Podcast
Questions and Answers
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take?
A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take?
A nurse is caring for a client who has prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days.Which of the following actions should the nurse take?
A nurse is caring for a client who has prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days.Which of the following actions should the nurse take?
A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the following findings should the nurse report to the provider?
A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the following findings should the nurse report to the provider?
Signup and view all the answers
A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops.Which of the following instructions should the nurse include?
A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops.Which of the following instructions should the nurse include?
Signup and view all the answers
A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
Signup and view all the answers
A nurse is assisting with the admission of an adult client to a medical- sur- gical unit.Which of the following findings should the nurse identify as an indication that the client is malnourished?
A nurse is assisting with the admission of an adult client to a medical- sur- gical unit.Which of the following findings should the nurse identify as an indication that the client is malnourished?
Signup and view all the answers
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
Signup and view all the answers
A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make?
A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make?
Signup and view all the answers
A nurse is contributing to the plan of care for a client who is dying. Which of the following interventions should the nurse recommend to include the client's family in the plan of care? (Select all that apply.)
A nurse is contributing to the plan of care for a client who is dying. Which of the following interventions should the nurse recommend to include the client's family in the plan of care? (Select all that apply.)
Signup and view all the answers
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take?
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?
Signup and view all the answers
A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?
Signup and view all the answers
A nurse is caring for a client who has been vomiting excessively and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
A nurse is caring for a client who has been vomiting excessively and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Signup and view all the answers
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents and ethical dilemma?
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents and ethical dilemma?
Signup and view all the answers
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema.Which of the following information should the nurse document?
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema.Which of the following information should the nurse document?
Signup and view all the answers
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. The nurse can disclose health information without the client's written permission to which of the following entities?
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. The nurse can disclose health information without the client's written permission to which of the following entities?
Signup and view all the answers
A nurse is preparing to remove staples from a client's incision.Which of the following actions should the nurse take?
A nurse is preparing to remove staples from a client's incision.Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Signup and view all the answers
A nurse is contributing to the plan of care for four clients. For which of the following clients should the nurse initiate airborne precautions?
A nurse is contributing to the plan of care for four clients. For which of the following clients should the nurse initiate airborne precautions?
Signup and view all the answers
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify her religious preferences?
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify her religious preferences?
Signup and view all the answers
A nurse is reinforcing teaching with a client who has insomnia.Which of the following statements by the client indicates an understanding of the teaching?
A nurse is reinforcing teaching with a client who has insomnia.Which of the following statements by the client indicates an understanding of the teaching?
Signup and view all the answers
A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask.Which of the following actions should the nurse take to ensure client safety?
A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask.Which of the following actions should the nurse take to ensure client safety?
Signup and view all the answers
A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?
A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?
Signup and view all the answers
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is caring for a client who is receiving chemotherapy and has stomatitis. Which of the following actions should the nurse take to reduce the client's discomfort?
A nurse is caring for a client who is receiving chemotherapy and has stomatitis. Which of the following actions should the nurse take to reduce the client's discomfort?
Signup and view all the answers
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
Signup and view all the answers
A nurse is caring for an older adult client and is concerned that the client may have a fecal impaction. Which of the following is the most important question for the nurse to ask?
A nurse is caring for an older adult client and is concerned that the client may have a fecal impaction. Which of the following is the most important question for the nurse to ask?
Signup and view all the answers
A nurse is working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take?
A nurse is working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority?
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority?
Signup and view all the answers
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others?
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others?
Signup and view all the answers
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?
Signup and view all the answers
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take?
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is preparing to obtain a clients vital signs. Which of the following actions should the nurse take when washing their hands?
A nurse is preparing to obtain a clients vital signs. Which of the following actions should the nurse take when washing their hands?
Signup and view all the answers
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?
Signup and view all the answers
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The nurse should assist the client into which of the following positions?
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The nurse should assist the client into which of the following positions?
Signup and view all the answers
A nurse in reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
A nurse in reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
Signup and view all the answers
A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. Which of the following actions should the nurse take to ensure client safety?
A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. Which of the following actions should the nurse take to ensure client safety?
Signup and view all the answers
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify the client's religious preferences?
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify the client's religious preferences?
Signup and view all the answers
A nurse is caring for a client who has limited mobility.Which of the following actions should the nurse take to maintain the client's skin integrity?
