Nursing Fundamentals Proctor B
A client who is scheduled to undergo surgery tells the nurse that she does not understand the procedure and is reconsidering her decision to have it. Which of the following actions should the nurse take? 1. Offer information about alternative therapies to the procedure 2. Contact a family member to convince the client to change her mind 3. Tell the client the benefits of the surgery 4. Notify the charge nurse if the clients concern
Notify the charge nurse of the clients concerns
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take? 1. Clean the perineal area at least once a day 2. Empty the drainage bag when it is three fourths full 3. Flush the catheter with sterile water daily 4. Disconnect the drainage bag and hen emptying and measuring urine
Clean the perineal area at least once a day
A nurse is assisting with the admission of an older adult client to an acute care facility, the client states that she is afraid to go to sleep, fearing she will not wake up. Which of the following is a therapeutic response the nurse should make? 1. I will have the nursing staff check on your frequently during the night 2. You are right to be afraid. This is a new place for you 3. I will give you prescribed sleeping medication to help you fall asleep 4. Describe your concerns about sleeping to me
Describe your concerns about sleeping to me
A nurse is caring for a client who has dysphagia following a stroke. Which of the following interventions should the nurse use when feeding the client 1. Offer the client a straw to drink liquids 2. Place food toward the back of the clients mouth 3. Encourage the client to lie down and rest for 30 min after meals 4. Instruct the client to tilt her head forward while eating
Instruct the client to tilt her head forward while eating