q1 -A nurse is caring for a client who is visually impaired.
q1 -A nurse is caring for a client who is visually impaired. Which… q1-A nurse is caring for a client who is visually impaired. Which delivering the client’s meal tray? Which of the following actions should the nurse take? A. Provide the client with small-handled adaptive utensils B. Arrange for assistance personnel to fee the client C. Describe the food placement as though the plate were a clock. D. Discourage conversations during the client’s mealtime. q2-A nurse is reinforcing teaching with a client who is starting to take metformin extended-release. Which of the following instruction should the nurse include in the instructions? A. Chew the medication before swallowing B. Expect muscle pain while taking this medication C. Take the medication with breakfast D. Monitor blood glucose while taking this medication q3–A nurse is receiving a change-of-shift report about the care of four clients. Which of the following clients should the nurse see first? A. A client who displays increased confusion over the past 4 hr B. A client who has a blood pressure of 138/88 mm Hg C. A client who reports a pain level of 4 on a scale of 0 to 10 D. A client who has a blood glucose level of 128 mg/dL q4-A nurse is assisting in the care of a client whose cardiac monitor suddenly displays ventricular tachycardia. Which of the following is the priority nursing action? A. Determine palpable pulse B. Perform immediate defibrillation C. Provide pulmonary ventilation D. Begin chest compressionq5A nurse is collecting data from a client who began taking captopril 2 days ago. Which of the following findings should the nurse report to the provider immediately? A. Lip selling B. Metallic taste C. Joint aches D. Dizziness q6-A nurse is caring for a client who has dysphagia and left-sided weakness following a stroke. Which of the following actions should the nurse take when assisting the client with feeding? A. Instruct the client to place their chin to their chest when swallowing B. Position the client upright for 5 min after eating C. Offer the client sick foods such as peanut butter D. Place food on the affected side of the client mouthq7–A nurse is reinforcing teaching with a client who has ovarian cancer and all receive chemotherapy through a peripherally inserted central catheter (PICC) line. Which of the following statements by the client indicates an understanding of the teaching? A. I will monitor my temperature for fever while I have this device. B. It’s okay to get the device wet when I shower. C. I will ear an arm immobilizer to prevent dislodgment of this device D. I should pull the dressing away from the insertion site when I change itq8-A nurse is caring for a client who has COPD with copious secretions. Which of the following action should the nurse take? A. Administer high-flow oxygen B. Limit fluid intake C. Place the client in the prone position D. Perform postural drainage q9–.A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which of the following findings of the affected extremity the nurse report to the provider immediately? A. The client reports increased pain at the area of the fracture B. The client’s fingers are cool to the touch. C. The client’s capillary refill is 3 seconds D. The client reports severe itching under the cast q10A nurse is reinforcing teaching with a client about heart disease prevention. Which of the following client statements indicates an understanding of the teaching? A. I will improve my LDL cholesterol by raising it from 100 to 130 B. I will try to maintain my blood pressure around 116/72 C. I will increase my daily intake by drinking whole milk with every meal D. I will exercise by walking twice a week for 25 minutesq11–.A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following statements by the client indicates an understanding of the teaching? 1-I should avoid broccoli and chewing gum 2- I should place an aspirin in the pouch to eliminate odor. 3- I should clean around the stoma with moisturizing soap 4- I should decrease the amount of fresh fruit in my diet. q12-nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body images? 1-Accepts that sexual activity will decrease 2- Prefers not to look at the stoma site 3- Denies feelings of sadness about the stony 4-Participates in performing ostomy care q13-.A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider? 1-Ammonia 55 mcg/dL 2- Bilirubin 1.0 mg/dL 3-Aspartate aminotransferase 34 units/L 4-Platelets 60.000/mm3 q14A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the following interventions should the nurse include in the plan? A. Wear an N95 mask when entering the room. B. Use an alcohol swab to clean the temperature probe before removing it from the roof, C. Keep a stethoscope at the client’s bedside for the duration of her hospital stay. D. Remove personal protective equipment immediately after leaving the client’s room. q15A nurse is reinforcing teaching with a client who is postoperative following a tympanoplasty. Which of the following information should the nurse include?1-Plan to shampoo hair in 1 week2- Resume exercising in 10 days3- Close mouth when sneezing 4- Drink fluids through a strawq16-A nurse is reinforcing teaching with a client about increasing her intake of fiber. Which of the following foods should the nurse encourage the client to eat? A. Yogurt B. Pears C. Cheese D. Eggs q17. A nurse is reviewing the medical record of a client who reports his urine is red-orange. The nurse should identify that which of the following medications can cause this adverse effect? A. Isoniazid B. Rifampin C. Furosemide D. Metoprololq18A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching? 