A nurse is using the I-SBAR communication A
tool to provide the client's provider with
information about the client. The nurse
should convey the client's pain status in
which portion of the report?
A. Assessment
B. Background
C. Situation
D. Recommendation
A nurse is providing discharge to a client D
who is recovering from lung cancer. The
provider instructed the client that he could
resume lower-intensity activities of daily
living. Which of the following activities
should the nurse recommend to the client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes
A nurse in the emergency department is C
caring for a client who has abdominal
trauma. Which of the following assessment Rationale: Due to the decrease in circulating blood volume that occurs with internal
findings should the nurse identify as an bleeding, the oxygen carrying capacity of the blood is reduced. The body attempts to
indication of hypovolemic shock? relieve the hypoxia by increasing the heart rate and cardiac output, along with
A. Warm, dry skin increasing the respiratory rate.
B. Increase urinary output
C. Tachycardia
D. Bradypnea
1/12
, 9/3/24, 8:22 PM
A nurse is planning to assess the abdomen A
of a client who reports feeling bloated for
several weeks. Which of the following
methods of assessment should the nurse
first?
A. Inspection
B. Auscultation
C. Percussion
D. Palpation
A nurse is responding to a parents question B
about his infants expected physical
development during the first year of life.
Which of the following information should
the nurse include?
A. A 2 month old infant can turn from his
abdomen to his back
B. A 10 month old infant can pull up to a
standing position
C. A 4 month old infant can sit up without
support
D. A 6month old infant can crawl on his
hands and knees
A client who reports shortness of breath B
requests her nurse's help in changing
positions. After repositioning the client,
which of the following actions should the
nurse take next?
A. Encourage the client to take deep breaths
B. Observe the rate, depth, and character of
the clients respirations
C. Prepare to administer oxygen
D. Give the client a back rub to help her
relax
A nurse is planning to insert a NG tube for a D
client after explaining the procedure. The
client states, "you are not putting that hose
down my throat". Which of the following
statements should the nurse make?
A. I would try to get it over with because you
won't get better without this tube
B. You should talk to your provider about it
C. Why dont you want the tube inserted?
D. I can see that this is upsetting you
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