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RN fundamentals online practice 2019
A with NGN
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precaution should the nurse initiate? - ~ ANSWER Contact precautions 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? - ~ ANSWER Reassure the client that this is an expected response to grief 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? - ~ ANSWER Make sure two fingers can fit under the sleeves A nurse is preparing to apply a dressing for a client who has a stage two pressure injury. Which of the following types of dressings should the nurse use? - ~ ANSWER Hydrocolloid
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include? - ~ ANSWER Advocacy ensures clients safety, health, and rights A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? - ~ ANSWER Compare the clients home medication's with the Providers prescription A nurse is assessing an order a dog client risk for falls. Which of the following assessments should the nurse use to identify the client safety needs? Select all that apply - ~ ANSWER -pupil clarity -visual fields -visual acuity 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? - ~ ANSWER "I will hire someone to trim the tree that hangs low over the stairs of my front porch." A nurse is reviewing a clients fluid and electroyte status. Which of the following findings should the nurse report to the provider? - ~ ANSWER Potassium 5. mEq/L A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the clients vital signs every 15 minutes and to report back in
A nurse is teaching a client and his family how to care for the clients tracheostomy at home. Which of the following instructions should the nurse include in the teaching - ~ ANSWER Use tracheotomy covers when outdoors A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client acts, "what would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses should the nurse make? - ~ ANSWER "We would give you oxygen through a tube in your nose" 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? - ~ ANSWER Make sure the client wears a mask when outside her room if there is construction in the area A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hours the nurse should set infusion pump to deliver how many ML/hour - ~ ANSWER 107 mL/hr A nurse is evaluating a clients use of a cane. Which of the following actions for the nurse identify as an indication of correct use? - ~ ANSWER The client holds the cane on the stronger side of her body 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? - ~ ANSWER Have the client take sips of water to promote insertion of the NG tube into the esophagus A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? - ~ ANSWER Place the clients arm in a dependent position A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self injury, which of the following actions should the nurse take when lifting this object? - ~ ANSWER Stand close to the cabinet when lifting it 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 - ~ ANSWER Turn the client every 2 hr A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client care, when should the nurse initiate discharge planning? - ~ ANSWER During the admission process A nurse manager is preparing to review medication documentation with a group of newly license nurses. Which of the following statements should the nurse manager plan to include in the following teaching? - ~ ANSWER "Use the complete name of the medication magnesium sulfate."
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? - ~ ANSWER Administer the medication into the abdomen A nurse is caring for a client who has dementia which of the following interventions to the nurse take to minimize the risk for injury to the client? - ~ ANSWER Use a bed exit alarm system A nurse is performing a skin assessment for a client who expresses concerns about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy - ~ ANSWER A mole with an asymmetrical appearance A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate? - ~ ANSWER Droplet A nurse is talking with an older adult client Who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job I'm not sure I want to retire." Which of the following responses should the nurse make? - ~ ANSWER "let's talk about how the change in your job status will affect you." A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse priority? - ~ ANSWER Determine the reasons why the client is refusing to use the incentive spirometer
A nurse is caring for a client who acts about the purpose of advanced directive. Which of the following statements should the nurse make? - ~ ANSWER "they indicate the form of treatment a client is willing to accept in the event of a serious illness" A nurse is caring for a client who has a terminal illness and is at the end of life. The nurse should recognize that which of the following statements by the clients partner indicates effective coping? - ~ ANSWER "I am relying on support from our family during this time." A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the clients room. When the nurse acts if the client would like to discuss any concerns, the client declined. Which of the following statements should the nurse make? - ~ ANSWER "I am available to talk if you should change your mind." A nurse is responding to a car light and finds a client laying on the bathroom floor. Which of the following actions should the nurse take first - ~ ANSWER Check the client for injuries A nurse is caring for a client who has herpes zoster and asked the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication of which of the following therapies? - ~ ANSWER Acupuncture