1-It is common for one breast to be larger than the other..,” 2-It is common for the skin on my breasts to dimple.” 3-| will perform breast exams the day my period begins.” 4-| will perform breast exams every other month.” q19-A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take?1- Suction the client for 20 seconds with each pass. 2- Apply suction pressure while inserting the catheter into the trachea. 3- Sanitize around the stoma with povidone-iodine. 4- Allow space for one finger to be placed under the tube ties. q20A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal suctioning. Which of the following statements by the partner indicates an understanding of the teaching? 1-“| will suction the mouth before inserting the suction catheter into the tracheostomy.” 2- “| will suction for less than 15 seconds while inserting the suction catheter.” 3-“| will set the suction pressure dial between 80 and 120.” 4- “| will wrap the suction catheters in a clean towel to be used again at a later time.” q21-A nurse is reinforcing teaching about immunizations with an older adult client. Which of the following instructions should the nurse include? 1-“You should receive the live, attenuated influenza vaccine every other year.2- “You should receive the hepatitis A vaccine every 10 years.” 3-“You should receive the human papillomavirus vaccine.” 4- “You should receive one dose of the pneumococcal vaccine.” q22A nurse is prioritizing care for four clients following change-of-shift report. Which of the following clients should the nurse attend to first? 1-A client who has diverticulitis and a temperature of 38.3° C (100.9° F) 2- A client who has a prescription for a sputum specimen to be obtained before breakfast 3- A client who sustained a head injury 2 days ago and has a decreased level of consciousness 4- A client who has Alzheimer’s disease and requires assistance to the bathroom q23A nurse is reinforcing discharge teaching with a client who had an excisional biopsy of the left breast. Which of the following instructions should the nurse include? 1- Refrain from wearing a bra for 10 days after the surgery. 2- Apply an ice pack to the incision site to treat discomfort. 3- Expect numbness to last for up to 4 months. 4- Use bandages to absorb bleeding at the incision site. q25-A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of the following actions should the nurse take when applying the SCD? 1-Ensure two fingers fit between the leg and the sleeve. 2- Wrap excess tubing to the side of each leg. 3- Ensure the pressure of the device is at 25 mm Hg. O4-Place each sleeve under each leg with the opening at the calf. q26-A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client refuses further hydration and nourishment. Which of the following actions should the nurse take? 1-Request a prescription for IV fluids. 2- Ask the client’s health care surrogate for permission to withhold nourishment. 3- Provide regular oral care for the client with a moist swab. 4-Explain the importance of oral hydration to the client. q27A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching? 1-“| will need to charge the TENS unit for 2 hours each day.” 2-“The TENS unit administers a continuous dose of pain medication.” 3-“| should adjust the TENS unit until | feel a tingling sensation.4-“The TENS unit should be applied at least 6 inches from the actual site of my painq28-A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the following interventions should the nurse include in the plan? 1-Keep a stethoscope at the client’s bedside for the duration of her hospital stay. 2- Wear an N95 mask when entering the room. 3-Use an alcohol swab to clean the temperature probe before removing it from the room. 4-Remove personal protective equipment immediately after leaving the client’s room. q29–nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take? 1- Raise all four side rails while the client is in bed. 2- Apply a motion sensor mat to the client’s bed. 3- Leave the television on in the client’s room. 4- Move the overbed table away from the bed. q30A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan? 1- Have assistive personnel feed the client. 2- Ask the provider for a prescription for a pureed diet. 3-. Obtain a referral for physical therapy 4-. Apply foam handles to the clients’ eating utensilsq31A nurse is collecting data from a client who underwent a thyroidectomy 4 hr. ago,. Which of the following findings indicates a complication of the procedure? A. Tingling of the fingers B. Soreness at the incision site C. Report of sore throat D. Serosanguineous drainage on the dressing. q32nurse is reinforcing teaching about environmental modifications in the home with a family member of a client who has Alzheimer’s disease Which of the following information should the nurse include in the teaching?1-Leave the television on.2-Schedule alternate caregivers.3-install locks at the top of doors.4-Place throw rugs on the floorq33A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care? A. Occupational therapist B. Dietitian C. Herbalist D. Social workerq34nurse is collecting data about immunizations from a 65-year-old client who has no identified risk factors for disease. The nurse should identify the client’s need for which of the following immunizations?1-measles, mumps, and rubella2-inactivated poliovirus3-Human papilloma virus4-Herpes zosterHealth Science Science Nursing NUR 233
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