ati medsurg

a nurse is assisting the charge nurse with developing an in-service care about caring for clients who have internal sealed radiation implants which of the following information should the nurse include

dispose of radiation implants in a lead container

a home health nurse's reinforcing teaching about preventing asthma attacks with the client who has asthma which of the following instructions should the nurse include in the teaching

do not allow visitors to smoke cigarettes at your home

a nurse is caring for a client who is postoperative and has an epidural infusion which of the following findings should the nurse recognize as the priority

dyspnea

a nurse is collecting data from a client who has hypokalemia which of the following findings should the nurse identify as a priority

dysrhythmia

a nurse is caring for a client who is receiving chemotherapy the client mentions that they have a loss of appetite because of sores and their mouth and that food no longer taste good which of the following suggestions to the client should the nurse make

eat small portions several times a day

a nurse is carrying for a client who reports stomatitis which of the following dietary recommendation should the nurse make

eat soft foods

a nurse is contributing to the plan of care for a client who has COPD and is dyspneic which of the following intervention should the nurse include in the plan

encourage abdominal breathing

a nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking d a n t r o l e n e to manage muscle spasms which of the following intervention should the nurse include

encourage the client to complete ADL

a nurse is contributing to the plan of care for a client who is at risk of osteoporosis which of the following interventions should the nurse include to prevent bone loss

encourage weight-bearing exercise

a nurse is contributing to the plan of care for a client who has partial hearing loss which of the following interventions should the nurse include in the plan of care

face the client while speaking

a nurse caring for a client who has difficulty swallowing which of the following actions should the nurse implement to prevent aspiration

give the client liquids with increased viscosity

a nurse is performing an ECG on a client who is scheduled for surgery the following morning in which of the following locations should the nurse place the v1 electrode

C

and nurses monitoring a client who is taking a c a r b o s e which of the following findings should the nurse identify as an adverse effect of the medication

abdominal cramp

a nurse is contributing to the plan of a care for a client who has meniere's disease which of the following intervention should the nurse include in the plan of care

administer antiemic to the client

the nurses caring for a client and administers penicillin I am the client begins exhibiting hives and has severe difficult to breathing after establishing a patent airway which of the following actions should the nurse take next

administer epinephrine

a nurse is caring for a client who had a acute ischemic stroke 1 day ago which of the following actions should the nurse take to reduce the risk for aspiration

allow 30 minute rest before meals

a nurse is planning to implement droplet precautions for a client who has manifestations of pertussis which of the following intervention should the nurse include when contributing to the plan of care

apply a mask on the client if transport is needed

a nurse's reinforcing teaching about joint protection with the client who has an acute exacerbationrheumatoid arthritis which of the following information should the nurse include in the teaching

apply cold packs to the inflam joints

Alexis reinforcing discharge instructions with a client who is post-operative following a right hip arthroplasty which of the following statements should the nurse make

avoid bending at your hips more than 90°

a nurse's reinforcing discharge instructions with the client who is post-operative following a right hip arthroplasty which of the following statements should the nurse make

avoid bending your hips more than 90°

a nurse's reinforcing teaching with a client who is scheduled for guaiac fecal occult blood test which of the following instructions should the nurse include in the teaching

avoid eating red meat for 3 days prior to the test

a nurse's reinforcing teaching with the client who has multiple sclerosis and a new prescription for baclofenwhich of the following instructions should the nurse include in the teaching

avoid stopping the medication suddenly

a nurse is preparing to perform intermittent urinary catheterization for a female client who has been unable to void following surgery 6 hours ago which of the following catheters should the nurse use to perform this procedure

blue tip

a nurse is collecting data for a client who has hypothyroidism which of the following manifestation should the nurse anticipate

bradycardia

a nurse is participating in a health fair for older clients which of the following vaccines should the nurse recommend for this age group

herpes zoster

a nurse's reinforcing teaching with a client who has gonorrhea which of the following information should the nurse include

you are at risk for infertility with this infection regardless treatment

a nurse is caring for a client who has terminal pancreatic cancer the client states I don't think I can go on any longer which of the following responses should the nurse make

you feel like you want to discontinue treatment

your nurses discussing health screening guidelines with an older adult client which of the following statements should the nurse include

you should have a pneumococcal immunization every 10 yrs

a nurse is discussing how screening guidelines with an older adult client which of the following statements should the nurse include

you should have pneumococcal immunization every 10 yrs

a nurse's assisting in the plan of care for a client who has a recent left hemispheric stroke which of the following actions should the nurse include in the plan

you simple verbal cues when directing tasks

this is caring for a client who is at risk for developing pressure ulcers which of the following actions should the nurse take

position pillows between bony prominence

a nurse is preparing to administer plytonadione 7mg sq to a client who has an INR of for available is 10 mg/mls how many ml should the nurse administer

