1-A nurse is reinforcing discharge instructions with a client who…
Question Answered step-by-step 1-A nurse is reinforcing discharge instructions with a client who… 1-A nurse is reinforcing discharge instructions with a client who is walking with crutches. Which of the following statements by the client indicates an understanding of the instructions?a) I should keep my elbows straight when I am walking with my crutches.b) I will support my weight on the hand grips of the crutches.c) I should advance my crutches up the step ahead of my unaffected leg.d) When I’m walking around my house with my crutches. It’s okay to take my shoes off.2-A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?a) Discontinue supplementary containing vitamins C 24 hr before the test.b) Refrain from consuming pork 7 days before the test.c) Urinate prior to collecting the stool specimen.d) Place a thick layer of stool on the specimens. card.3-A nurse is caring for a client who has an indwelling urinary catheter and a prescription for furosemide. Which of the following actions should the nurse take?a) Measure the specific gravity of the urine during each shiftb) Collect a 24-hr. urine specimen to send to the laboratoryc) record the urinary output at the end of each shiftd) Check the urine for ketones every 12 hr.4-A nurse is collecting data from a client who has diarrhea and dehydration. Which of the following findings should the nurse expect?a) Decreased heart rate b) Increase pedal edemac) Decreased capillary refilld) Increased blood pressure5-A nurse is caring with the care of four clients in an inpatient mental health facility. The nurse should recognize that which of the following clients can give informed consent?a) A 30-year-old client who has postpartum depressionb) A 20-year-old who has a blood alcohol level of 0.08%c) A 45-year-old client who has just received a dose of methadoned) A 17-year-old client who lives with friends6-A nurse is reinforcing teaching with a client who has recurrent back injuries related to lifting. Which of the following lifting instructions should the nurse include?a) Keep the knees straightb) Stand with the feet togetherc) Align the back with the neck and feetd) Hold objects away from the torso7–A nurse is reviewing a client’s medication administration record at 1930.The nurse note that the documentation for the 1700 regular insulin dose is missing. Which of the following is an appropriate action for the nurse to take?a) Ask the client if she received the 1700 medicationb) Request a medication reconciliation form from the pharmacyc) Contact the previous nurse to determine if the client received the medicationd) Administer the medication and document the current time8-A nurse is caring for a client who is putting on his NG Tube. Which of the following actions should the nurse take first?a) Administer a PRN sedative medicationb) Determine the client level of comfortc) Document the client behaviord) Apply a soft wrist restraint9-A nurse is documenting information in a client’s medical record. Which of the following notes indicates that the nurse understands legal documentation guidelines?a) The client reported nausea that was unrelieved by an antiemeticb) The client seems anxious about his procedure this afternoonc) The client will be receiving an antibiotic after lunchd) The client appears to be comfortable 10-A nurse is caring for a client who fell while working to the bathroom. Which of the following actions should the nurse take when completing the incident report?a) Use direct quotes made by the client to describe the incidentb) Place a copy of the incident report in the client’s medical reportc) Draw a conclusion regarding the cause of the clientd)Make a notation in the client’s medical record that an incident report was completed11-A nurse is caring for a client who has chronic constipation. Which of the following action should the nurse recommend to the client?a) Use a laxative every dayb) Bake with white flourc) Take a calcium supplementd) Consume probiotic sources12-A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statement should the nurse make?a) Opioids will be restricted if your partner develops respiratory distressb) Assume your partner can hear you, even if they do not respondc) We will use an electric blanket to keep your partner warmd) Encourage your partner to eat three large meals each day13-A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about incident report. Which of the following is necessary to complete an incident report in which of the following situations?a) A family member is napping in the client’s roomb) A client bed alarm is malfunctioningc) A client refuses to eat at mealtimed) An Assistive personnel is late for the upcoming shift Health Science Science Nursing NURS 216 Share QuestionEmailCopy link Comments (0)
