Nurse logic 2.0 - Nursing Concepts

a nurse is reinforcing teaching to a client who has aphasia. which of the following actions by the nurse is appropriate when communication with the client

eyeball blinks

a nurse is reviewing the documentation of a newly licensed nurse. which of the following actions by the newly licensed nurse while documenting requires the nurse preceptor to intervene

including in a clients nurses' note that an incident report was completed after a med error

a nurse is reinforcing teaching about HIV with a group of HS students. which of the following information is appropriate for the nurse to include

initial HIV symptoms are often simillar to the flue

a nurse is caring for an older adult client who has an allergy to sulfa, is taking valproc acid for a seizure disorder and has been newly diagnosed with osteoarthritis. the client states, "i keep seeing comercials on TV for celebrex and i want to try it and see if it will help my pain." upon reviewing of scientific evidence the nurse whould inform the client of which of the following

is contraindication in client with an allergy to sulfonamide

a nurse on the coronary care unit is caring for a client who was transferred from the medical floor after experiencing myocardial infarction. after the client is stabilized, she asks the nurse why she had to be transferred to a unit where her family will be unable to stay with her ally the time. which of the following responses is appropriate

lets take a minute to talk about your concerns

a nurse in a providers office is orienting a newly LPN on how to position client for vaginal examination. what position

lithotomy

a nurse is caring for a client who has been admitted to the medical unit with vomitting and possible dehydration

potassium 2.5

a nurse is caring for an older adult client who was admitted 3 days ago with fractured ribs bilateraly and is suspected of being abused by his caregivers. which of the following should be the nurse's priority goal

protect the client from further abuse

a nurse is caring for a client who has nausea and a prescription for promethazine 25 mg IM. which of the following is appropriate when preparing a medication for administration from an ampule

set the ampule on a flat surface to withdraw the promethazine

a nurse is caring for a client who had a cerebrovascular accident and is having difficulty swallowing. which of the following health care profesional should attend next interdisciplinary team meeting to address this complication

speech pathologist

a nurse is reinforcing teaching by demonstrating deep breathing and coughing exercises to a client who is scheduled for abdominal surgery. for which of the following responses by the client should the nurse postpone teaching?

states that pain is an 8 on a scale of 0 to 10

a nurse is reinforcing teaching about transdermal nitroglycerin to a client who has stable angina. which of the following statements by the client indicates teaching has been effective

the patch should be effective within an hour of being applied

a nurse is caring for a client who is diagnosed with active pulmonary tuberculosis and is taking isoniazid and ethambutol. which of the following manifestations reported by the client necessitate the discontinuation of ehthambutol

loss of color discrimination

a nurse is working with the information technology department of his facility to establish a protocol regarding security mechanisms that will protext the electronic health records of clients. which of the following could result in a violation of client confidentiality

ability of staff to access electronic health records of clients throughout the facility

a nurse is caring for a client who has osteoarthritis and is considering treatment with acupuncture. which of the following is acceptable for the nurse to include in discussion with the client

acupuncture has been proven to reduce pain and increase function

a nurse is caring for a client who has cancer. the client has decided to stop treatment and requests a referral to hospice. by making the referral as requested, the nurse is illustrating which of the following ethical principles.

autonomy

a nurse is reinforcing teaching about performing suctioning to a client who is being discharged following a trachesostomy. which of the following behaviors by the client best indicate to the nurse that teaching has been effective

demonstrating independent performance of the procedure

a nurse in a local clinic is caring for a female client who is 35 years old. which of the following screenings should the nurse recommend to the client

dermatologist evaluation every 3 years to detect skin cancer

a nurse discovers that a client who is diagnosed with dementia received the wrong medication. which of the following should be the nurse's first action

determine the client's condition

a nurse is caring for a client following a bronchoscopy. which of the following findings requires immediate intervention

difficulty breathing