0.7

a nurse is caring for a client who has MRSA infection in a surgical wound which of the following information should the nurse plan to share with visitors

visitors must put on gown and gloves before entering

a nurse's reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfathe nursery identify that which of the following laboratory values indicates that treatment is effective

HGB 11

a home health nurse is reinforcing teaching with the client about preventing complications of peripheral vascular disease which of the following statements indicates that the client is adhering to the nurse instructions

I don't cross my legs anymore

a nurse's reinforcing teaching with the client who has asthma which of the following clients statements indicates an understanding of the use of budesonide and albuterol inhaler

I never forget to rinse my mouth between office visits arrow record the times I use Albuterol I use my albuterol before swimming

a nurses reinforcing teaching with a client who has mitral valve disease which of the following statements by the client indicates an understanding of the disease process

I should call my doctor if my ankle swell

in nurses reinforcing teaching about g e r d with the client which of the following statements by the client indicates an understanding of the teaching

I should wait at least 2 hours after eating before going to bed

a nurse's reinforcing teaching with an adolescent client regarding testicular self-examinations which of the following statements by the client demonstrates an understanding of the teaching

I understand testicular cancer typically painless

a nurse is reinforcing teaching about hba1c testing with a client who has diabetes mellitus which of the following statements indicates that the client understands the teaching

I will have my hba1c check twice per year

a nurse is preparing to administer scheduled medication to a client which of the following prescriptions should the nurse verify with the provider

ceftriaxone

a nurse is reinforcing teaching with the caregiver of a client who has a cervical injury and has a hollow vest in place which of the following safety precautions should the nurse include in the teaching

change the sheepskin liner weekly

a nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion the client reports pain and swelling at the IV side in which order should the nurse perform the following steps

check the IV site second stop the infusion third with draw the IV catheter fourth elevator affected arm fifth notify the charge nurse

a nurse's assisting with the care of a client who has a newly inserted water seal closed chest tube which of the following findings should the nurse report to the provider

chest drainage is greater than 70 ml per hour

hey nurse is caring for a client who has a history of breast cancer the client asks nurse about birth control which of the following methods of birth control is contradicted for this client

combination oral contraceptive

a nurse is caring for a client who has a new cast on their left forearm and reports of your pain in the affected arm with numbness in the fingers the nurse and finds the skin is pale and cold with sluggish capillary refills which of the following fracture complications should the nurse suspect

compartment syndrome

a nurse's reinforcing discharge teaching with a client who has cirrhosis which of the following instructions should the nurse include

consume foods that are low in sodium

a nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent which of the following laboratory funding should the nurse report to the provider prior to the procedure

creatinine 1.9mg/dl

a nurse is contributing to the plan of care for a client who has peripheral Arterial disease of the lower extremities which of the following interventions should the nurse include

dangling the extremities off the side of the bed

a nurse is collecting data from a client who has heart failure and is taking to digoxin which of the following outcomes from the medication should the nurse expect

decrease shortness of breath

a nurse is preparing to administer for furosemide to a client who has heart failure which of the following findings should the nurse report before administering the medication

decreased potassium

a nurse is caring for a client who has a prescription for p h e n a z o p y r i d i n e which of the following findings should the nurse identify as a therapeutic effect of the medication

decreases pain during urination

a nurse is contributing to the plan of care for a client who has MRSA infection and is on contact isolation precaution which of the following actions

designated stethoscope in the room

a nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal cord injury which of the following interventions should the nurse plan to implement first

determine the clients daily elimination habits

first surgery and it's experiencing anxiety which of the following interventions should the nurse identify as a priority

determine the clients understanding of the procedure

a nurse is connecting data from a 55-year-old female client who reports a vaginal dryness and hot flashes the client is interested in trying hormone replacement therapy which of the following should the nurse recognize as a contradication to HRT

history of treatment for blood clots

a nurse is preparing to ask you like the bowel sounds of a client who has a mechanical bowel obstruction in the descending colon when listening in the left upper quadrant the nurse should identify this sound as which of the following

hyperactive bowel sounds

a nurse is contributing to the plan of care for a client who has having difficulty eating following a stroke which of the following actions should the nurse take first

implement recommendations for the speech language pathologist

a nurse's reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of impending death which of the following manifestations should the nurse include

incontinence of the bowel and bladder

a nurse's reinforcing teaching about management of constipation with the client who has hypothyroidism which of the following instruction should the nurse include in the teaching

increase intake of fiber rich foods

a nurse is assisting in the care of a client who has manifestations of sepsis which of the following provider prescriptions should the nurse implement first

initiate oxygen at 4 l via nasal cannula

a nurse is contributing to the plan of care for a client who has a new prescription for a nystatin suspension for oral candidiasis which of the following interventions should the nurse include in the plan

