Quiz 1 pt 3

A nurse is providing palliative care to a client whose partner asks why music therapy might help her . Which of the following responses should the nurse make ? ( Select all that apply . )

" Music therapy works as a distraction and can help alleviate her pain . " " Music therapy can help facilitate movement in some clients who have mobility limitations . " " Music therapy can help her verbally express emotions . "

A nurse is completing the 8 - hr I & O record for a client who consumed 4 oz of clear soda , 1 piece of toast , 12 oz of water , 1 cup of fruit - flavored gelatin , and 1/2 cup of chicken broth . The client also received 300 mL of 0.9 % sodium chloride IV . The nurse should record how many mL of intake on the client's record ? ( Round the answer to the nearest whole number . Use leading zero if it applies . Do not use a trailing zero . )

1140 mL

A nurse is assessing a client for pitting edema and notes an indentation of 6 mm ( 0.25 in ) at the point of pressure . Which of the following notations should the nurse use to document the severity of the client's edema ?

3+

A nurse is preparing to administer penicillin IM to an adult client . Which of the following angles should the nurse use for injection into the client's ventrolateral muscle ?

90 degrees

A nurse is caring for a client whose right leg is in Buck's traction . Which of the following interventions should the nurse implement to promote the client's mobility ?

Active range of motion exercise of the left leg

A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation Which of the following actions the nurse's highest priority ?

Administering a nebulized beta - adrenergie

82. A nurse is planning care for a 5 - month - old infant who is scheduled for a lumbar puncture to rule out meningitis . Which of the following actions should the nurse include in the plan of care ?

Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedure .

A nurse is teaching a client who has a new second - degree ankle sprain . Which of the following instructions should the nurse include in the teaching ? ( Select all that apply . )

Apply a heating pad intermittently to the affected ankle after 48 hr Wrap the affected ankle with an elasticized compression bandage . Apply intermittent ice to the affected ankle for the first 48 hr . Elevate the affected ankle above the level of the heart .

A nurse is preparing to administer a pre - packaged oral medication to a client and complete the final medication check . At which of the following times or places should the nurse perform this final check ?

At the client's bedside before administration

A nurse is caring for a client who has a cardiopulmonary arrest . The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia ?

Atropine

A nurse is developing a plan of care for a client who is postoperative . Which of the following interventions should the nurse include in the plan to prevent pulmonary complications ?

Encourage the use of an incentive spirometer

A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome The nurse should plan to monitor which of the following laboratory values ?

Glucose

A nurse is assessing a client who has narcolepsy . Which of the following findings should the nurse expect ? ( Select all that apply ) .

Hallucinations at the onset of sleep sudden attacks of sleep sleep apnea

A nurse is preparing to administer a unit of red blood cells . The nurse's responsibility is to compare and verify the information on the blood label with the client's information . The nurse should use which of the following as the priority source of verification ?

Identification wristband

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down . Antacids do not help . The provider suspects acute pancreatitis . Which of the following laboratory test results should the nurse expect to see ?

Increased serum amylase

A nurse is measuring a client for knee - high antiembolic stockings to help prevent venous stasis . Which of the following actions should the nurse take ?

Measure from the heel to the popliteal space .

A nurse assessing a client notes that the client has constant leakage of small amounts of urine and a bladder that is distended and palpable . The nurse should associate these findings . with which of the following types of urinary incontinence ?

Overflow incontinence

A nurse is providing teaching to a client with a colostomy about appropriate food choices . Which of the following foods should the nurse include in the teaching ?

Pasta

A nurse is caring for an infant who has gastroesophageal reflux . The nurse should place the infant in which of the following positions for feedings ?

Place the infant in an infant seat

A nurse is caring for a toddler who is having difficulty sleeping during hospitalization . Which of the following actions should the nurse take to promote sleep ?

Provide bedtime rituals

A nurse is creating a dietary plan for an adult female client who has a hemoglobin level of 9.8 g / dL . Which of the following foods should the nurse recommend ?

Raisins

A nurse is preparing a client for placement of a catheter for total parenteral nutrition . Which of the following access sites should the nurse plan to prepare for catheter insertion ? A.

Right subclavian vein

A nurse is administering a cold therapy application to a client . Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response ?

Shivering

indentation nurse use A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele . Which of the following actions by the new nurse indicates the teaching has been effective ?

Takes an axillary temperature

A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility . The nurse should include which of the following information in the Sen teaching plan ?

The client might experience shoulder pain following the procedure .

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic . Which of following information should the nurse include in the discharge instructions ? ( Select all that apply . )

The reason why the child is taking the medication The adverse effects of the medication writen information about the medication

A nurse is reviewing the arterial blood gas ( ABG ) results of a client who the provider suspects has a metabolic acidosis . Which of the following results should the nurse expect to see ?

pH below 7.35

A nurse is caring for a client who has chronic kidney disease ( CKD ) and states she has heartburn . The provider prescribes aluminum hydroxide The client asks , Why can't I just take the antacid magaldrate my husband has at home ? " The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following ?

serum phosphorus levels