A nurse is caring for a collection of customers, which of the following may be assigned to an
assistive employees? - ANSa. Collecting a stool specimen to test for occult blood.
A nurse is running on a unit for customers with dementia. Which of the subsequent client
situations requires the nurse to write an incident record? - ANSc. A client is observed lying at
the ground next to a chair.
A nurse is discharging a purchaser who became admitted for newly diagnosed kind 2 diabetes
mellitus. The client is independent and lives on my own. Which of the following ought to be
blanketed within the discharge plan? - ANSc. Refer the customer to a diabetic support
organization.
A nurse is caring for a purchaser who has type 2 diabetes mellitus and a blood glucose degree
of 60 mg/dL. For which of the following findings ought to the nurse reveal? - ANSa. Clammy
Skin
A girl consumer who's an abusive marriage has discusses with the nurse techniques to prevent
this abuse. Which of the subsequent client statements suggest an expertise of the proper
approach? - ANSa. "I want to recognize the signs that my husband is becoming abusive." c. "I
want to discover what triggers my husband's anger to save you his abuse."
A price nurse in a protracted-time period care facility is getting ready to manage midday insulin
to a consumer. The nurse observes that the assistive employees (AP) has no documented the
consumer's blood glucose level. Which of the subsequent actions have to the charge nurse take
first? - ANSd. Determine if the AP has completed the assignment.
A customer is scheduled for an outpatient colonoscopy. Which of the subsequent actions is a
nursing obligation in the knowledgeable consent system? - ANSa. Verify that there is a signed
and witnesses consent form within the consumer's chart.
A nurse smells alcohol at the breath of an assistive employees (AP) at some point of file. Which
of the subsequent moves ought to the nurse take? - ANSc. Report the state of affairs to the
nurse supervisor.
A nurse from a clinical-surgical unit is floating to a postpartum unit. Which of the subsequent
clients is the ideal assignment for the nurse to just accept? - ANSb. A client who had a cesarean
transport 24hr in the past.
,A nurse in a provider's workplace is amassing facts from a discern of an infant who's being
screened for cystic fibrosis. Which of the following supports a analysis of cystic fibrosis? - ANSa.
Frothy stools.
When caring for an assigned organization of customers, the nurse need to wear gloves when -
ANSa. Appearing oral hygiene.
A nurse is preparing a purchaser for surgical treatment. The purchaser tells the nurse that he's
worried about the protection of a massive sum of money in his pockets. Which of the
subsequent moves is suitable for the nurse to take? - ANSb. Contact safety personnel to area
the cash within the facility safe.
A nurse is caring for a consumer who is receiving heparin. Which of the following is the perfect
path of management? - ANSd. Subcutaneously.
A nurse is reinforcing coaching about automobile seat protection to the mother and father of a
newborn. The nurse ought to instruct the parents to area the automobile seat in a? - ANSc.
Rear-going through position in the back seat.
A nurse is worrying for a consumer and recognizes the client's rights to confidentiality were
breached in which of the subsequent situations? - ANSa. A sanatorium risk manager includes
data from a consumer's scientific report in
A nurse is caring for a patron who had a femoral-popliteal bypass graft 2 days in the past. When
tracking peripheral pulses, the nurse is unable to locate a pulse at the affected leg. Which of the
following movements ought to the nurse take? - ANSc. Notify the price nurse of the finding.
A nurse is caring for a complete-term new child who was circumcised 6 hrs. Ago. Which of the
subsequent findings shows that the new child is experiencing pain? - ANSb. Furrowed Brow
A nurse is reinforcing coaching with a purchaser approximately organ donation. Which of the
subsequent customer statements indicated a want for similarly teaching? - ANSc. "My physician
need to determine if my organs may be donated."
A Client who's prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I do not need
to take this medication because it makes me worn-out all the time." Which of the following is the
right response? - ANSc. "Let's communicate with your doctor about different alternatives."
A nurse is getting ready to manage an IM injection to a customer. To lessen the chance of
neddlestick injury, the nurse must? - ANSb. Do away with the used needle immediately in a
puncture-proof sharps field.
, A nurse is contributing to the discharge plan for a patron following surgical operation. Which of
the following findings suggest the need for an interdisciplinary care conference? - ANSd. The
patron requires help to pay for dressing supplies.
A purchaser who is 24 hours postoperative unexpectedly develops chest ache, dyspnea,
tension, diaphoresis, and cough. Which of the subsequent actions must the nurse take first? -
ANSc. Elevate the top of the patron's bed.
A nurse is caring for a 17-yr old purchaser who is admitted for an emergency appendectomy.
Which of the following is the correct motion via the nurse in obtaining knowledgeable consent? -
ANSa. Obtain verbal consent from the purchaser while looking forward to the dad and mom to
reach. B. Witness the signature of the client's determine whilst he arrives. C. Have the client's
older sibling provide consent if a discern is not to be had. D. Delay the procedure if the provider
cannot contact the dad and mom.
A nurse has delegated care to an assistive employees. At the give up of the shift, the AP asks
the nurse to enter facts for her because the AP has forgotten her password and wishes to leave.
Which of the following moves have to the nurse take? - ANSa. Tell the AP to contact the IT
branch for charting help.
A nurse is reinforcing discharge coaching to a consumer following a gastrectomy. To prevent
dumping syndrome, which of the subsequent meals should the nurse instruct the customer to
avoid? - ANSa. Ice Cream
A nurse is worrying for a client admitted with shortness of breath who might be undergoing
arterial blood gas trying out. Which of the following customer statements indicated an
information of the cause of drawing arterial blood gases? - ANSd. "This will indicate how a lot
acid is constructing up in my blood."
A nurse supervisor is looking for approaches to growth price-effectiveness at the unit. In which
of the following client care situations need to the nurse supervisor intervene? - ANSa.
A nurse is gathering records from a customer who reports latest weight loss and a Chronic
cough this is now generating blood-streaked sputum. For which of the subsequent should the
nurse count on the customer to have diagnostic trying out? - ANSa. Lung Cancer D.
Emphysema.
A nurse is being concerned for an older adult customer with a decreased degree of
consciousness. Which of the following is the appropriate intervention associated with the
purchaser's mouth care? - ANSc. Makes use of a sponge toothette to cleanse the internal of the
mouth.
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