A nurse is caring for an adult client who has attempted suicide. The client
tells the nurse he is calling his family to come pick him up. Which of the
following actions by the nurse is appropriate when the client insists on
leaving the facility against medical advice? Correct Ans - discuss
risks associated with leaving
A nurse is caring for a client who is receiving parenteral nutrition through
a nontunneled central venous catheter and reports hearing a gurgling
sound on the side of the catheter. The nurse suspects the catheter has
migrated to the jugular vein. Which of the following actions should the
nurse take first? Correct Ans - stop the infusion
A nurse is reinforcing teaching with the caregiver of a client who has
aphasia. The nurse should include which of the following communication
strategies in the teaching? Correct Ans - cue client by providing
cards that portray common needs
A nurse is caring for a child who is 24 hr postoperative following a
supratentorial craniotomy. The nurse should maintain the child in which of
the following positions? Correct Ans - supine with head of the bed
(HOB) elevated to 30 degrees
A nurse working in a hospice facility is talking to a client's son who is
distressed because his mother cries frequently and says she wants to die.
Which of the following responses by the nurse is appropriate? Correct
Ans - "Let's discuss some strategies you can use when this happens
again."
A nurse working in a provider's office is reinforcing teaching with a client
who is 14 weeks of gestation. The nurse should instruct the client to
immediately notify the provider if she experiences which of the following?
Correct Ans - Facial edema
A nurse is caring for a child who has leukemia and is prescribed a
transfusion of platelets. Which of the following should the client experience
as a result of the transfusion? Correct Ans - Reduced bleeding time
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