practice question exam nutrition | Schemes and Mind Maps Nutrition

1. A nurse is admitting a client who has HepC. Which of the following precautions should the

nurse take? Standard precautions.

2. A nurse is caring for a client who has a diagnosis of HepC, which of the following responses

from the nurse best explains how a person can become infected with a virus? Coming into

contact with infected blood such as dirty needles.

3. A nurse is assessing the client with health risk for risk factors contracting HepC. Which of the

following clients is at risk for developing HepC? A client who has multiple tattoos.

4. Anurse is caring for a newborn whose mother is positive HepB. surface antagine which of the

following should the infante receive? They get the vaccine immediately after birth.

5. A nurse is caring for a client who is post op. The nurse should base her pain management

interventions primarily on which of the following methods determines the intensity of the pain?

Self pain.

6. A nurse is caring for a client who requested a prescription for pain medication. Which of the

following should the nurse perform first? Access

7. A nurse is assessing a client's abdomen who reports pain, which of the following should the

nurse take first? Inspect

8. A nurse is caring for a client who reports chronic pain. Which of the following actions by the

nurse uses holistic nursing? deep breath reposition (natural ways)

9. A nurse is performing a pain assessment for a client who is alert, the nurse should recognize

which of the following measures is the most reliable indicator for pain? Subject pain.

10. The nurse is teaching the newly licensed nurse about pain, which of the following is an

example of acute pain? Surgical incisions.

11. A nurse is providing teaching for a client who is at the end of life and has a prescription for

opioids to manage pain, which of the following information should a nurse include in teaching?

unlimited pain meds.

12. A nurse is caring for a client following an evacuation of a subdural hematoma. Which of the

following assessments is a priority? Respiratory statues.

13. A nurse is caring for a client who had an evacuation subdural hematoma. Which of the

following should the nurse take first? Check the oxygen statues.

14. A nurse is caring for a client with a subdural hematoma. Which of the following nursing

interventions is a priority in caring for a client? Administer analgesics for pain relief.

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A nurse is admitting a client who has HepC. Which of the following precautions should the nurse take? Standard precautions.
A nurse is caring for a client who has a diagnosis of HepC, which of the following responses from the nurse best explains how a person can become infected with a virus? Coming into contact with infected blood such as dirty needles.
A nurse is assessing the client with health risk for risk factors contracting HepC. Which of the following clients is at risk for developing HepC? A client who has multiple tattoos.
Anurse is caring for a newborn whose mother is positive HepB. surface antagine which of the following should the infante receive? They get the vaccine immediately after birth.
A nurse is caring for a client who is post op. The nurse should base her pain management interventions primarily on which of the following methods determines the intensity of the pain? Self pain.
A nurse is caring for a client who requested a prescription for pain medication. Which of the following should the nurse perform first? Access
A nurse is assessing a client's abdomen who reports pain, which of the following should the nurse take first? Inspect
A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing? deep breath reposition (natural ways)
A nurse is performing a pain assessment for a client who is alert, the nurse should recognize which of the following measures is the most reliable indicator for pain? Subject pain.
The nurse is teaching the newly licensed nurse about pain, which of the following is an example of acute pain? Surgical incisions.
A nurse is providing teaching for a client who is at the end of life and has a prescription for opioids to manage pain, which of the following information should a nurse include in teaching? unlimited pain meds.
A nurse is caring for a client following an evacuation of a subdural hematoma. Which of the following assessments is a priority? Respiratory statues.
A nurse is caring for a client who had an evacuation subdural hematoma. Which of the following should the nurse take first? Check the oxygen statues.
A nurse is caring for a client with a subdural hematoma. Which of the following nursing interventions is a priority in caring for a client? Administer analgesics for pain relief.

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of ICP? Restlessness.
A nurse is caring for a client who has a subarachnoid hemorrhage and ICP. Which of the following medications should the nurse expect to administer? Mannitol
A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing ICP. Which of the following assessment findings by the nurse reports this suspicion? restlessness.
A nurse is assessing a 12 year old client. Which of the following assessments indicated the need for further evaluation regarding cellulitis? Open weeping
The nurse is providing teaching to a client who has a prescription for deep therapy for the treatment of cellulitis of the right lower leg, which of the following client statements indicate understanding of the teaching? I will wrap a warm wet towel around my right calf every four hours.
A nurse is teaching a newly hired nurse about the risk of cellulitis following an injury. Which of the following statements by the newly hired nurse shows the teaching was affected? Skin abrasion facilitates the intrarie and travel of bacteria to deeper tissue layers.
A nurse is prioritizing potential complications that may occur to a pediatric patient client who has cellulitis, which of the following is a primary concern? Sepsis
A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain skin integrity? Use a transfer device.
A nurse is assessing a client who has a pressure ulcer, the nurse recognizes which of the following findings is a manifestation stage three ulcer? Necrotic tissue.
A nurse is caring for a client who has stage one pressure ulcer, which of the following dressing should the nurse plan to apply? Transparent.
A nurse is caring for a client who has urinary inconsistency. Which of the following actions should the nurse implement to prevent the development of skin breakdown? Apply moisturizer.
A nurse is caring for a client who has an infected wound. Which of the following actions should the nurse take when obtaining a wound drainage specimen for cultures? Clean the wound with 0.9 sodium chloride.

A nurse is evaluating a client's laboratory results. The nurse should recognize an increase in the client prostate PSA laboratory values will indicate what? Prostate cancer.
A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been recemented at work for being late several times because they have been out drinking. Which of the following statements by the client might indicate that they have developed a substance use disorder? I have lost 15 pounds.
A nurse is caring for a client who has cirrhosis, and has a new prescription for lactulose. Which of the following manifestations indicate an adverse reaction to this medication? Vomiting.
A client who has acute gastritis but is able to tolerate PO fluids the nurse should anticipate providing which of the following types of fluids? Oral rehydration fluids.
A nurse is admitting an infant who has severe dehydration from acute gastritis. Which of the following should the nurse expect? 13% weight loss. Which of the following actions should the nurse take? Attache a humidifier to the (twin you were reading this one and the professor didn't let you finish)
A nurse is caring for a client who has an endotracheal tube and is receiving ventilations. Which action should the nurse take? Oral hygiene.
Select the finding in the client medical records that put the client for high-risk pneumonia? (select all that apply) Smoking, didn't get the vaccine, age ,
A nurse is assessing a client who has pneumonia. Which of the following should the nurse expect? Tachypnea.

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