Nursing Care Questions PDF

A nurse is caring for a client who is expressing anger about their 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 if providing discharge teaching to a client about self administering hepar...

A nurse is caring for a client who is expressing anger about their 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 if 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 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 tragus of the client\'s ear A nurse in a clinic is caring for a middle adult client who states, \"The doctor says that, since I am at an average risk for colon cancer, I should do a routine screening. What does that involve?\" Which of the following responses should the nurse make? \"You should have a fecal occult blood test every year\" [**We have an expert-written solution to this problem!**](https://quizlet.com/explanations/questions/a-nurse-in-a-clinic-is-caring-for-a-middle-aged-adult-client-who-states-the-doctor-says-that-since-i-am-at-an-average-risk-for-colon-cancer--7e85a674-4cb99fa3-e852-449e-a8d8-36162d92ca58) A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-high sequential compression sleeves. Which of the following actions should the nurse take? Make sure two fingers can fit under the sleeves [**We have an expert-written solution to this problem!**](https://quizlet.com/explanations/questions/the-nurse-caring-for-a-postoperative-client-following-knee-arthroplasty-requires-thigh-high-compression-sleeves-what-should-the-nurse-do-44f5b674-4e812522-1e2d-471f-8791-9bc9495b35db) A nurse if 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 their body A nurse if calculating a client\'s fluid intake over the past 8hr. Which of the following items should the nurse plan to document in the client\'s intake and output record as 120 mL of fluid? 8 oz of ice chips A nurse is educating a client who has a terminal illness about declining resucitation in a living will. The client asks, \"What would happen if I arrived at the emergency department and I had difficulty breathing?\" Which of the following responses should the nurse make? \"We would give you oxygen through a tube in your nose\" A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and their family? -Check the cord routinely for frays or tearing\ -Consider purchasing a generator for power backup\ -Observe for signs of hypoxia A nurse is reviewing evidence based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse take? Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take while inserting the NG tube? Have the client take sips of water to promote insertion of the NG tube into the esophagus A nurse is caring for a group of clients on a medical surgical unit. In which of the following situations does the nurse demonstrate the ethic principle of veracity? A client who is unaware of their recent cancer diagnosis asks the nurse if they had cancer, and the nurse responds affirmatively A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as a potential indication of elder abuse? The caregiver insists on remaining in the room 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? -Pupil clarity\ -Visual fields\ -Visual acuity A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statement should the nurse make? \"They indicate the form of treatment a client is willing to accept in the event of a serious illness\" A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? The newly licensed nurse places a cap of a bottle of sterile solution on the sterile field A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin subcutaneously. Determine the correct order of steps for this procedure. -Inject 10 units of air into the bottle of NPH insulin\ -Inject 5 units of air into the bottle of regular insulin\ -Withdraw the correct dose of regular insulin from the bottle\ -Withdraw the correct dose of NPH insulin from the bottle [**We have an expert-written solution to this problem!**](https://quizlet.com/explanations/questions/a-nurse-is-caring-for-a-client-who-has-a-prescription-for-5-units-of-regular-insulin-and-10-units-of-nph-insulin-to-mix-together-and-adminis-5092687e-048b7b4e-64fb-4b89-b383-f25ca7d19b40) A nurse is planning teaching for a client who has a new diagnosis of type 1 diabetes mellitus about insulin self-administration. Which of the following actions should the nurse take first? Determine the client\'s learning style A client demonstrates anger when the nurse does not respond within 5 min of ringing for the nurse. Which of the following is an appropriate response by the nurse? \"That must be frustrating for you. How can I help you right now?\" A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Which of the following should the nurse use as a psychomotor approach to learning? Practice sessions A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection? Place a client who has tuberculosis in a room with negative-pressure airflow A nurse is reviewing a client\'s medication prescription that reads, \"digoxin 0.25 by mouth every day.\" Which of the following components of the prescription should the nurse verify with the provider? Medication dose A nurse is caring for a client who reports pain. When documenting the quality of the client\'s pain on an initial pain assessment, the nurse should record which of the following client statements? \"The pain is like a dull ache in my stomach\" A nurse if performing a Romberg test during the physical assessment of a client. Which of the following techniques should the nurse use? Have the client stand with their arms at their sides and their feet together A nurse is preparing to insert an IV catheter into a client\'s arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? Apply transparent dressing over the IV insertion site and securement device A nurse is teaching a client and their 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 [**We have an expert-written solution to this problem!**](https://quizlet.com/explanations/questions/a-nurse-is-teaching-a-client-and-his-family-how-to-care-for-the-clients-tracheostomy-at-home-which-instructions-should-the-nurse-include-in--e290e7a5-9217d79c-8358-4aff-b1d3-7b4a8180f776) A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene? Erythema on pressure points A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide? Breath sounds A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as indication infiltration? Skin blanching A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein-thrombosis. The prescription reads 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? 8 mL/hr A nurse is preparing to transfer a client who can bear weight on one leg from the bed to the chair. After securing a safe environment, which of the following actions should the nurse take? Assess the client for orthostatic hypotension A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy? A mole with an asymmetrical appearance A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for the client? Use a bed exit alarm system A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to decrease the chance of developing plantar flexion contracture? Apply an ankle-foot orthotic device to the client\'s feet The client is at risk for \_\_\_\_\_\_ as evidenced by \_\_\_\_\_\_. -Bleeding\ -Platelet count The nurse is reviewing the client\'s medical record. Click to highlight the findings that require intervention by the nurse. -Passive range of motion exercises to lower extremities performed once a day\ -Plantar flexion contractures noted bilaterally\ -Left heel with 1.3cm x 1.3cm area of non-blanching skin intact Select the 3 findings that require follow up. -Breath sounds\ -Oxygen saturation\ -Temperature