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The client with major depression states, "I am too tired to get out of bed to go to group. I just want to rest." The nurse should tell the client:

"Attending group is an important part of your treatment plan."

The unit secretary who transcribes the health care provider's (HCP's) prescriptions asks the nurse to interpret an illegible prescription. The nurse should clarify the prescription with the:

HCP.

A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include?

"Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."

As the nurse is turning off the television, a client with bipolar disorder, manic phase, says, "I want the television on so I can watch the late show. I am not tired and you cannot tell me what to do. I want it on!" The nurse should tell the client:

"Television hours are from 1900 hours to 2200 hours. It is 2200 hours, and the television goes off so everyone can sleep."

A registered nurse (RN) is supervising the work of a licensed practical nurse (LPN) who's caring for a client diagnosed with a terminal illness. Which statement by the LPN should be corrected by the RN?

"The law says you must write a new living will each time you're admitted to the hospital."

A client with a past history of varicose veins has just given birth to her first neonate. The nurse suspects that the client has developed a pulmonary embolus. Which findings support the nurse's suspicion? Select all that apply.

- Confusion -Sudden dyspnea -Diaphoresis

A client is refusing to take the prescribed oral medication. Which of the following measures by the nurse can be used to get the client to take the medication? Select all that apply.

- Explaining the purpose of the medication to the client -Asking the client the reason for not taking the medication -Suggesting a liquid form of the medication instead of a pill

A client is admitted with numbness and tingling of the feet and toes after having an upper respiratory infection and flu for the past 5 days. Within 1 hour of admission, the client's legs are numb all the way up to the hips. What should the nurse do next? Select all that apply.

- Notify the health care provider (HCP) of the change. -Check for advancing levels of paresthesia. -Place respiratory resuscitation equipment in the client's room.

The nurse is planning care for a client with bipolar mania and a history of aggressive behavior. Which actions by the nurse would be most appropriate? Select all that apply.

- Set and maintain firm limits - Do not argue with the client -Approach the client in a calm, slow manner

Which task should a nurse choose to delegate to a nursing assistant? Select all that apply.

- Taking a client's vital signs -Documenting a client's oral intake -Performing a blood glucose check

A nurse is administering medications to a client diagnosed with hepatitis B. When the nurse hands the client his/her medications, the client says, "I would rather not take that pill or any others. I know there is no cure for hepatitis B." The nurse recognizes that the client is expressing feelings of hopelessness about the diagnosis. Select the best responses by the nurse. Select all that apply.

-"You seem frustrated. Would you like to talk?" -"You can lead a long and fairly healthy life if you are compliant with your medications." -"You have the right to refuse any medications. Would you like to discuss your feelings about this disease?"

A client diagnosed with pneumonia refuses the prescribed oral antibiotic. The client is alert and oriented, vital signs are within normal range, and crackles are scattered throughout the posterior left lower lobe of the client's lung. Which actions should the nurse perform? Select all that apply.

-Document that the client refused to take the medication. -Notify the physician. -Address the client's concern about the medication by clarifying its purpose.

Which activities should the nurse encourage the unlicensed assistive personnel (UAP) to assist with in the care of postoperative clients? Select all that apply.

-Empty and measure indwelling urinary catheter collection bags. -Tell the nurse if clients report they are having pain. eposition clients for pain relief.

The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range for a client who had a craniotomy 12 hours ago. What should the nurse do? Select all that apply.

-Monitor neurologic status using the Glasgow -Coma Scale. -Contact the health care provider (HCP) if ICP is greater than 15 mm Hg. -Elevate the head of the bed 15 to 20 degrees.

A nurse is performing an assessment on a client with depression. Which finding should the nurse anticipate? Select all that apply.

-Negative and pessimistic feelings -Difficulty concentrating and making decisions -Psycho-motor retardation and agitation

Question 2 See full question 45s When planning care for a client with ulcerative colitis who is experiencing an exacerbation of symptoms, which client care activities can the nurse appropriately delegate to an unlicensed assistive personnel (UAP)? Select all that apply.

-obtaining the client's weight -maintaining intake and output records -providing skin care following bowel movements

A staff nurse on a pediatric unit has a four-client assignment. Which child should the nurse assess first?

A 10-year-old child with asthma whose oxygen saturation levels are dropping

A registered nurse and a nursing assistant are caring for a group of clients. Which client's care may safely be delegated to the nursing assistant?

A client diagnosed with renal calculi who must ambulate four times daily and drink plenty of fluids.

A nurse is counseling a client who is depressed. What nursing actions promote trust between the client and the nurse? Select all that apply.

Acknowledge hearing what the client said. Listen and encourage the client to say more. Indicate an understanding for the client's feelings as well as for their cause.

Which task may a nurse delegate to a nursing assistant?

Assisting a client who had surgery to ambulate in the hallway

The nurse observes a surgeon explaining the procedure for an appendectomy to a client and asking the client to sign the consent for surgery. The nurse is aware that the client is Chinese and does not speak the native language fluently. Which of the following is the best action for the nurse to take to advocate for the client?

Suggest that a hospital interpreter explain the procedure to the client before the consent is signed.

A nurse on a neurologic unit has completed assessments on five clients. Which task should the nurse delegate to the nursing assistant?

Taking vital signs

The client with bipolar disorder, manic phase, has a valproic acid level of 15 mg/mL (104mmol/L). Which client behaviors should the nurse judge to be due to this level of valproic acid? Select all that apply.

flight of ideas irritability grandiosity

The nurse is planning care for a neonate to prevent neonatal heat loss immediately after birth. To conserve heat and help the infant maintain a stable temperature, the nurse should:

place the infant skin to skin with the mother.

The nurse is performing the initial assessment on a middle age woman recently diagnosed with Cushing's syndrome. The nurse reviews the history and physical (see chart). The nurse should develop a plan with the client to manage which effects? Select all that apply.

risk for injury slow healing risk for infection