A nurse is caring for a client who has limited mobility.Which of the following actions should the nurse take to maintain the client's skin integrity?
Signup and view all the answers
A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?
A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?
Signup and view all the answers
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent health care-associated infections for these clients? (Select all that apply)
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent health care-associated infections for these clients? (Select all that apply)
Signup and view all the answers
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Signup and view all the answers
A nurse is planning care for a group of clients. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures?
A nurse is planning care for a group of clients. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures?
Signup and view all the answers
A nurse working in a community clinic is talking with an older client who states that their life has no purpose. The nurse should identify that the client is in which of the following stages of Erikson's Theory of Psychosocial Development?
A nurse working in a community clinic is talking with an older client who states that their life has no purpose. The nurse should identify that the client is in which of the following stages of Erikson's Theory of Psychosocial Development?
Signup and view all the answers
A nurse is caring for a client who has chronic pain. The nurse recommends that the client concentrate on a memory of a pleasurable experience. Which of the following complementary therapies is the nurse suggesting?
A nurse is caring for a client who has chronic pain. The nurse recommends that the client concentrate on a memory of a pleasurable experience. Which of the following complementary therapies is the nurse suggesting?
Signup and view all the answers
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
Signup and view all the answers
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents an ethical dilemma?
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents an ethical dilemma?
Signup and view all the answers
A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions by the nurse maintains the client's confidentiality?
A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions by the nurse maintains the client's confidentiality?
Signup and view all the answers
A nurse and an assistive personnel (AP) are providing postmortem care for a decease client prior to visitation by the family. Which of the following actions by the AP requires intervention by the nurse?
A nurse and an assistive personnel (AP) are providing postmortem care for a decease client prior to visitation by the family. Which of the following actions by the AP requires intervention by the nurse?
Signup and view all the answers
A nurse reinforcing teaching with a client who has pneumonia and a productive cough. Which of the following instructions should the nurse include in the teaching?
A nurse reinforcing teaching with a client who has pneumonia and a productive cough. Which of the following instructions should the nurse include in the teaching?
Signup and view all the answers
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
Signup and view all the answers
A nurse is collecting data from a client who is 2 days postoperative following a colostomy placement. Which of the following findings should the nurse report to the provider?
A nurse is collecting data from a client who is 2 days postoperative following a colostomy placement. Which of the following findings should the nurse report to the provider?
Signup and view all the answers
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?
Signup and view all the answers
A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make?
A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make?
Signup and view all the answers
A nurse is contributing to the plan of care for a client who is dying. Which of the following intervention should the nurse recommend to include the client's family in the plan of care? (Select all that apply.)
A nurse is contributing to the plan of care for a client who is dying. Which of the following intervention should the nurse recommend to include the client's family in the plan of care? (Select all that apply.)
Signup and view all the answers
A nurse is caring for a client who reports difficulty sleeping at home. Which of the following recommendations should the nurse provide to promote a restful home sleep environment?
A nurse is caring for a client who reports difficulty sleeping at home. Which of the following recommendations should the nurse provide to promote a restful home sleep environment?
Signup and view all the answers
A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching?
A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching?
Signup and view all the answers
A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the first action the nurse should take?
A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the first action the nurse should take?
Signup and view all the answers
A nurse is in a long-term care facility is collecting admission data from a client who uses a hearing aid. Which of the following actions should the nurse take?
A nurse is in a long-term care facility is collecting admission data from a client who uses a hearing aid. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. A nurse can disclose health information without the client's written permission to which the following entities?
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. A nurse can disclose health information without the client's written permission to which the following entities?
Signup and view all the answers
A nurse is demonstrating the use of a transparent film dressing over a client's superficial wound. Which of the following information about a transparent film dressing should the nurse include?
A nurse is demonstrating the use of a transparent film dressing over a client's superficial wound. Which of the following information about a transparent film dressing should the nurse include?
Signup and view all the answers
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?
Signup and view all the answers
A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Which of the following is the proper crutch gait for this client?
A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Which of the following is the proper crutch gait for this client?
Signup and view all the answers
A nurse assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?
A nurse assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?
Signup and view all the answers
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can barely look at myself in the mirror." The nurse should identify that the client is experiencing which of the following?
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can barely look at myself in the mirror." The nurse should identify that the client is experiencing which of the following?
Signup and view all the answers
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?
Signup and view all the answers
A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical record?
A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical record?
Signup and view all the answers
