. A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking
their medication. The client tells the nurse, "I want to die now that my partner is gone." Which of the following
responsesshould the nurse make?: "Have you thought about harming your...
, 1. A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking
their medication. The client tells the nurse, "I want to die now that my partner is gone." Which of the following
responsesshould the nurse make?: "Have you thought about harming yourself?"
2. A nurse is preparing to provide tracheostomy care for a client. Which of the following action should the
nurse plan to take?: Wear clean gloves whilecleaning the inner cannula.
3. Nurse is caring for a client who has severe rheumatoid arthritis in her handsand is unable to feed herself. For
which of the following healthcare team members should the nurse request a referral from the provider?:
Occupationaltherapist
4. A nurse is caring for a postoperative client who has an IV PCA delivering opioids.The client rates the pain as 2
on a scale of 0 to 10 and has not pressedthe button to deliver a bolus dose in over 2 hours.Which of the following action
should the nurse take?: Instruct the client to push the button more frequently.
5. The nurse is prioritizing care for a client. Which of the following proceduresshould the nurse perform first?:
Endotracheal suctioning.
6. The nurse manager overhears a nurse telling a client, "I will administer yourmedication by injection if you don't
swallow your pills." The nurse manager should identify that the nurse is committing which of the following torts?:
As-sault
7. The nurse is preparing to administer several medications via an NG tube to a client who is receiving continuous
to feeding. Which of the following actionshould the nurse take?: Dilute each crushed medication with warm water.
8. A nurse he's preparing to provide postmortem care for a client.Which of thefollowing action should the nurse
plan to take?: Turn the overhead lights to a bright setting.
9. A nurse is obtaining a health history from a client. The nurse should rec-ognize which of the following data
as placing the client a higher risk for osteoporosis?: The client has a sedentary lifestyle.
10. A nurse is caring for a client who is postoperative and is in bedrest. Whichof the following action should the
nurse take to decrease the clients risk of developing a pressure injury?: Ensure the client's heels are not touching the
mattress.
11. A nurse is preparing to teach a female client about osteoporosis preven- tion. Which of the following
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