Question Answered step-by-step 17. A nurse is caring for a client who has a prescription for a 250mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?  -Complete an incident report  -Obtain the client’s vital signs  -Document the fluid infusion in the client’s chart  -Report the incident into the unit manager  -A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (SATA)  I need to check my medications for expiration dates  I will use the grab bars when getting in and out of the bathtub  I need to have a fire escape plan with my family 20. A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?  -Dilated pupils  -Physical exhaustion  -Bradycardia  -Depression 21. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?  -Unplug the pump  -obtain a replacement pump  -Notify the biomedical department to fix the pump  -Label the pump with a defective equipment sticker 22. A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which of the following findings should indicate to the nurse that the compress has been effective?  -The client’s skin on the lower back is intact without redness  -The client’s laughing at a television show  -The client states that he is able to concentrate while eating  -The clients’ vital signs are within the expected reference range 23. A nurse is preparing a sterile field to assist with suturing a client’s laceration. Which of the following actions should the nurse plan to take?  -Pour the sterile solution with the bottle 20 cm (8 in) above the sterile bowl  -Hold the bottle of sterile solution so that the label is facing the palm of the hand  -Place the lid of the sterile solution bottle face down on the sterile drape  -Apply sterile gloves before opening the bottle of sterile solution 24. a nurse receives a new prescription over the telephone from a client’s provider. Which of the following actions should the nurse take first?  -Ensure that the provider signs the prescription  -Write down the complete prescription   -Read back the prescription to the provider  -Document the prescription as a telephone prescription in the medical record 25. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?  -This test will determine if your heart is performing properly  -This test will indicate if you are at risk for developing blood clots  -This test is used to check how your kidneys are working  -This test will provide information about the function of your liver 26. A nurse is caring for a client who is on bed rest following abdominal surgery. Which of the following findings indicates the need to increase the frequency of position changes?  -Petechiae on the client’s right anterior thigh  -Flat rash on the client’s ankle  -nonpalpable macule on the client’s left shoulder  -Non-Blanching darkened area over the client’s trochanter 27. A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?  -After I insert the hearing aid, i will turn it up as high as it will go  -I should leave the battery in the hearing aid when i take it out to sleep  -I will need to get a new hearing aid every year  -I should gradually increase the time that i wear the hearing aid 28. A nurse is preparing to collect a specimen from a client. Which of the following actions should the nurse take? Collect the sputum specimen in the morning 29. A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?  -Thirst  -Confusion  -Cool skin  -Shakiness  31. A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?  -Report any discrepancy in the court total of the controlled substance after administration  -Place the assisted portion of the controlled substance in the sharp’s container  -Verify the count total of the controlled substance after removing the amount needed4. Ask a second nurse to report her signature when wasting any unused portion of the controlled substance  32. A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, I’m worried about the bag. Which of the following is an appropriate response by the nurse?  -You are worried about having to wear a colostomy bag?  -Have you ever known someone who has a colostomy?  -Let’s wait until after the surgery to discuss your concerns about your colostomy  -The surgeon will only place the colostomy if it is necessary 33. A nurse is preparing to administer medication to a client. Which of the following should the nurse use as a client identifier?   -Age  -Room number  -Photograph  -Bed number  34. A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?  -Discard the needle in a puncture proof container  -Place the needle on the bedside table  -Remove the needle from the syringe  -Recap the needle before disposal  Health Science Science Nursing NURS 318 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step 17. A nurse is caring for a client who has a prescription for a 250mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?  -Complete an incident report  -Obtain the client’s vital signs  -Document the fluid infusion in the client’s chart  -Report the incident into the unit manager  -A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (SATA)  I need to check my medications for expiration dates  I will use the grab bars when getting in and out of the bathtub  I need to have a fire escape plan with my family 20. A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?  -Dilated pupils  -Physical exhaustion  -Bradycardia  -Depression 21. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?  -Unplug the pump  -obtain a replacement pump  -Notify the biomedical department to fix the pump  -Label the pump with a defective equipment sticker 22. A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which of the following findings should indicate to the nurse that the compress has been effective?  -The client’s skin on the lower back is intact without redness  -The client’s laughing at a television show  -The client states that he is able to concentrate while eating  -The clients’ vital signs are within the expected reference range 23. A nurse is preparing a sterile field to assist with suturing a client’s laceration. Which of the following actions should the nurse plan to take?  -Pour the sterile solution with the bottle 20 cm (8 in) above the sterile bowl  -Hold the bottle of sterile solution so that the label is facing the palm of the hand  -Place the lid of the sterile solution bottle face down on the sterile drape  -Apply sterile gloves before opening the bottle of sterile solution 24. a nurse receives a new prescription over the telephone from a client’s provider. Which of the following actions should the nurse take first?  -Ensure that the provider signs the prescription  -Write down the complete prescription   -Read back the prescription to the provider  -Document the prescription as a telephone prescription in the medical record 25. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?  -This test will determine if your heart is performing properly  -This test will indicate if you are at risk for developing blood clots  -This test is used to check how your kidneys are working  -This test will provide information about the function of your liver 26. A nurse is caring for a client who is on bed rest following abdominal surgery. Which of the following findings indicates the need to increase the frequency of position changes?  -Petechiae on the client’s right anterior thigh  -Flat rash on the client’s ankle  -nonpalpable macule on the client’s left shoulder  -Non-Blanching darkened area over the client’s trochanter 27. A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?  -After I insert the hearing aid, i will turn it up as high as it will go  -I should leave the battery in the hearing aid when i take it out to sleep  -I will need to get a new hearing aid every year  -I should gradually increase the time that i wear the hearing aid 28. A nurse is preparing to collect a specimen from a client. Which of the following actions should the nurse take? Collect the sputum specimen in the morning 29. A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?  -Thirst  -Confusion  -Cool skin  -Shakiness  31. A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?  -Report any discrepancy in the court total of the controlled substance after administration  -Place the assisted portion of the controlled substance in the sharp’s container  -Verify the count total of the controlled substance after removing the amount needed4. Ask a second nurse to report her signature when wasting any unused portion of the controlled substance  32. A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, I’m worried about the bag. Which of the following is an appropriate response by the nurse?  -You are worried about having to wear a colostomy bag?  -Have you ever known someone who has a colostomy?  -Let’s wait until after the surgery to discuss your concerns about your colostomy  -The surgeon will only place the colostomy if it is necessary 33. A nurse is preparing to administer medication to a client. Which of the following should the nurse use as a client identifier?   -Age  -Room number  -Photograph  -Bed number  34. A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?  -Discard the needle in a puncture proof container  -Place the needle on the bedside table  -Remove the needle from the syringe  -Recap the needle before disposal  Health Science Science Nursing NURS 318 Share QuestionEmailCopy link Comments (0)