Day 1

A female client has presented to the emergency department with right upper quadrant pain; the health care provider has ordered abdominal ultrasound to rule out cholecystitis. The client expresses concern to the nurse about the safety of this diagnostic procedure. How should the nurse best respond?

"Abdominal ultrasound poses no known safety risks of any kind."

A client has come to the clinic for her first prenatal visit. The nurse should include which statement about using drugs safely during pregnancy in her teaching?

Consult with your health care provider before taking any medications

The nurse is preparing to give medications to a client with high blood pressure. The order indicates that the client is to have Adderal, 40 mg by mouth twice daily. What is the appropriate nursing action?

Contact the health care provider for order clarification

Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo?

Educate the client on using the call light for assistance with ambulation.

A nurse has performed tracheal suctioning on a client who experienced increasing dyspnea prior to a procedure. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention?

Measure the client's oxygen saturation.

The nurse observes many cuts and bruises on the back, arms, and legs of a pregnant client. The client tells the nurse, "I was cleaning and a box of supplies fell on me." Which response by the nurse is most appropriate?

"It's our responsibility to maintain your confidentiality and ensure your safety."

The nurse is caring for a client who has just been transferred to the PACU from the OR. What is the highest nursing priority?

Maintaining a patent airway

A nurse is filling out an incident report after an older adult client fell while attempting to transfer from her bed to a commode. Which health problem should the nurse consider when client falls occur?

Orthostatic hypotension

During a bath, a neonate has a nursing diagnosis of Risk for injury related to slippage while bathing. Which intervention best addresses this nursing diagnosis?

Support the neonate's head and back with the forearm.

The nurse makes the following assessment. A middle-age client reports falling asleep frequently at his job during the day, feels like he is not getting enough sleep at night (even though the number of hours of sleep are unchanged), continues to feel tired, and is not able to think clearly. Also, the client reports his wife believes he is irritable upon awakening. Nursing interventions include teaching the client to:

use caution when driving an automobile.