Transcribed Image Text from this Question
Exit A_Alt Calculator Time Remaining 01:53:03 6 of 100 A client is diagnosed with anorexia nervosa. Which is the most important action for the nurse to implement when lunch is completed? 1. Allow the client to go to the bathroom O2 Stay with the client O 3. Weigh the client O4 Discuss emotional issues with the client. Exit A_Alt Calculator Time Remaining: 01:32 22 of The nurse cares for a group of clients. The nurse uses alcohol-based hand sanitizer for which client situation? (Select all that apply.) 1. Before assisting with moving client from a bed to a chair 2. After the nurse’s arm became visibly soiled with blood 3 Before measuring vital signs and adding an IV bag 4. Before feeding a client 5. Before changing a dressing on a pressure injury 6. While caring for client diagnosed with Clostridium dificile Nex A client starts taking risperidone. The nurse obtains baseline data on which assessment? (Select all that apply.) 1. Weight 2 Complete blood count 3 Fasting blood glucose 04 Waist circumference V 5. Fasting lipid levels 06. Complete eye exam Out 11 Exit A_Alt Calculator The nurse assesses a newborn female. Which observation causes the nurse to suspect Turner syndrome? (Select all that apply.) 1. Low posterior hairline 2. 7 i 9 oz (3.4 kg) and 17.2 inches (437 cm) 3. Widely spaced nipples. 4. Chest shaped like a shield a क 5. Skin folds along the neck to the shoulders Exit A_Alt Calculator Time Remaining: 01:38:50 16 of 100 A school-age client recovers from a streptococcal infection Parents notice periorbital edema, dark urine with decreased output, and loss of appetite The nurse plans which priority client goal? O 1. Will eat regular diet with no salt added or salty foods. O2 Will observe strict bed rest with limited activities 03. Will maintain urine output of 3,000 mL/24 hours O 4. Will have no headache, dizziness, or vomiting. Hime Rer Exit A_Alt Calculator The nurse suctions a client. The nurse implements the procedure based on which most important principle? 01. Use sterile saline to lubricate airway O2 Keep skin and area around stoma sterile, O3 Suction trachea before pharyngeal area. 04 Prevent hyperoxygenation Time Remaining 01:47.26 11 of 100 Exit A_Alt Calculator A preschool-age client who is HIV-positive tells the nurse, “I can’t play with other children because they might get sick.” Which action by the nurse is best? O1. Plan an education session with the family and community regarding HIV/AIDS O2. Tell the client the truth about HIV/AIDS and how it is transmitted, 3. Explain to the parents how important it is for the client to play with others. O4. Ask the parents why they are limiting the client’s social activities. Exit A_Alt Calculator Time Remaining: 01:35:01 20 of 100 A client takes pancrelipase for cystic fibrosis. Which client statement indicates an understanding of the nurse’s teaching about the medication? 01. will plan to take the medication at bedtime. O2 will not crush chew, or hold the medication in my mouth 03. know I am getting the right dose if I start to lose weight 4. “I will sprinkle it on ice cream to make it taste better. Exit A_Alt Time Remaining: 01:30:41 24 of 100 Calculator An infant falls from the bed to the floor and sustains a head injury. The nurse finds no apparent changes in airway, breathing, or circulation. The infant is sent home with the parent. Which instructions does the nurse give the parent? 01. Check vital signs every 4 hours when awake for 3 days. O2. Observe for changes in speech patterns over 48 hours O 3. Watch for vomiting that starts after 24 hours and does not stop for 2 days O4 Assess pupillary response every 4 hours, day and night for 2 days
(Visited 2 times, 1 visits today)
