Trad Exam Practice for Proctor Exam
A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary task performance roles that members of the group or the leader must perform? (Select all that apply.) - Self-confessor - Coordinator - Evaluator - Energizer - Dominator
Coordinator, Evaluator, Energizer
A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes? (Select all that apply.) - Decreased gastric motility - Decreased skin elasticity - Increased pain threshold - Increased metabolic rate - Increased cardiac output
Decreased gastric motility, Decreased skin elasticity, Increased pain threshold
A nurse is teaching a client's partner about how to obtain a blood pressure reading. Which of the following actions by the partner indicates a need for further instruction? - Wraps the blood pressure cuff snugly around the client's arm - Places the client's arm above the level of the client's heart - Checks the instrument gauge to ensure the reading starts at zero - Centers the cuff bladder over the client's brachial artery
Places the client's arm above the level of the client's heart
A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction? - "A high concentration of carbon monoxide can cause death." - "I can detect the presence of carbon monoxide by a metallic odor." - "I should purchase a carbon monoxide detector for my home." - "Breathing in carbon monoxide can cause headaches and nausea."
"I can detect the presence of carbon monoxide by a metallic odor."
A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make? - "Of course people care. Your family comes to visit every day." - "Why do you feel that way?" - "Tell me who you think doesn't care about you." - "I care about you, and I am concerned that you feel so sad."
"I care about you, and I am concerned that you feel so sad."
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on the next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? - "I need to talk to you about unit expectations regarding delegating and completing tasks." - "Several staff members have commented that you don't do your fair share of the work." - "If you don't do your share of the work, I will have to inform the nurse manager." - "You have been very inconsiderate of others by not completing your share of the work."
"I need to talk to you about unit expectations regarding delegating and completing tasks."
A nurse is teaching a client's adult son about how to position the client when administering enteral feedings at home. Which of the following statements by the son indicates and understanding of the teaching? - "I will allow him to be in the position where he is most comfortable during the feeding." - "I will elevate the head of the bed 10 degrees during the feeding." - "I will turn him on his left side during the feeding." - "I will have him sit in his chair during the feeding."
"I will have him sit in his chair during the feeding."
A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? - "I will wear gloves when removing food from the freezer." - "I will try to anticipate and avoid stressful situations when possible." - "I will complete the smoking cessation program I started." - "I will take my medications at the first sign of an attack."
"I will take my medications at the first sign of an attack."
A nurse is providing discharge teaching to a client who was recently diagnosed with a latex allergy. Which of the following client statements indicates an understanding of the teaching? - "I will apply elastic bandages to cuts." - "I will use dishwashing gloves when cleaning the dishes." - "I will buy balloons for my son's birthday." - "I will use ink pens for writing."
"I will use ink pens for writing."
A nurse is providing discharge teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse identify as an indication that the client needs further teaching? - "I will be able to tell how much oxygen I'm getting by looking at the flowmeter." - "I should call my doctor if I find it harder to concentrate." - "I will make sure my visitors smoke outside." - "I will wear synthetic clothing and woolen socks when using my oxygen."
"I will wear synthetic clothing and woolen socks when using my oxygen."
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? - "I will notify my doctor before taking any other medications." - "I have made an appointment to see my dentist next week." - "I know that I cannot switch brands of this medication." - "I'll be glad when I can stop taking this medicine."
"I'll be glad when I can stop taking this medicine."
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses should the nurse make? - "It might help you feel better if you talk about it." - "I'll just sit here with you for a few minutes then." - "I understand. I've felt like that before, too." - "Why are you feeling so down?"
"I'll just sit here with you for a few minutes then."
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? - "Information about a client can be disclosed to family members at any time." - "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." - "A client's address would be an example of personally identifiable information." - "HIPAA is a federal law, not a state law."
"Information about a client can be disclosed to family members at any time."
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make? - "It sounds like you're having a difficult time." - "Have you talked to your parents about this yet?" - "Why do you think you are so anxious?" - "How long has this been going on?"
"It sounds like you're having a difficult time."
A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Which of the following statements should the preceptor make? - "The facility has insurance that will cover malpractice litigation." - "Personal liability coverage is not mandatory, but you should consider purchasing your own coverage." - "The chances of a malpractice suit are minimal as long as you follow our policies and procedures." - "I shouldn't advise you about what is ultimately a personal decision."
"Personal liability coverage is not mandatory, but you should consider purchasing your own coverage."
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? - "The spacer increases the amount of medication delivered to the oropharynx." - "The spacer increases the amount of medication delivered to the lungs." - "Inhale rapidly using the spacer with the MDI." - "Cover exhalation slots of the spacer with lips when inhaling."
