1-A nurse is planning care for a client in an outpatient cli
1-A nurse is planning care for a client in an outpatient clinic…. 1-A nurse is planning care for a client in an outpatient clinic. which of the following client should the nurse refer to a case manager?A client who has a new diagnosis of diabetesA client reform of preoperative teaching vasectomyA client who has present forceflaxone IMClient how has cohosh anemia2-nurse working in a long-term care facility is giving a change-of-shift report on a client who had a stroke. Which of the following info do nurses include in the report?1-The client’s blood pressure was recorded at 0730 and 1130.2-The client’s enteral feeding bag needs to be changed at 2200.3- The client’s pain medication was administered twice during this shift.4-The client received a bath and backrub3–A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should nurse with the most comprehensive client information?1-Standardized care plan2-Client care lyrdex3-Medication administration record4- I&0 record4-nurse is assisting in a client education class for fire safety in the home. Which of the following statements by the nurse of the teaching?1-I should change the batteries in my smoke alarms every 2 years.”2-I will attempt to extinguish the fire before calling the fire department.”3-I will use a Class A extinguisher for an electrical fire.”4-I should spray the extinguisher from side to side on the fire.”5–nurse is reinforcing teaching with a client about fire safety in the home. Which of the following instructions should the nurse include teaching?1-Open windows to allow smoke to escape if a fire occurs.2-Change batteries in home smoke alarms every 2 years.3-Aim the extinguisher nozzle at the top of the flames if a fire occurs.4-Store a fire extinguisher away from the stove in the home.6-A nurse is discussing reporting statutes for child maltreatment with a newly licensed nurse. Which of the following statements by the licensed nurse indicates an understanding of reporting statutes?1-I need to confirm the presence of child maltreatment before reporting my findings.”2-Removing a child from their home is mandatory following a report of child maltreatment.”3-I can be criminally charged with negligence if I fail to report a suspicion of child maltreatment.”4-The child’s guardian can sue me if I make a report of child maltreatment and they are proven innocent.”7-nurse has sustained a needlestick injury from a needle he used to give an injection to a client who has hepatitis C. Which of the following should the nurse take?1-Start prophylactic antibiotic therapy.2-Notify the health department.3-Comple an incident report.4-Receive a hepatitis C immunization.8-a nurse at a long-term care facility is reinforcing information with newly hired staff about legal issues. Which of the following example to nurse include as a situation where the nurse could face liability?1-A nurse asks assistive personnel to perform postmortem care for a client who does not require an autopsy.2-A nurse does not have another nurse verify an insulin dose prior to administration.3-A nurse leaves out personal opinions while documenting the care of a client who has not adhered to the treatment plan.4-A nurse allows a client’s family to be present at the client’s request while obtaining a medical history.9-nurse is reviewing his client care assignments after receiving the change-of-shift report. The nurse should notify the charge nurse that which of the following tasks should be reassigned to an RN?1-Classifying a pressure ulcer2-Administering heparin subcutaneously3-inserting an indwelling urinary catheter4-Suctioning a client’s new tracheostomy10-nurse in a long-term care facility is monitoring clients in the day room. A client who has dementia becomes angry and starts screaming nurse. Which of the following interventions should the nurse take first?1-Engage the client in a repetitive activity as a distraction.2-Place the client in a seclusion room.3-Administer PRN haloperidol IM to the client.4-Apply wrist restraints to the client.11-A nurse is reviewing safety precautions with an assistive personnel(AP) about repositioning a client who has a pressure. Which of the following actions suggested by the AP indicates an understanding of the procedure?a) Elevate the head of the bed to a 45-degree angleb) Lower the bed close to the groundc) Position the bed in reverse Trendelenburgd) Use an air-assisted device12-nurse is caring for a client who is upset after talking with the provider. The client tells the nurse that he wants a different provider. Which of the following responses by the nurse is appropriate?a) ´´You should not change doctors during your treatment. ´´b) ´´You have the right to speak to another doctor. ´´c) ´´Your doctor is more familiar with your case than anyone else. ´´d) ´´I´ll have the doctor come to talk with you.13-A nurse is caring for a client who is scheduled for surgery and has signed the informed consent form. The client …about the procedure. Which of the following actions should the nurse take?a) Document the client’s concerns in the medical record.b) Explain the procedure to the client.c) Call the surgeon to come explain the procedure to the client.d) Provide written materials about the procedure to the client. 14-a nurse is preparing to witness a client sign a consent for laparoscopic total cholecystectomy. The nurse s and notify the provider if the client makes which of the following statements?1-I might have trouble staying on a low-fat diet after my surgery.”2-I will plan to be in the hospital for 24 hours following my surgery.”3-I can resume my normal activities in 1 to 2 weeks.”4- hope that removing my appendix will make me feel better.15-a nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of nurses include as an infection control hazard?1-A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill.2-A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella-zoster.3-A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a4- A staff member places a midstream urine sample in a specimen refrigerator after collecting it16-charge nurse is reinforcing teaching with a newly licensed nurse about the confidentiality of clients’ electronic the following statement by the newly licensed nurse indicates an understanding of the teaching?1-I can remain logged on to my computer if I step away for less than 5 minutes.”2-A client can obtain a copy of their psychotherapy notes.”3-I will ensure that my screen isn’t visible to others when I’m documenting.4-I will crete a simple password that is easy to remember. 