Comprehensive FINAL 2019
A nurse in the ED is reviewing lab results for several children w/influenza. Which of the following children should the nurse report to the provider immediately?
An infant whose WBC is 24,000 mm(3)- Correct???
A nurse in an acute care unit is talking w/a client who has osteoarthritis pain in her knees and reports it is worsening each day. What intervention should the nurse suggest?
Apply warm compresses to the painful joints
During a client care unit meeting, the nurse manager discusses potential problems with data security related to confidential client information. The nurse manager explains that safe, effective environments where client information may be discussed include areas closed off from the public. outside the door of a client's room. lunch breaks in the cafeteria. in the hallway near the nurse's station.
Areas closed off from the public.
A nurse is caring for a client who is 38 weeks gestation and in active phase of labor. The nurse notices 2 late decelerations of the FHR out of the last 5 contractions. Which of the following interventions should the nurse do?
Assist client into lateral lying position.
A nurse is reviewing laboratory data of a client who presents w/systemic lupus erythematosus. What should the nurse expect to show an increased level?
Erythrocyte Sedimentation Rate
A nurse is discussing fire safety with newly hired nurses. What is the priority action if a fire breaks out at the health care facility?
Evacuate the patients to safety.
A community health nurse is performing triage during a disaster drill. Which of the following patients would the nurse send first for treatment?
Hemothorax
A nurse is reviewing the use of side rails with an assistive personnel(AP). Which statement indicates a need for further teaching?
If a client is confused, I will raise all four side rails so he doesn't hurt himself.
A nurse is caring for a client w/hyperthyroidism. The nurse should suggest which of the following?
Increase caloric and fluid intake to meet metabolic demand.
A nurse is caring for a client who has a terminal illness and wants to die at home. What response is best?
Let's set up a meeting with the provider to discuss options.
A nurse is caring for a client who is experiencing chronic phantom limb pain after an above the knee amputation. What medication should the nurse verify with the provider?
Meperidine
A nurse in the ED is assessing a client with deep, rapid respirations. An ABG is drawn and shows PH- 7.25 POc02-40, and HC03-18.
Metabolic Acidosis
A nurse is talking with the parent of a 4 month old infant about growth and development. Which of the following statement indicates the need for further teaching?
My baby loves to play with pillows in her crib.
A nurse is caring for a client with acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse's priority?
Parestheia
ATI platelet and digoxin TI range
Platelets 100,000 Normal range 150,000-400,000 Digxon therapeutic range 0.8-2 WBC range 5,000-10,000
A nurse is a long-term care facility notes that a client w/dementia is having problems with orientation. Which of the following should the nurse do to help their level of orientation?
Post a large calendar on the bulletin board.
Which of the following indicates a nurse's clients' AAA abdominal aortic aneurysm is enlarging?
Report of sudden, intense back pain,
A nurse is providing care for a client w/ SIADH. Which medication should the nurse expect the provider to prescribe?
SAMSCA (Tolvaptan)
A nurse manager notices several employee's are late in completing their mandatory educational session about extremity restraint safety. What action should the nurse manager take?
Send an email telling the employee's about the missed mandatory session which include a link to complete them.
A nurse manager notes conflicts between nurses on different shifts. These problems are likely due to several factors, including generational differences, experience, and the expectations of care on each shift. Which of the following strategies should the nurse use to resolve these conflicts? Have the charge nurses for each shift get together and discuss the issues between shifts. Direct the nurses from each shift to discuss their issues and present their solutions to the nurse manager. Set up a series of meetings for all staff members to attend to discuss issues. Allow the nurses from each shift to resolve the issues amongst themselves.
Set up a series of meetings and have staff discuss their issues.
A nurse is caring for a client receiving IV ampicillin who develops uticaria and dyspnea. What action should the nurse take first?
Stop the infusion.
A nurse is assessing a pt receiving red packed blood cells. What finding indicates acute intravascular hemolytic reaction
Sudden Oliguria
A nurse is caring for a client who is receiving clozapine for schizophrenia. The nurse knows that which of the following increases in parameters indicates an early adverse effect of this medication?
Temperature
A nurse's client has C Diff. What is the nurse's priority action?
Wash hands before and after contact with client.