"The spacer increases the amount of medication delivered to the lungs."
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies? - "These tests help determine the degree of damage to the heart tissues." - "Cardiac enzymes will identify the location of the MI." - "These tests will enable the provider to determine the heart structure and mobility of the heart valves." - "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion."
"These tests help determine the degree of damage to the heart tissues."
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching? - "We will give our child pancreatic enzymes with snacks and meals." - "We will restrict the amount of salt in our child's food." - "I will limit my child's fluid intake." - "I will prepare low-fat meals with limited protein for my child."
"We will give our child pancreatic enzymes with snacks and meals."
A nurse is documenting the intake for a client who is scheduled for an abdominal computed axial tomography (CT) scan. Prior to the scan, the client consumes 12 oz sodium diatrizoate and meglumine diatrizoate. The client has an IV of D5 1/2 NS running at 75 ml per hour from 0700 until 1200. The IV runs at 30 ml per hour from 1200 to 1500. At 1500, the client has 6 oz of juice. How many milliliters should the nurse document as the client intake for the shift?
1005 mL
A nurse is caring for a client who has deep-vein thrombosis and is receiving IV fluid that contains 10,000 units of heparin in 500 mL infusing at 1,000 units/hr. When calculating the clients intake and output, how much should the nurse document as intake from this infusion in an 8-hr shift?
400 mL
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.) - A client who has lactose intolerance - A client who has had a cerebrovascular accident - A client who is 4 hr postoperative following a leg amputation with general anesthesia - A client who has had prolonged diarrhea - A client who has had radiation therapy for head and neck cancer
A client who has had a cerebrovascular accident, A client who is 4 hr postoperative following a leg amputation with general anesthesia, A client who has had radiation therapy for head and neck cancer
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia? - Abnormally prominent U wave - Elevated ST segment - Wide QRS - Inverted P wave
Abnormally prominent U wave Although U waves are rare, their presence can be associated with hypokalemia, hypertension and heart disease. For a client who has hypokalemia, the nurse should monitor the EKG strip for a flattened T wave, prolonged PR interval, prominent U wave, or ST depression.
The nurse is providing discharge teaching to a client who will be performing intermittent self-catheterization. Which of the following instructions should the nurse include? - Use sterile technique during the insertion procedure. - Inflate the catheter balloon with 20 mL of sterile water. - Advance the catheter 2.5 to 5 cm (1 to 2 in) after urine begins to flow. - Use water to lubricate the catheter tip prior to inserting it.
Advance the catheter 2.5 to 5 cm (1 to 2 in) after urine begins to flow.
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown? - Apply a moisture barrier ointment to the client's skin. - Clean the client's skin and perineum with hot water after each episode of incontinence. - Check the client's skin every 8 hr for signs of breakdown. - Request a prescription for the insertion of an indwelling urinary catheter.
Apply a moisture barrier ointment to the client's skin.
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority? - Lock the doors to the unit and secure windows so they cannot be opened. - Provide the client with plastic eating utensils for meals. - Remove any objects from the client's environment that could be used for self-harm. - Assign a staff member to stay with the client at all times.
Assign a staff member to stay with the client at all times.
A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications? - Atelectasis - Pneumonia - Pulmonary embolism - Arterial thrombus
Atelectasis Atelectasis is an incomplete alveolar expansion or collapse. Breath sounds are dull or absent over areas of alveolar collapse.
A clinical nurse educator is preparing an educational program about transmission of methicillin-resistant Staphylococcus aureus (MRSA) in hospitalized clients. Which of the following information should the nurse include in the program? - Place clients who have MRSA on airborne precautions. - MRSA can be effectively treated with an antiviral medication. - MRSA can live on the hands for 1 hr. - Bathe clients with water and chlorhexidine gluconate.
Bathe clients with water and chlorhexidine gluconate.
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the are of the electrocardiogram (ECG) that represents the T-wave. (Selectable areas, or "Hot Spots," can be found by moving your cursor over the artwork until the cursor changes appearance, usually into a hand. Click only on the Hot Spot that corresponds to your answer.)
Box at the far right (Think about P --> QRS --> T)
A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical examination. The client's BP is 142/88 mmHg, his body mass index (BMI) is 31, and he is a current smoker. The nurse should identify that this client has multiple risk factors for which of the following disorders? - Testicular cancer - Cardiovascular disease - Depression - Thyroid disease
Cardiovascular disease
A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (Select all that apply.) - Verify the oxygen flow rate every other day. - Check the cannula position on a regular basis. - Check the tops of the ears for skin breakdown. - Post "no smoking" signs in a prominent location in the home. - Apply petroleum ointment to nares if they become dry and irritated.
