2. A Client has a total serum calcium level of 7.0mh/oi (1.75 mmpi/L, Based on this information, which action is most important for the nurse to

Question Answered step-by-step 2. A Client has a total serum calcium level of 7.0mh/oi (1.75 mmpi/L,Based on this information, which action is most important for the nurse to include while measuring the client’s vital sign?3.      It is most important for the nurse to recalculate the Braden scale score for a client who has developed which problem?4.      The nurse is planning to use simulation to teach a group of newly hired unlicensed personnel (UAP). In developing the teaching session, what should the nurse do first?5.      The nurse develops an outcome statement for a male client with the nursing problem, “Activity intolerance” The plan of care includes progressive ambulation in the hallway with assistance. Which assessment best determines the client’s ability to tolerate this activity?7.      Which landmarks are useful to the nurse when administering an intramuscular injection in the ventrogluteal site?8.      A client with rheumatoid arthritis (RA) is experiencing chronic pain in both hands and wrists. Which information about the client is most important for the nurse to obtain when planning care?9.      A male client with a chronic illness is told that he has a prognosis of three months to live. When the home health nurse visits him at his assisted advised him to consider hospice care. Which action should the nurse take?10.    The nurse implements a change in the approach to client after gathering evidence in support of the new approach. Which action should the nurse take      next?11.    When entering a male client’s room, the nurse observes the client holding up his arm and coughing non-productively into his upper sleeve. What action       should the nurse take?12.    An older adult who has shuffling, unsteady gait wants to ambulate in the hallway to a family visitation room. To reduce risk for injury, which actions     should the nurse take before the client leaves the room? (Select all that apply)?13.    A policy requiring the removal of acrylic nails all nursing personnel was implemented six months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved?14.    While electronically scanning the client’s amband at the bedside prior to administering pain mediation, the nurse observes the power flickers and the     computer screen blank. The computer fails to reboot and the screen remains dark. Which should the nurse do first?15.    The nurse is reconstituting a powdered medication that labelled, “Add 2.5mL of normal saline to make 1 gram per mL.” The client’s prescription is for     500mg of the medication. How many mL should the nurse administer to this client (Enter numeric value only. If rounding is required, round to the nearest       tenth.)16.    At 0100 on a client’s second postoperative night, the client being unable to sleep and plans to read until feeling sleepy. Which action should the nurse   implement?17.    An experiencing nurse who is a student in a nurse practitioner program is    working in a research clinic. The physician responsible for the research study   is busy and        asks the nurse to conduct a comprehensive physical assessment with a study participant who will be receiving a first dose of study medication. Which should the nurse do?19.    The palliative care nurse receives a consult for a terminally ill client in the  intensive care unit. The client is weak, mouth breathing, and refusing anything to eat or drink. Which intervention should the nurse include plan of care?21.    The nurse is administering a client’s medications through a feeding tube. One of the medications is an enteric-coated coated tablet.        Which action would be best for the nurse to take?22.    The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to question the client about sexual activity, which approach is best for      the nurse to use?24.    What self-care outcome is best for the nurse to use in evaluating a client’s recovery from a stroke that resulted in left-sided hemisparesis?25.    The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 minute via nasal cannula. The oxygen saturation is      89%. Which action should the nurse implement?26.    A client who is maintained in one position for several hours in the operating room is transferred to the post-anesthesia care unit (PACU). Which assessment finding provides the PACU nurse with the earliest indication that        the client is developing a pressure ulcer?27.    The nurse is caring for a hospitalized client who was placed in restraints due   to confusion. The family removes the restraints while they are with the client.  When the family leaves, which action should the nurse take first?28.    A surgical incision that is sealing by secondary intention develops a thick tan exudate. Which should the nurse take first?29.    A client on a mechanical soft diet is experiencing constipation and asks the nurse for a glass of prune juice. After ausultating decreased bowel sounds, what action should the nurse implement?30.    A client arrives at the emergency department (ED) describing chest pain that began three hours earlier which has not subsided. To assess the quality of the client’s chest pain, which approach should the nurse use?31.    The nurse measures a client’s body tempertature as 102″ F (38.9″C). To support and validate this finding with additional assessment data, which actions should the nurse take? (Select all that apply).32.    When assisting an adult client who has problems with constipation to establish a regular bowel pattern, the client reports fear of defecating because of having haemorrhoids that are sometimes painful. Which action should the nurse take?34.    After an intravenous antibiotic is started, the nurse determines that the medication is not prescribed for the client and stops the infusion, which action should the nurse implement next?35.    A young adult client is seen in the emergency department for a minor injury  following a motor vehicle collision. The client states being very angry at the    person who hit the car. Which is the best nursing response?36.    The nurse is preparing a teaching plan for a client with low back pain. Which sleeping position should be included in the teaching?37.    The nurse measures the client’s blood pressure (BP) and notes that it is significantly higher than the previous reading. What should the nurse do next? (Select all that apply)38.    When conducting diet teaching for a client who is experiencing episodes of vomiting, the nurse recommends that the client consume only clear liquids       which choices by the client indicate effective learning (Select all that apply)41.    The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial purse is no longer palpable at 90mm Hg. What should the nurse take?42.    The nurse is caring for a client with Type 2 diabetes mellitus who had surgery for a large bowel resection with a colostomy placement. The client has now     developed hyperglycemia which require self-injections of insulin after discharge. When designing the postoperative plan of care, which outcome statement should the nurse use?43.    A client with chronic back pain has been muscle relaxants and analgesics to manage the discomfort, but is now experiencing an acute episode of pain that     is not relieved by this medication regimen. The client does not want to have back surgery for a hemiated intervented disk, and reports having found acupuncture effective in resolving past acute episodes. Which response is best for the nurse to provide?44.    An elderly client with Atzerimer’s disease is being discharged with several prescriptions and the nurse plans to teach the daughter, who is the clients  primary caregiver, about drug administration. What is the best method to use in evaluating the daughter’s understanding?45.    A family member reports that the client who is bedridden has not been turned or repositioned all night and is sleeping on a special air mattress with no      sheets. Which information should the nurse provide to the family member?46.    Which statement by a client indicates to the nurse that the client understands how a newly prescribed transdermal medication will be administered?47.    The nurse observes an adult woman perform a return demonstration of diaphragmatic breathing. The client inhales while holding her abdomen, then removes her hand to allow expansion during exhalation. Which action should the nurse take after observing the clients?48.    A male client presents to the clinic stating that he has a high stress job and is having difficulty falling asleep at night. He has tried over-the-counter   medications, including some herbals. The client is reporting a constant headache and is seeking medication to help him sleep. Which intervention        should the nurse implement?49.    A 24-hour urine specimen is being collected for analysis of creatinine clearance. After explaining the procedure, the client tells the nurse that the     first sample is in the urinal. When discarding this specimen, which action should the nurse take?52.    When assessing a client who starts to wheeze, which related data should the nurse obtain?53.    An unlicensed assistive personnel (UAP) is asked to answer the call bell for a client with streptococcal pharyngitis for whom droplet precautions have been       implemented. The UAP refuses stating they have not yet been fitted for a N95 respirator mask. Which action should the nurse take?54.    Which client assessment should the nurse perform during nasopharyngeal sunctioning?55.    The mother of a 6-year-old does not speak English, and cannot understand the post-immunization instructions that the nurse needs to provide. The child       speaks English and says that his father also speaks English, but the mother only speaks Spanish. What action is best for the nurse to take? 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