instruct the client to switch the medication in their mouth

a nurse is caring for a client who has acute pancreatitis while providing care the nurse observes a ecchymosis around the umbilicus the nurse should identify that this is a manifestation of which of the following

intra abdominal bleeding

a nurse is collecting data from a client and notices several skin lesions which of the following findings should the nurse report as possible melanoma

irregular borders

a nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hours ago which of the following intervention should the nurse identify as the priority

keep the client in a sideline position

a nurse is caring for a client who is in bucks traction which of the following intervention should the nurse perform to reduce skin breakdown

keep the skin dry and free of perspiration

a nurse's reinforcing teaching with a client who is on a low sodium diet and ask about how to improve the taste of plant food which of the following foods should their nurse recommend

lemon juice

a nurse is reinforcing with a client who has systemic lupus and is to begin taking methylprednisolone orally which of the following statements should the nurse include in the teaching?

limit contact with large groups pf people

a nurse is assisting a client who reports difficulty falling asleep which of the following activities should the nurse recommend to promote sleeping

listen to soft music before sleeping

a nurse observes a client who is laying in bed and experiencing a tonic clonic seizure which of the following actions should the nurse take

loosen clothing around the client's neck

a nurse is an oncology clinic teaching about mohs surgery with a client who has skin cancer which of the following information should the nurse include in the teaching

m o h s surgery is a horizontal shaving of thin layers of the tumor

a nurse is caring for a client who is 3 days post-operative following a total right hip arthroplasty which of the following actions should the nurse take

maintain abduction of the clients right leg while in bed

a nurse is caring for a client who has meningococcal pneumonia which of the following personal protective equipment should the nurse use

mask

a nurse is caring for a client who has an area indicating potential breakdown over the sacrum which of the following should the nurse take

minimize the time the head of the bed is elevated

a nurse is a Sting with the care of a client who had a cardiac catheterization via the right femoral artery which of the following actions should the nurse take to prevent post procedure complications

monitor the insertion site for bleeding second maintain the pressure dressing check the clients peripheral pulses

a nurse's assisting with the discharge planning for a client who is post-operative following a total hip arthroplasty which of the following instructions should the nurse include in the discharge plan

obtain a raised toilet seat

a nurse's monitoring a client who has a history of enlarged prostate and is experiencing Supra pubic discomfort which of the following actions should the nurse take first

palpate the abdomen

a nurse is caring for a client who has a compound fracture of the femur and was placed in balance suspensionskeletal attraction 4 days ago which of the following actions should the nurse take

perform pin site care daily

a nurse is preparing to remove a client's and G2 which of the following intervention should the nurse take to decrease the risk for aspiration

pinch the ng tube

a nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus the nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing

prealbumin 12mg/dl

a nurse is caring for a client who is one day post-operative following a hip athroplasty the client is exhibiting hypotension tachycardia and tachypnea the nurse should recognize that these findings indicate which of the following complications

pulmonaryembolism

a nurse's reinforcing discharge teaching for a caregiver of a client who has Parkinson's disease which of the following information should the nurse include in the teaching

remind the claim to avoid watching their feet when walking

a nurse's reinforcing discharge teaching about wound care with the caregiver of a client who is post-operative which of the following instructions should the nurse include in the teaching

report p u r u l e n t drainage to the provider

hey nurse is contributing to the plan of care for our client who is post-operative following a total knee athroplasty the client is using a continuous passive motion machine which of the following interventions should the nurse recommend for the plan of care

sheepskin pad between the extremities and the cpm machine

fullness in the rectum and abdominal cramping which of the following findings should the nurse indicate to the nurse that the client might have a fecal impactation

small liquid stool

a nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin ten min.. after beginning the infusion the client reports intense itching which of the following actions should the nurse take first?

stop the medication infusion

a nurse enters the room of a client who's transfusion of packed rbc's was initiated 15 minutes ago by the RN the client reports dyspnea and urticaria after stopping the infusion which of the following actions should the nurse take next

take the clients vital signs

her nurses reinforcing teaching about home care with a client who had a knee arthroplasty which of the following factors should the nurse identify as an indication that a barrier to learning might be present

the client stops the nurse to ask for pain medication

a nurse's reinforcing teaching with a client who is taking insulin glargine which of the following information should the nurse include in the teaching

this type of insulin should be given at the same time every day

a nurse is examining a client's IV site and noticed a red line up their arm the client reports a throbbing burning pain at the IV side the nurse shouldn identify that the client manifestations indicate which of the following complications of IV therapy

thrombophlebitis

a nurse's reinforcing teaching for a client who is to begin using a insulin pump which of the following instructions should the nurse include

use rapid acting insulin in the infusion device

a nurse is preparing to suction a client who has a tracheostomy which of the following actions should the nurse take first

ventilate the client to 100% with oxygen