RN Fundamentals Online Practice 2019 A, 100% Verified Solution

RN Fundamentals Online Practice 2019 A
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
the client holds the cane on the stronger side of her body
A nurse receives report about a client who has 0.9% sodium chloride infusion IV
at 125 mL/hr. When the nurse performs the initial assessment, he notes that the
client has received only 80 mL over the last 2 hr. Which of the following actions
should the nurse take first
check the IV tubing for obstruction
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube
have the client take sips of water to promote insertion of the NG tube into the
esophagus
A nurse is reviewing a client's fluid and electrolyte status. Which of the following
findings should the nurse report to the provider
Potassium 5.4 mEq/L
A nurse is providing discharge instructions to a client who will be using a walker.
Which of the following client statements indicates an understanding of the
teaching?
I will hire someone to trim the tree that hangs low over the stairs of my front porch
a nurse is planning care for a client who has had a stroke, resulting in aphasia
and dysphagia. Which of the following tasks should the nurse assign to an
assistive personnel
assist the client with a partial bed bath, measure the client's BP after the nurse
administers an antihypertensive medication, use a communication board to ask what
the client wants for lunch
A nurse is caring for a client who is expressing anger about his diagnosis of
colorectal cancer. Which of the following actions should the nurse take
reassure the client that this is an expected response to grief
A nurse is preparing to apply a dressing for a client who has stage 2 pressure
injury. Which of the following types of dressing should the nursing use
hydrocolloid
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the
inner ear?
press gently on the trigs of the client's ear
A nurse is using an open irrigation technique to irrigate a clients indwelling
urinary catheter. Which of the following actions should the nurse take
subtract the amount of irritant used from the client's urine output
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client
make sure the client wears a mask when outside her room if there is construction in the
area

, A nurse is planning strategies to manage time effectively for client care. Which of
the following strategies should the nurse implement
use the planning step of the nursing process to prioritize client care delivery
A nurse is caring for a client who is postoperative following a knee arthroplasty
and requires the use of thigh-length sequential compression sleeves. Which of
the following actions should the nurse take
make sure two fingers can fit under the sleeves
a nurse is caring for a client who has a respiratory infection. Which of the
following techniques should the nurse use when performing nasotracheal
suctioning for the client
apply intermittent suction when withdrawing the catheter
A nurse is assessing a client who reports increased pain following physical
therapy. Which of the following questions should the nurse ask when assessing
the quality of the clients pain
is your pain sharp or dull
A nurse is providing discharge teaching to a client about self-administering
heparin. Which of the following instructions should the nurse include in the
teaching
administer the medication into the abdomen
A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions should the nurse
include in the teaching
use tracheostomy covers when outdoors
A nurse is caring for a client who has a terminal illness and is approaching death.
The client is short of breath and has noisy respirations from secretions in their
airway. Which of the following actions should the nurse take
turn the client every 2 hours
A nurse is caring for a child who has a prescription for a blood transfusion. The
child's parents have refused the treatment sue to their religious beliefs. Which of
the following actions should the nurse take
examine personal values about the issue
a nurse us preparing to administer enoxaparin subcutaneously to a client. Which
of the following actions should the nurse take
administer the medication with the needle at a 45 angle
a nurse is admitting a client who is having an exacerbation of heart failure. In
planning this client's care, when should the nurse initiate discharge planning
during the admission process
A nurse us assessing a client who has required bed rest for the past month.
Which of the following findings should the nurse identify as an indication that the
client has developed thrombophlebitis
calf swelling
A nurse is caring for a client who has dementia. Which of the following
interventions should the nurse take to minimize the risk for injury to the client
use a bed exit alarm system
a nurse is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs