Question: 85 of 85 A community health nurse is providing education…

QuestionQuestion: 85 of 85 A community health nurse is providing education…Question: 85 of 85A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?Rotavirus(Herpes 20sterHuman papillomavirus (HPM)Diphtheria, tetanus and acellular pertussis(DTaP)Question: 84 of 85A nurse is caring for a client who is taking lithium. The nurse should monitor for which of the following findings as an adverse effect of the medication?increased potassium levelIncreased urinary outputPositive Chvosteks signConstipationQuestion: 83 of 85A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client’s calcium level is 7.6 mg/dt. When assessing the client which of the following findings should the nurse expect?Muscle twitchingBounding pulseHypoactive bowel soundsHypertensionQuestion: 82 of 85A nurse is preparing to administer naloxone IV bolus to a client who has opioid use disorder and has developed acute opioid toxicity. Which of the following actions should the nurse take?Give the naloxone slowly for 15 seconds,Expect the onset of naloxone to occur in 15 min.Check the client’s vital signs every 15 minAntiopate the effects of naloxone to last for 24 br.Question: 81 of 85 A nurse is reviewing the medication administration record of a client who is to undergo excretory urography using contrast dye. The nurse should plan te withhold which of the following medications 24 to 48 hr before the procedure?MetforminAtenololAcetaminophen)PredinnoneQuestion: 80 of 85A nurse in a provider’s office is talking with an older adult client who tells the nurse that he fears he is “aging badly” and feels “so useless.” Which of the following assessment questions is the nurse’s priority?”Did anything in particular make you feel this way?Would you tell me more about the changes you see in your body?””How long have you had these feelings of uselessness?””Do you ever think about harming yourself?Question: 79 of 85A community health nurse is developing a plan of care for an older adult client who has type 2 diabetes mellitus and lives independently in a rural area. Which of the following interventions should the nurse include? Review assisted living accommodations with the client.Suggest that the client attend adult day care three times per weekDiscuss a long-term care referral for the client with the provider.Instruct the client about the use of telehealth services.Question: 78 of 85A nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findings should the nurse report to the provider?Heart rate 145/minSodium 142 mEq/Respiratory rate 22/minPotassium 3.9 mEq/LQuestion: 77 of 85A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of precautions should the nurse initiate?DropletProtective environmentAirborneContactQuestion: 76 of 85A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include? “Drink hot herbal tea to relieve symptomsEat a high-fat snack at bedtime.””Sip carbonated beverages throughout the day.””Lie down for 30 min after meals.”Question: 75 of 85A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client’sPadded tongue bladeBe blockSuctioning devicevest restraintQuestion: 74 of 85A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?Make sure the clients room is cleaned every dayAROW healthy children to valtMonitor the dient’s temperature every hruse dean technique for visive proceduresQuestion: 73 of 85A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to Intervene?Washing hands with alcohol-based hand rub stter bathing a client who has Clostridium difficileEmptying an indwelling urinary catheter bag for a client while wearing dan glovesProviding postmortem care for a client who has recently diedPerforming a simple dressing change on a client’s footQuestion: 72 of 85A nurse is reviewing the results of laboratory tests a client had as part of a comprehensive nutritional assessment. Which of the following results should the nurse report to the provider?Calcium 9.9 mg/dLTotal cholesterol 179 mg/dLTotal thyroxine 9 mcg/dLAlbumin 22 g/dlQuestion: 70 of 85A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?”During this test, I will push a button if my baby moves.”Twill get oxytocin during this test.”During this test. I must not eat or drink anything”This test will tell me if my baby has a genetic problem.”Question: 69 of 85A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day. Which of the following actions should the nurse include in the plan?Cover appliance cords with throw rugsRearrangee furniture to clear walkwaysuse container lids of different shapes to indicate times of administration visit the client once per month to assess meditation usageQuestion: 68 of 85A nurse is teaching a newly licensed nurse about informed consent. Which of the following information should the nurse include in the teaching?.A client who is blind needs a guardian to provide informes consentA client can refuse a procedure after signing an informed comment formal consentA client who is unable to write cannot provide informed consent formA nurse should explain surgical risks to a clientQuestion: 67 of 85A nurse is caring for a client who has a three-chamtier chest tube system. Which of the following actions should the nurse take?Empty the collection chamber every 8hrEnsure 2cm 108 it of water is in the water seal chamber.Check the patency of the tubing every 2 hrKeep the drainage system above the level of the client’s chestQuestion: 66 of 85A nurse is planning care for a client prior to an amniocentesis. Which of the following actions should the nurse include in the plan of care?Monitor the fetal heart rate throughout the procedureAdminister a tocolytic 30 min before the procedureInstruct the client to maintain a full bladder for the procedure. Place the dient in Trendelenburg posilian duning the procedure.Question: 65 of 85A school nurse is using Weber’s test to check a child’s hearing acuity. Which of the following actions should the nurse take?Place a vibrating tuning fork on the top of the child’s head.Hold a vibrating tuning fork 1 to 2 cm (0 to 08 in from the child’s earsWhisper a statement to the child from 0.6 m (2 feet) awayApply a pair of headphones securely over the child’s earsQuestion: 64 of 85A case manager is performing a home yisit for a client following a strake. The client’s partner is providing care in the home. The client’s partner states that she sometimes feels exhausted Which of the following referrals should the case manager recommend for the caregiverRehabilitation servicesRespite careskilled nursing facility Assisted livingQuestion: 62 of 85A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant. Which of the following interventions should the nurse add to the client’s plan of care?Instruct the client’s family members to stay 1 m (3 ft) away from the clientRemove the linen from the client’s room after each bed changeUmit each of the client’s visitors to 2 hr per day.Keep the client in bed during treatment.Question: 60 of 85A nurse is implementing crisis interventions for a client following an incidence of intimate partner abuse. Which of the following is the priority action for the nurse to take?Assist the client to identify available support systemsEncourage the sent to express feelings about the incidentHelp the client to identity effective past coping skillsinitiate precautions to safeguard the client from physical harmQuestion: 59 of 85A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?Fried chickenBran cerealHot cocoaTomato soubQuestion: 58 of 85A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride TV at 500 mL/hr for 3 hr. then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 m/hr for 2 hr. What is the total volume the nurse should document for the client’s tv fluid intake? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)  Question: 57 of 85 A nurse is planning to administer packed RBCS to an older adult client who has a low hemoglobin level. Which of the following actions should the nurse plan to take?Hang the transfusion with dextrose 5% in 0.9% sodium chlorideUse a 20-gauge IV catheter to transfuse the blood.Monitor vital signs every tour throughout the transfusionInfuse the transfusion over 5 hrQuestion: 56 of 85A nurse is caring for a client who has a peritoneal catheter that requires a dressing change. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right placing them in the order of performance. Use all the steps)Remove the old dressingApply precut gauze pads to the siteCreate a stere held.Cleanse the site with povidone-iodineMask self and the client. Question: 55 of 85A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?ConstipationinsomniaCry mouthExcessive sweatingQuestion: 54 of 85A nurse is teaching about a heart healthy diet to a client who had a myocardial infarction. Which of the following meal selections should the nurse identify as an indication that the client understands the teaching? Question: 53 of 85A nurse is reviewing the medical record of a client who has COPD. The nurse should notify the provider about which of the following findings? (Click on the “Exhibit” button for additional information about the client There are three tabs that contain separate categories of data)respiratory ratepHTemperatureSpO2Question: 52 of 85A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using progressive relaxation?”Picture taking the stress you feel and pushing it down and out of yourThink about a positive outcome to a stressful situation.”Tighten a muscle group, then release the tension and move to the next one.Focus on a pleasant memory and express your emotions in writingQuestion: 51 of 85A nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke. Which of the following foods should the nurse recommend?Crispy nice barScrambled eggsPeanut butterSoda crackersQuestion: 50 of 85A nurse is teaching about how ts suppress lactation with a client who is postpartum and battle feeding her newborn. Which of the following instructions should the nurse include in the teaching?”You should apply moist heat to your breasts four times per day”You should wear a snug-hitting bra continuously for 72 hours””You should limit your fluid intake to 1 liter per dayYou should manually express milk when engorgement occurs.”Question: 49 of 85A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities, which of the following instructions should the nurse includeUse lamb’s wool between toes that rub together.Apply compression stockings that fit over the kneesTrim toenails short and round the edgesWear nylon socks.Question: 48 of 85A nurse is caring for a client who is postoperative following a mitral balloon valvuloplasty. Which of the following areas should the nurse auscultate to assess the mitral area of the heart? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)Question: 47 of 85A nurse is part of a task force planning to audit a facility’s nursing units concerning adherence to hand-hygiene protocols. Which of the following steps should the task force take first?Compare the facility’s data with the established criteria for hand hygieneEstablish methods for collecting data within the facility.Take corrective measures to enforce hand hygieneDetermine the accepted standards for hand hygieneQuestion: 46 of 85A client on an acute mental health unit states to a nurse. “Tie a bow. Row the boat. Now I know. Whoa! I see you, yo.” The nurse should document that the client is exhibiting which of the following speech alterations?Neologisms EcholaliaClang associationsWord saladQuestion: 44 of 85A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic lleus?Falls when throwing a ball overhandGoes up stairs with two feet on each step.Refers to self by nameRunts with a wide stance Question: 43 of 85A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?You might feel a bit confused for a few hours after the procedureYou wake up about 30 minutes after the procedure”You can expect to feel some pulsations in your neck during the procedure”You might notice some changes in your voice after the procedure Question: 42 of 85A nurse is teaching a client who has a new prescription for levothyroxine (T4) about thyrotoxicosis. The nurse should instruct the client to monitor and report which of the following findings?DrowsinessFeverBradycardiaWeight gain Question: 41 of 85A nurse is inserting a short peripheral JV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?Select a site proximal to previous venipuncture sites.Choose the clients dominant arm for IV access whenever possible.Initiate tv access on the palmar side of the client’s wristinsert a larger gauge V catheter to prevent phlebitis,Question: 40 of 85A nurse is teaching a client who has a new prescription for oral prednisone about minimizing the adverse effects of the medication. Which of the following statements by the client indicates understanding of the teaching?”I will use aspirin as needed for pain.”I will take a walk every day.”I will reduce my dosage during times of stress.”I will take this medication on an empty stomach.Question: 39 of 85A nurse is teaching a client how to care for his behind-the-ear hearing aids. Which of the following statements by the client indicates an understanding of the teaching?I’ll  clean my ear with cotton swabs before insert my hearing aids.”” I’ll replace the batteries every 2 weeks.I’ll disconnect the battery when remove my hearing aids.”I’ll use isopropyl alcohol to clean my hearing aids Question: 38 of 85A nurse is teaching a class of newly licensed nurses about infectious diseases that nurses are required to report to the health department. Which of the following diseases should the nurse include in the teaching?Fibromyatgla syndromeHerpes simplex virusMethicillin resistant Staphylococcus aurePulmonary tuberculosisQuestion: 37 of 85A nurse is caring for a client who states during a counseling session. “I am sliding off a cliff.” Which of the following statements should the nurse make?”How are things going at your tim”Don’t Worry Everything will be okaydon’t think that is really what is happening to you.”You must be feeling very frightened right now.Question: 36 of 85A nurse is teaching a class about using niacin to reduce LDL cholesteroi. The nurse should include in the teaching that which of the following conditions is a contraindication for receiving this medication?AsthmaActive er diseaseHigh blood pressurehyperthyroidismQuestion: 35 of 85A nurse is providing should the nurse include in the teaching following discharge teaching to a client who is 1 day postoperative following a right modified radical mastectomy. Which of theWear a bra with wire support.Use deodorant under the affected armBegin ball squeezing exercises.Avoid using the affected arm for eating Question: 32 of 85A nurse is reviewing the results of laboratory screenings for a 5-month-old infant. Which of the following results should the nurse report to the providerIron 74 mcg/dLHematocrit 35%Lead 18 mcg/dLHemoglobin 12 g/dL Question: 31 of 85 A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like “something opened up.” The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?Monitor vital signs every 30 min.Cover the wound with a saline-soaked dressing.Reinsert the protruding intestinal tissue.Place the client in Trendelenburg position. Question: 30 of 85A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client’s blood pressure is 88/50 mm Hg and her abdomen is rigid. The nurse should identify these findings a indicating which of the following complications?Placenta previaPlacental abruption.Amniotic flutembolusUterine ruptureQuestion: 28 of 85A nurse performs a capillary blood glucose check for a client who has type 1 diabetes mellitus and obtains a reading of 64 mg/dL on the glucometer. Which of the following assessment findings should the nurse expect?Nervousnesswarm skinKetonuriaTachypneaQuestion: 27 of 85A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client’s bedside?tracheostomy trayWire cuttersPadded clampSand bagQuestion: 26 of 85A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?inject air into the regular insulin viat before injecting air into the NPH val.Shake both insulin vials for 2 min before withdrawing the doseswithdraw the NPH insulin before the regular insulinAdminister the mixture within 5 min of preparing itQuestion: 25 of 85A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?A client who had a night hemispinere strokeA client who had dialysis and is using an arteriovenous shunt in the left lower forearm)A client who had blood drawn from the right antecubital area fragoA clent who has a right peripherally inserted central catheterQuestion: 24 of 85A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?AlmondsBananashazelnutsStrawberries Question: 23 of 85A nurse is reviewing the laboratory findings of a female client who has a pressure ulcer. Which of the following findings should the nurse identify as a factor contributing to delayed wound healing?PaO₂ 80 mm HgHgb 12.6 g/dLPrealbumin 14.8 mg/dL Blood glucose 102 mg/dL Question: 22 of 85A nurse is assessing a client who is receiving enteral feedings via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the clients feedings?Increase the rate of formula delivery,Switch to a lactose-free formula.Add water to the formulaReposition the NG tube.Question: 21 of 85A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?)”If bitten by a tick, testing for Lyme disease should occur within 2 weeks.”Symptoms of Lyme disease appear 2 days after being bitten by an infected tick.””Remove embedded ticks by squeezing the body with tweezers.””Use a product with DEET on your skin and clothes when you are walking in a wooded area.” Question: 20 of 85a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?InfluenzaVaricellaHepatitis ARotavirusQuestion: 19 of 85While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?Tighten the tubing connectionsSuction the clients airway)Look for a leak in the tubes cuff.Request insertion of a tracheostomy tubeQuestion: 18 of 85A nurse is verifying how a client who is postpartum will use a car seat for her newborn. Which of the following statements should the nurse identify as an indication that the client understands the safe use of a car seat?place him in the front seat facing the back of the carplace film in the front seat facing the front of the carplace him in the back seat facing the back seat place him in the back seat facing the back of the front seatQuestion: 17 of 85A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?Provide the client with a low-protein dietAmbulate the client every a 4 hrCheck the fetal heart rate twice dailyEnsure that the side ralls are up on the client’s bedQuestion: 15 of 85A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions shouldInitiate seizure precautions.Administer the medication with an antacid.Administer the medication subcutaneously.Initiate contact precautions,Health ScienceScienceNursingNSG 100Share Question