwelling catheter. which of the following findings indicates that the catheter requires irrigation? - CORRECT ANSWER-bladder scan shows 525 mL of urine