A nurse is caring for a client D. Contractions
who is at 33 weeks of
gestation following an
amniocentesis. The nurse
should monitor the client
for which of the following
complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions
A nurse is providing D. Eat a light snack before bedtime
teaching to an older adult
client about methods to
promote nighttime
sleep. Which of the
following instructions
should the nurse include?
A. Stay in bed at least 1 hr if
unable to fall asleep
B. Take a 1 hr nap during the
day
C. Perform exercises prior
to bedtime
D. Eat a light snack before
bedtime
,A nurse on a telemetry unit B. Defibrillate
is caring for a client who
becomes unconscious and
whose monitor displays
ventricular tachycardia.
Which of the following
actions should the nurse
take first after determining
the client does not have a
palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine
,A nurse is admitting a client C. Request a female interpreter through the facility
who 1 week postpartum and
reports excessive vaginal
bleeding. The nurse does
not speak the same
language as the client. The
client's partner and 10-year-
old child are accompanying
her. Which of the following
actions should the
nurse take to gather the
client's admission data?
A. Have the client's child
translate
B. Allow the client's partner
to translate
C. Request a female
interpreter through the
facility
D. Ask a nursing student
who speaks the same
language as the client to
translate
A nurse is caring for a client d. Shivering
who is febrile. To reduce the
client's fever, the nurse
applies a cooling blanket.
Which of the following
findings indicates the client
is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering
, A nurse is caring for a client B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if
who has deep-vein- on heparin
thrombosis of the left lower
extremity. Which of the
following actions should the
nurse take? (Exhibit)
A. Position the client with
the affected extremity lower
than the heart
B. Withhold heparin IV
infusion PTT- 30-40
seconds; x2 if on heparin
C. Administer
acetaminophen
D. Massage the affected
extremity every 4 hr
A nurse is reviewing B. A client who has a nonhealing leg ulcer
assessment data from
several clients. For which of
the following clients should
the nurse recommend
referral to a dietitian?
A. An older adult client who
has a BMI of 24
B. A client who has a
nonhealing leg ulcer
C. An older adult client who
has presbyopia
D. A client who has an
albumin level of 3.7 g/dL
(normal 3.4-5.4)
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