A kclient kwho khas ka kdiagnosis kof kcomplete kplacenta kprevia kis kadmitted
kto kthe klabor kand kdelivery ksuite
at k36 kweeks kgestation kwith kcontractions k5 kmin kin kfrequency kand k1
kmin kin kduration. kWhich kof kthe
following kactions kshould kthe knurse ktake?
A. kRupture kthe kamniotic ksac
B. kMedicate kthe kclient kfor kpain
C. kPrepare kthe kclient kfor ka kcesarean ksection
D. kPerform ka kvaginal kexam k k k k k k k k kANS: k✔- kPrepare kthe kclient kfor ka
kcesarean ksection
,A knurse kenters ka kclient's kroom kand kfinds kthe kclient klying kon kthe kfloor
kin ka kpuddle kof kwater. kWhich kof
the kfollowing kstatements kshould kthe knurse kdocument kin kan kincident
kreport?
A. kClient kfell kout kof kbed kbecause kan kassistive kpersonnel kleft kthe krails
kof kthe kbed kdown
B. kClient's kroommate kthinks kthe kclient kis kconfused kand kfell kwhen
kgetting kout kof kbed
C. kClient kappears kto khave kslipped kin kwater kbut kreports kno kinjuries
D. kClient kfound klying kon kthe kfloor knear kthe kbedside ktable k k k k k k k k kANS:
k✔- kClient kfound klying kon kthe kfloor knear kthe kbedside ktable
A kcharge knurse kon ka kpediatric kunit kis kmaking kassignments kfor ka kfloat
knurse kfrom kthe kmedical kunit.
Which kof kthe kfollowing kclients kis kappropriate kto kassign kto kthe kfloat
knurse?
A. kA k10-year-old kclient kwho khas kpneumonia kand kis kreceiving
krespiratory ktreatments
B. kA k4-year-old kclient kwho khas ka kWilms ktumor kand kis kreceiving
kchemotherapy
,C. kAn k8-month-old kclient kwho kis kscheduled kfor ka ksurgical krepair kof ka
kventricular kseptal kdefect ktomorrow
D. kA k14-year-old kclient kwho kis kscheduled kfor kdischarge ktoday
kfollowing kplacement kof ka kHerrington krod k k k k k k k k kANS: k✔- kA k10-year-
old kclient kwho khas kpneumonia kand kis kreceiving krespiratory ktreatments
A knurse kis kpreparing kto kadminister kvancomycin kto ka kclient kwho khas kan
kinfected kwound. kThe knurse
should kplan kto kmonitor kfor kwhich kof kthe kfollowing kadverse kreactions?
A. kHepatotoxicity
B. kOtotoxicity
C. kHypercalcemia
D. kHypertension k k k k k k k k kANS: k✔- kOtotoxicity
A knurse kis kassessing kan kinfant kwho khas kwater kintoxication. kWhich kof
kthe kfollowing kfindings kshould kthe
nurse kexpect?
A. kGeneralized kedema
B. kElevated kurine kspecific kgravity
, C. kThready kpulse
D. kIncreased khematocrit k k k k k k k k kANS: k✔- kGeneralized kedema
A khome khealth knurse kis kconducting kan kinitial khome kvisit kfor ka kclient
kwho khas kterminal kbreast kcancer.
The kclient khas ktwo kschool-age kchildren kand ka klimited ksupport ksystem.
kWhich kof kthe kfollowing kis kthe
priority knursing kaction?
A. kInform kthe kclient kof kavailable kcommunity kresources
B. kAssist kthe kclient kin kfinding kchildcare koptions
C. kAgree kupon kshort-term kgoals kfor kthe kclient
D. kAsk kthe kclient kabout ktheir kunderstanding kof kthe kdiagnosis k k k k k k k k
kANS: k✔- kInform kthe kclient kof kavailable kcommunity kresources
A knurse kin kan kemergency kdepartment kis kassessing ka kclient kwho khas ka
knasal kfracture. kWhich kof kthe
following kfindings kshould kcause kthe knurse kto ksuspect ka kskull kfracture?
A. kClear kfluid kdrainage kfrom kthe knares
B. kReport kof kpain karound kthe keyes
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