Check the cannula position on a regular basis, Check the tops of the ears for skin breakdown, Post "no smoking" signs in a prominent location in the home
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? - Chvostek's sign - Babinski's sign - Brudzinski's sign - Kernig's sign
Chvostek's sign
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand? - Buttoning her blouse - Eating her breakfast - Combing her hair - Brushing her teeth
Combing her hair
The family of an older adult brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior? - He is hard of hearing - Pain - Confusion - Language barrier
Confusion
A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take? - Reconstitute the formula with tap water. - Discard unused formula after 8 hr. - Administer 200 mL of formula during the initial infusion. - Give the initial feeding over 15 min.
Discard unused formula after 8 hr.
A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following should the nurse identify as an interpersonal variable? (Select all that apply.) - Education - Feedback - Gender - Perception - Time
Education, Gender, Perception
A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? - Elicit information from the client. - Encourage the client to use self-exploration. - Review the client's progress toward personal objectives. - Talk with others who have information about the client.
Elicit information from the client.
A nurse is implementing a bladder retraining program for a client. Which of the following actions should the nurse take? - Assist the client to the bathroom every 2 hr. - Restrict oral fluid intake during waking hours. - Encourage the client to hold her breath when feeling the urge to urinate. - Provide adult diapers until bladder retraining is successful.
Encourage the client to hold her breath when feeling the urge to urinate.
A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take? - Inform the client that privileges are related to participation in therapy. - Limit visiting hours until the client begins to participate in therapy. - Allow the client to control the timing and frequency of the therapy. - Establish a plan of care with the client that sets attainable goals.
Establish a plan of care with the client that sets attainable goals.
A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should the nurse use when helping the client ambulate? - Gait belt - Jacket harness - Four-wheel walker - Cane
Gait belt
A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care? - Give positive feedback directly to the AP. - Tell other nurses what an effective team member the AP is. - Nominate the AP for the Employee of the Month award. - Detail the AP's contributions to the nurse manager.
Give positive feedback directly to the AP.
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the which of the following findings as an indication of adequate fluid replacement? - BP - Heart rate - Urine output - Weight
Heart rate
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take? - Keep the container of solution at a level to maintain client comfort. - Hold the container of solution 30 cm (12 in) above the anus. - Hold the container of solution level with the client's upper hip. - Hold the container of solution 15 cm (6 in) above the anus, then lower it 15 cm below the anus.
Hold the container of solution 30 cm (12 in) above the anus.
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care? - Impaired tissue perfusion - Alteration in body image - Alteration in activity tolerance - Impaired skin integrity
Impaired tissue perfusion
A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching? - Bear down hard when defecating. - Drink four to five glasses of water daily. - Increase dietary intake of raw vegetables. - Limit activity.
Increase dietary intake of raw vegetables.
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) - Increased heart rate - Increased blood pressure - Increased respiratory rate - Increase hematocrit - Increased temperature
Increased heart rate, Increased blood pressure, Increased respiratory rate
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following actions should the nurse take first? - Inject 10 units of air into the regular insulin vial. - Inject 20 units of air into the NPH insulin vial. - Withdraw 10 units of insulin from the regular insulin vial. - Replace the needle for withdrawal with a safety needle.
Inject 20 units of air into the NPH insulin vial.
A nurse is instructing clients in the community about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development? - Generativity vs. stagnation - Identity vs. role diffusion - Intimacy vs. isolation - Trust vs. mistrust
Intimacy vs. isolation
A nurse is assessing an older client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client? - Lordosis - Ankylosis - Kyphosis - Scoliosis
Kyphosis
A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are outlines in the artwork below. Select only the outlined area that corresponds to your answer.)
Left pedal pulse: The most distal pulse refers to the pulse that is at the farthest point on the affected extremity. The dorsalis pedis pulse on the anterior foot is the most distal pulse below the femoral artery. Because the client had left-sided angiography, the correct answer will be the left pedal pulse.
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first? - Measure the circumference of both upper arms. - Notify the provider who inserted the PICC line. - Remove the PICC line. - Apply a cold pack to the client's upper arm.
Measure the circumference of both upper arms.
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.) - More difficulty seeing due to a greater sensitivity to glare - Decreased cough reflex - Decreased bladder capacity - Decreased systolic blood pressure - Dehydration of intervertebral discs
More difficulty due to a greater sensitivity to glare, Decreased cough reflex, Decreased bladder capacity, Dehydration of intervertebral discs is correct
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? - Obtain a pair of slipper-socks for the client. - Rub the client's feet briskly for several minutes. - Increase the client's oral fluid intake. - Place a moist heating pad under the client's feet.
