Nursing Concepts - Beginning test

A nurse on the coronary care unit is caring for a client who has transferred from the medical floor after experiencing a myocardial infarction. After the client is stabilized, she asks the nurse why she had to be transferred to a unit where her family will be unable to stay with her all the time. Which of the following responses is appropriate?

"Let's talk for a minute about your concerns."

A nurse is reinforcing teaching about transdermal nitroglycerin to a client who has stable angina. Which of the following statements by the client indicates teaching has been effective?

"The patch should be effective within an hour of being applied."

A nurse is working with the information technology department of his facility to establish a protocol regarding security mechanisms that will protect the electronic health records of clients. Which of the following could result in a violation of client confidentiality?

Ability of staff to access electronic health records throughout the facility

A nurse is caring for a client who has osteoarthritis and is considering treatment with acupuncture. Which of the following i acceptable for the nurse to include in discussion with the client?

Acupuncture has been proven to reduce pain and increase.

A nurse is caring for a client who has cancer. The client has decided to stop treatment and requests a referral to hospice. By making the referral as requested, the nurse is illustrating which of the following ethical principles?

Autonomy

A nurse is caring for a client following a bronchoscopy. Which of the following findings requires immediate intervention?

Difficulty breathing

A nurse is reinforcing teaching to a client who has aphasia. Which of the following actions by the nurse is appropriate when communicating with the client?

Having the client use eye blinks to indicate yes or no

A nurse is reinforcing teaching about HIV with a group of high school students. Which of the following information is appropriate for the nurse to include?

Initial HIV symptoms are often similar to the flu

A nurse in a providers office is orientating a newly licensed nurse on how to position a client for a vaginal exam. The nurse should include in the teaching to place the client in which of the following positions?

Lithotomy

A nurse is caring for a client who is diagnosed with active pulmonary tuberculosis and is taking isoniazid (INH) and ethambutol (Myambutol). Which of the following manifestations reported by the client necessitate the discontinuation of ethambutol?

Loss of color discrimination

A nurse is caring for a client who has nausea and a prescription for promethazine (Phenergan) 25 mg IM. Which of the following is appropriate when preparing a medication for administration from an ampule?

Set the ampule on a flat surface to withdraw the promethazine

A nurse is caring for a client who has a cerebrovascular accident and is having difficulty swallowing. Which of the following health care professionals should attend the clients next interdisciplinary team meeting to address this complication?

Speech pathologist

A nurse is caring for an older adult client who has an allergy to sulfa, is taking valproic acid (Depakote) for a seizure disorder, and has been newly diagnosed with osteoarthrisits. The client states, "I keep seeing commercials on TV for Celebrex and I want to try it and see if it will help my pain." Upon review of scientific evidence, the nurse should inform the client of which of the following?

Celecoxib is contraindicated in clients with an allergy to sulfonamide

A nurse is reinforcing teaching about performing suctioning to a client who is being discharged following a tracheotomy. Which of the following behaviors by the client best indicate to the nurse that teaching has been effective?

Demonstrating independent performance of the procedure

A nurse in a local clinic is caring for a female client who is 35 years old. Which of the following screenings should the nurse recommend to the client?

Dermatologist evaluation every 3 years to detect skin cancer.

A nurse discovers that a client who is diagnosed with dementia received the wrong medication. Which of the following should be the nurse's first action?

Determine the client's condition

A nurse is reviewing the documentation of a newly licensed nurse. Which of the following actions by the newly licensed nurse while documenting requires the nurse preceptor to intervene?

Including in a client's nurses' notes that an incident an incident report was completed after a medication error

A nurse is caring for a client who has been admitted to the medical unit with vomiting and possible dehydration. Which of the following findings immediate intervention?

Potassium 2.5 mEq/L

A nurse is caring for an older adult client who was admitted 3 days ago with fractured ribs bilaterally and is suspected of being abused by his caregivers. Which of the following should be the nurse's priority goal?

Protect the client from further abuse.

A nurse is reinforcing teaching by demonstrating deep breathing and coughing exercise to a client who is scheduled for abdominal surgery. For which of the following responses by the client should the nurse postpone teaching teach+

States that pain is an 8 on a scale of 0 to 10