17–nurse is reviewing safety precautions with assistive personnel (AP) about repositioning a client who has a pres following actions suggested by the AP indicates an understanding of the procedure?1-Elevate the head of the bed to a 45° angle.2-Position the bed in reverse Trendelenburg.3-Lower the bed close to the ground.4-Use an air-assisted device. 18-nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the followingassistive personnel?1-Place defibrillator pads on the client.2-Assist with airway intubation.3-Perform CPR on the client.4-Maintain IV access. 19-A nurse is preparing to provide care to a client who is postoperative following an abdominal hysterectomy scheduled tasks should the nurse perform first?1-Change the client’s abdominal dressing.2-Measure the client’s vital signs.3-Discontinue the client’s PCA.4-Remove the client’s indwelling urinary catheter.20-nurse is assisting with the development of a nursing staff in-service about medication reconciliation. Which of the following does the nurse recommend including in the in-service? 1-Medication reconciliation can be delegated to assistive personnel.2-Medication reconciliation should be completed whenever the nurse administers medication.3-Comple medication reconciliation when a client moves to a new room on the same unit.4-Include herbal supplements in the medication reconciliation. 21–A nurse in a rehabilitation center is assisting with the discharge of a client who had a below-the-knee the client has which of the following supplies and equipment available?1-Elastic bandage2-A knee immobilizer3-Silver sulfadiazine cream 4-A soft mattress22–nurse is prioritizing care for four clients. Which of the following tasks should the nurse perform first?1-Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus.2-Change the dressing for a client who has a decubitus ulcer.3-Initiate a 24-hr. urine collection for a client who has end-stage kidney disease.4-Initiate oxygen therapy via nasal cannula for a client who has COPD. 23-nurse is reviewing the prescriptions for a client who is postoperative following total hip arthroplasty. Which should the nurse clarify with the provider?1-Perform range-of-motion exercises every 2 hr.2-Place an abduction pillow between the legs.3-Reposition the client every 2 hr.24-A nurse is caring for a client who has gone into cardiac arrest. The client’s chart indicates refusal of life-sustaining measures in a living will sign 10 years ago but a do-not-resuscitate (DNR) prescription has not been written by the provider. Which of the following actions by the nurse is appropriate?Contact the provider for instructions regarding a DNR.Call a code because a DNR prescription has not been writtenConsult with the client’s family regarding resuscitation effortsComply with the living will and let the client expire naturally 25. A nurse on a neonatal unit is reinforcing teaching with assistive personnel about infant abduction. Which of the following situations should the nurse include as a potential breach of facility security? A parent reports that his identification bracelet is loose and requests a replacement.A person wearing scrubs is seen carrying an infant out of the unit doors.A parent has not signed the facility’s infant safety pledgeA person wearing a picture identification badge asks to take an infant for testing.26-A nurse is talking with a client who asks where to get information about in alternative medications on the internet so they can discuss which with their provider. Which of the following sources of information should the nurse recommend?The website of a pharmaceutical company that sells prescription medicationsA government website that is updated weekly referencing research on alternative medicineA website created for social use by clients who use alternative medicationsThe commercial website of a company that offers alternative medication27-A nurse enters a client’s room and discovers a fire in the trash can. After removing the client from the room, which of the following actions should the nurse take next?Shut the doors of all client roomsTurn off sources of oxygenPull the nearest fire alarmUse an extinguisher to put out the fire28-A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard?A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill.A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for cultureA staff member places a midstream urine sample in a specimen refrigerator after collecting it.A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster.29-. A nurse in a long-term care facility is monitoring clients in the day room. A client who has dementia becomes angry and hurts increasingly with the nurse. Which of the following interventions should the nurse take first?Administer PRN haloperidol IM to the clientApply wrist restraints to the clientPlace the client in a seclusion roomEngage the client in a repetitive activity as a distraction30- A nurse is reinforcing teaching about the concept of confidentiality with a group of assistive personnel (AP) which of the following statement should the nurse use as an example of a violation of client confidentiality?Notifying another nurse of a client’s history of alcohol use disorderFaxing a client’s medical records to a consulting providerDiscussing a blood pressure value with a member of a client’s familyInforming an AP during a report about a client’s request for no visitors31- nurse is caring for an older adult client who has advanced dementia and needs a blood transfusion has a daughter on a durable power of attorney for health care form, and the daughter (51. ) A nurse is providing care for a group of clients. For which of the following occurrences should the nurse complete an incident report?A client who is receiving nitroglycerin reports a severe headacheThe pain level of a client who returned from physical therapy increases from a 4 to a 7 on a scale from 0 to 10The respiratory rate of a client who is receiving albuterol via nebulizer decreases from 24 to 10/minA client who is receiving erythromycin experiences urticaria32-a charge nurse is reinforcing teaching with a newly licensed nurse about methods to contain health care costs within the staff member which of the following statements by the newly licensed nurse indicates an understanding of the teaching?The cost associated with complications after a surgical procedure are factored into the scheduled reimbursementA high cost of treatment ensures that the best quality of care was provided to the clientClient care should be organized for efficient use of timeCharging the client for only a portion of the supplies used will help to decrease the costs to the hospital. ´ Health Science Science Nursing NUR 233
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