study these, Ati, Comprehensive predictor test 85 correct answer, VATI Greenlight, VATI
A nurse is delegating client care assignments. Which of the following tasks should the nurse assign to the assistive personnel?
Apply an anti-embolic stocking for a client who is 2 days post-op
A nurse is ...
study these, Ati, Comprehensive predictor test 85 correct answer, VATI Greenlight, VATI A nurse is delegating client care assignments. Which of the following tasks should the nurse assign to the assistive personnel?
Apply an anti-embolic stocking for a client who is 2 days post-op
A nurse is caring for a client following an electroconvulsive therapy. What nursing action?
Continuously reorient client after ECT
A nurse is caring for a client who is taking multiple medications about the possible interactions. Which of the following members of the interdisciplinary team should the nurse make a referral to?
Advance practice nurse
A nurse manage is taking measures to increase cost effective. In which of the following client situations should the nurse manager intervene?
A nurse uses sterile gauze pads to place a dressing on a surgical wound.
A nurse is contributing to the plan of care for client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend including in the plan?
Measure the client's abdominal girth daily
A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxy-
methamphetamine. Which of the following findings should the nurse expect?
Hallucinations
A nurse preparing a sterile field to perform a dressing change for a client's leg wound. Which of the following actions should the nurse take?
Place sterile objects at least 2.5 cm from the edge of the sterile field.
A nurse is reinforcing teaching with a client who has a new rx for transdermal nitroglycerin patches. Which of the following statements by the client indicates an understanding of the teaching?
I will place the patch on a hairless area of skin A nurse is reinforcing with a new mother on facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?
I will have an ID band that matches the one my baby wears
• A nurse begins to bathe a newly admitted client who reports that she has not had anything to eat that day, the nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?
Boundary crossing
A nurse enters the room of a school aged child and finds him on the floor experiencing a tonic colonic seizure, which of the following actions should the nurse take?
Place a pillow under the client's head
A nurse is providing support to the family of a school aged child who has a new diagnosis of a terminal illness, which of the following actions should the nurse take?
Provide the family with time to talk openly
A nurse is checking for gastric residual volume on the client who is scheduled to receive an intermittent enteral feeding. The nurse finds that the client has a GRV greater than 250 mLs on two consecutive measurements, which of the following actions should the nurse take?
Hold the feeding and recheck the GRV in one hour
A nurse in a clinic is reviewing the medical record of a toddler and notes that he previously had a severe allergic reaction to a gelatin, which of the following immunizations should the nurse identify as unsafe for this client to receive?
Measles Mumps and Rubella (MMR)
A nurse is reinforcing teaching with a client who has a prescription for antibiotic therapy. The client tells the nurse that he always experiences diarrhea when taking antibiotics, which of the following food choices should the nurse recommend to lessen the occurrence of diarrhea?
Yogurt
A home health nurse is caring for a client who has Alzheimer's disease. the client's son is concerned about his mother becoming frustrated. which of the following interventions should the nurse include?
make a schedule for daily tasks
A nurse is caring for an adolescent client who has bulimia nervosa, which of the following actions should the nurse take?
Observe the client during and after meals A nurse is participating in a performance improvement program which of the following actions should the nurse take to evaluate the effectiveness of the program?
perform chart audits
A nurse is talking to a client who refuses a blood transfusion for religious reasons. which of the following responses should the nurse make?
you have the right to change your mind
A nurse is assisting with staff education about hand hygiene. which of the following should the nurse include in the teaching?
wash your hands with soap and water for 20 seconds
A nurse is assisting with a community health course for family members of clients who half Alzheimer's disease. which of the following should the nurse include?
limit the number of choices for the client
• A nurse in a provider's office is collecting data from an 18-month-old toddler which of the following should the nurse identify as a potential indication of child mal-treatment?
the toddler is overly affectionate towards the nurse
A nurse is contributing to the plan of care for a client who has ascites due to chromosols, which of the following should the nurse recommend including in the plan?
measure the client's abdominal girth
A nurse is caring for a client who is experiencing alcohol withdrawal the nurse should prepare to
administer which of the following medications?
diazepam
A nurse is preparing to delegate care to assistive personnel. Which of the following information should the nurse verify prior to delegation?
The AP's job description
A nurse is caring for a client who has paranoid schizophrenia and believes that she is being followed by the FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
What makes you think the staff is following you?
A nurse is reinforcing teaching with a client who has GERD and a prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?
I should take this medication in the morning and at bedtime A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
Position the car seat at 90-degree angle
A nurse is collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the intra-professional team?
Case manager
A community health center is assisting in the development of a brochure about hypertension. Which of the following action should the nurse take?
explain medical terminology using basic one syllable words
A community health nurse is assisting with the development of a pamphlet regarding choking hazard for toddlers. Which of the following foods should the nurse include?
grapes
A nurse is caring for a who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?
"I'd like to hear your thoughts about giving yourself this medication"
A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse make?
check for residual after voiding
A nurse is preparing change of shift report on a client who is 2 days postoperative following a total knee arthroscopy (or arthroplasty). Which of the following information about the client should the nurse include in the report?
time of last pain medication
A nurse is caring for a client who is 2 days following an above-the-knee amputation. Which of the
following actions should the nurse take to promote progression to independence and mobility for
the client?
Encourage the client to use the overhead trapeze
. A nurse at a pediatric clinic is checking the vital signs of a 2 month old infant prior to
administering immunization. The nurse should recognize respiratory rate is 30/min. This
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