Obtain a pair of slipper-socks for the client.
A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional health care team? - Occupational therapist - Social worker - Registered dietitian - Speech pathologist
Occupational therapist
A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? - Initiate a low-residue diet. - Pantoprazole 80 mg IV bolus twice daily - Ambulate twice daily. - Pancrelipase 500 units/kg PO three times daily with meals
Pantoprazole 80 mg IV bolus twice daily
A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse? - BUN 15 mg/dL - Platelet count 60,000/mm3 - WBC 6,000/mm3 - Hemoglobin 14 g/dL
Platelet count 60,000/mm3
A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)
Posterior tibial pulse: The posterior tibial pulse is located on the inner ankle, one-third of the way along a line between the tip of the medial malleolus (end of the tibia) and the point of the heel. It is most easily palpated about 2.5 cm higher, where it runs behind the medial malleolus.
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? - Reposition the client every 3 hr. - Massage bony prominences to promote circulation. - Provide the client with a diet high in protein. - Apply cornstarch to keep the skin dry.
Provide the client with a diet high in protein.
A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decreased the client's ammonia level? - Administer diuretics. - Restrict the client's intake of fluids. - Reduce the client's intake of protein. - Administer vitamin K.
Reduce the client's intake of protein.
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? (Select all that apply.) - Report of feeling pressure - Tenderness over the symphysis pubis - Distended bladder - Voiding 30 mL frequently - Dysuria
Report of feeling pressure, Tenderness over the symphysis pubis, Distended bladder, Voiding 30 mL frequently
A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan? - Apply a heat lamp twice a day. - Reposition the client at least every 2 hr. - Clean the wound with hydrogen peroxide solution. - Massage reddened areas with dressing changes.
Reposition the client at least every 2 hr.
A nurse is planning the discharge of a client who has sleep apnea and requires bi-level positive airway pressure (BiPAP) at night. The nurse should plan to consult with which of the following health care team members to help educate the client? - Occupational therapist - Physical therapist - Respiratory therapist - Case manager
Respiratory therapist
A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide? - "Respite care allows the primary caregiver time away from day-to-day care responsibilities." - "Respite care provides holistic support and care for a client who is terminally ill." - "Respite care helps relieve pain and promote comfort." - "Respite care is a continuation of psychological support after a family member dies."
Respite care allows the primary caregiver time away from day-to-day care responsibilities."
A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? - Review the client's electrolyte values. - Check the client's perianal skin integrity. - Investigate the client's emotional concerns. - Obtain a dietary history from the client.
Review the client's electrolyte values.
A newly licensed nurse is applying prescribed wrist restraints on a client. WHich of the following actions should the nurse take? - Secure the restraints using a quick-release tie. - Ensure four fingers fit under the restraints to prevent constriction. - Secure the restraints to the lowest bar of the side rail. - Anticipate removing the restraints every 4 hr.
Secure the restraints using a quick-release tie.
A nurse is providing discharge teaching to a client that has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching? - Shake the inhaler for 3 to 5 seconds. - Rinse the mouth with mouthwash after inhaling the medication. - Wait 2 min between inhalations. - Press down twice on the MDI canister.
Shake the inhaler for 3 to 5 seconds.
A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? - Furosemide - Hydrochlorothiazide - Metolazone - Spironolactone
Spironolactone
A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement? - Droplet - Contact - Airborne - Standard
Standard
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? - Remind the client to tell the nurse when he has to urinate. - Use adult diapers to prevent frequent clothing changes. - Take the client to the bathroom every 2 hr. - Request a prescription for an indwelling urinary catheter.
Take the client to the bathroom every 2 hr.
A nurse on a medical unit is teaching a group of assistive personnel about handling clients' bed linens safely. Which of the following instructions should the nurse include? - Return any fresh linen not used for a client to the linen supply area. - Use double bagging to remove soiled linen from the client's room. - Tie linen bags securely at the top. - Fill linen bags with as much soiled linen as possible.
Tie linen bags securely at the top.
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take? - Use a stiff toothbrush to clean the client's teeth. - Use the thumb and index finger to keep the client's mouth open. - Turn the client on his side before starting oral care. - Apply petroleum jelly to the client's lips after oral care.
Turn the client on his side before starting oral care.
A nurse is in a client's room when the client begins to have a tonic-clonic seizure. Which of the following actions should the nurse take first? - Turn the client's head to the side. - Check the client's motor strength. - Loosen the clothing around the client's waist. - Document the time the seizure began.
Turn the client's head to the side.