A nurse has delegated care to an assistive personnel. At the cease of the shift, the Ap asks the
nurse to enter information for her due to the fact the AP has forgotten her password and needs
to go away. Which of the following moves have to the nurse take?
Tell the AP to contact the IT branch for charting help.
A nurse is reinforcing teaching about automobile seat protection to the dad and mom of a
newborn. The nurse should train the parents to region the auto seat in a....
Rear-going through function within the again seat.
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A nurse is getting ready a patron for surgical operation. The consumer tells the nurse that he's
involved about the protection of a large sum of money in his wallet. Which of the following
movements is suitable for the nurse to take?
Contact safety personnel to place the cash in the facility safe.
A nurse is worrying for a little one who is admitted to the pediatric unit and is two hr
postoperative following a tonsillectomy. Which of the subsequent findings is an indication on
hemorrhage?
Frequent Swallowing
,A nurse is reinforcing discharge teaching with an older grownup purchaser's circle of relatives
about safety precautions whilst administering a tap water enema to the patron. Which of the
following have to the nurse consist of?
Instruct the patron to undergo down all through rectal tube insertion.
A nurse is caring for a patron. Which of the subsequent customer statements need to the nurse
attend first?
"My heartburn ache is going into my jaw now"
A nurse is being concerned for a patron who is three days postoperative following belly surgical
procedure and has a Penrose drain. Which of the subsequent actions ought to the nurse take?
Leave the drain insertion website online open to air
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A nurse is reinforcing with a purchaser who is approximately to undergo an higher
gastrointestinal collection with fluoroscopy. Which of the subsequent data have to the nurse
offer?
"You will should drink a contrast medium earlier than the test."
A nurse is reviewing the clinical record of a purchaser who has sustained a full-thickness burn
and is within the emergent section of burn. Which of the subsequent findings must the nurse
expect?
Hypernatremia
A nurse is planing to administer an ophthalmic medication to a patron. Which of the subsequent
actions would minimize systemic absorption of the drugs?
Wait 5 minutes after instillation before instilling the drops within the other eye
A nurse is making ready morning medicine for a patron who has potassium stage of 3.2 mEq/L.
For which of the subsequent medicines should the nurse withhold administration and notify the
provider?
Furosemide
A nurse is amassing statistics from a purchaser who has preeclampsia and is receiving
magnesium sulfate through a continuous IV infusion. Which of the following findings must the
nurse report to the issuer?
Facial flushing
,A nurse in a provider'a workplace is amassing data from a customer who changed into
discharged from the health center 7 days in the past following treatment from deep-vein
thrombosis. Which of the subsequent findings is the nurse's priority?
The patron takes ibuprofen to treat musculosketal pain.
A nurse in an pressing care health center is collecting information from a purchaser who reports
having diarrhea for the past three days. Which of the following findings suggests hypokalemia?
Muscle weak spot
A nurse is participating in a performance development procedure to decrease the rate of fitness
care-related infections inside the facility. The nurse should recognize that which of the following
is the suitable performance development outcome indicator?
Client facts suggests a decreased charge of infection
A nurse is establishing a baseline postoperative assessment for a consumer who is improving
from a proper femoropopliteal skip graft. Which of the following findings in the assessment of
the customers's proper leg need to be of the maximum challenge to the nurse?
The purchaser's foot feels cooler than the previous evaluation
A nurse is making ready a consumer routine. Which of the subsequent insulins may be mixed?
Aspart
Regular
Detemir
Lispro
Glargine can not be combined with any insulin
A nurse is being concerned for a college-age infant whose family adheres to a vegan food plan
in the domestic. The nurse have to recognize the child is at risk for deficiency of which of the
subsequent?
Vitamin D
A nurse is reinforcing coaching with a postpartum client. Which of the subsequent need to the
nurse give an explanation for because the most critical cause for workforce to wear identity?
Reducing the risk of newborn abduction
, A nurse is reinforcing coaching with a collection of expectant dad and mom regarding the proper
use of a automobile seat. Which of the subsequent statements through the figure shows an
know-how of the teaching?
I can location a rolled towel on each facet of my new child's head until he can maintain his head
up.
A nurse on a mental fitness unit is discussing consumer rights with a group of coworkers. Which
of the following statements have to the nurse include?
A nurse must withdraw consent for treatment in writing if he's competent to do so.
A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following
clients is the proper assignment for the nurse to just accept?
A customer who had a cesarean shipping 24hr in the past
A nurse is caring for a consumer who's in mechanical restraints after becoming violent with a
workforce member. Which of the following moves have to the nurse take?
Document inside the purchaser's clinical file every 15 minutes
A nurse is reinforcing teaching with the own family of a client who's receiving palliative take care
of terminal cancer. Which of the subsequent guidelines need to the nurse emphasize about
suitable ache control measures?
Administer agenda doses of drugs from a patient-controlled analgesia (PCA) pump.
A nurse is helping with a group therapy consultation wherein a patron starts offevolved to
monopolize the group's time. Which of the subsequent interventions is appropriate?
Time table one-on-one dialogue time with the patron
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A nurse is getting ready to administer required immunization to a little one in the course of a
nicely-baby visit. The discern ask the nurse how many child aspirin he need to administer if the
toddler develops a fever. Which of the following responses have to the nurse make?
"You must avoid administering aspirin on your infant"
A nurse is helping with the admission of an older person client who has impaired mobility and is
at danger for falls. Which of the following actions have to the nurse plan to carry out first?
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