E. Apply force when resistance is met while flushing the catheter.
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A nurse is preparing to perform a dressing change on a preschooler. Which of th
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ould the nurse take to prepare the child for the procedure?
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A. Explain in simple terms how the procedure will affect the child.
z z z z z z z z z z
B. Ask the parents to wait outside the room during the procedure.
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C. Limit teaching sessions about the procedure to 20 min.
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D. Instruct the child in deep-breathing methods prior to the procedure.
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A nurse is performing wound care for a client who has an abdominal incision. W
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hniques should the nurse implement?
z z z z
A. Irrigate the wound using a 10-mL syringe.
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B. Cleanse the wound starting at the bottom and moving upward.
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C. Cleanse the insertion site of the drain using a circular motion towards the cen
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e wound with a low-pressure flow of solution.
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A nurse on an antepartum unit is prioritizing care for multiple clients. Which of t
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ould the nurse see first?
z z z z
, C. A client who has pregestational diabetes mellitus and an HbA1c of 6.2%.
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D. A client who is at 28 weeks of gestation and reports leukorrhea.
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A nurse is caring for a client who is recovering from an amputation of her right a
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ich of the following information should the nurse report the occupational thera
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A. The client’s parent is in a skilled nursing facility.B. The client has two small
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children at home. z z
C. The client is allergic to penicillin.
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D. The client lives in a two-story home.
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A nurse is caring for a client who has major depressive disorder. The client tells t
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es about me. I’m completely alone.” Which of the following responses should t
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A. “You should join a community support group.”
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B. “What makes you think that?” z z z z
C. “Don’t worry. You should be feeling better in a couple weeks.”
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D. “Can you give me an example of how others are making you feel this way?”
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A nurse is caring for a client who has sustained a severe head trauma and has sig
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e nose. Which of the following actions should the nurse take first?
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A. Prepare for a CT scan.
z z z z z
B. Insert a peripheral IV line.C. Establish a patent airway.
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D. Apply direct pressure to the nose.
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