Question: 13. A Nurse Documents The Following Information In A Patient’s Chart: Skin Pale And Dry, Skin Turgor, Slow Return Of Tenting: Mucous Membranes, Dry. Based On The Information, The Nurse Formulates A Priority Problem Of Dehydration. Which Phase Of The Nursing Process Was Used When Identifying The Priority Problem For The Patient? 14. A Patient At Risk …

13. A nurse documents the following information in a patient’s chart: Skin pale and dry, skin turgor, slow return of tenting: mucous membranes, dry. Based on the information, the nurse formulates a priority problem of dehydration. Which phase of the nursing process was used when identifying the priority problem for the patient? 14. A patient at risk for osteoporosis has been placed on a calcium supplement. While assessing the patient’s dietary habits, a nurse should inquire about the patient’s intake of which of the following? 15. A student nurse is preparing to administer potassium chloride to a patient . Which of the following statements made by the student nurse indicates a correct understanding of the medication? 16. Which of these actions should be a nurse’s primary focus when a patient falls? 17. Which of these situations require that a nurse complete an incident report? 18. A nurse is teaching a patient about the pain medication. oxycodone with acetaminophen. The nurse should include which of the following information in the teaching plan regarding this medication? 19. A nurse is to administer amlodipine to a patient. Which of the following statements by the patient demonstrates a need for further instruction on the actions of amlodipine? 20. A nurse should understand that which of the following statements made by a patient would be considered an objective finding? 21. A nurse is caring for an older patient who has had a history of CVA. When administering a medication, the nurse should be aware that this patient would have an increase possibility of drug toxicity due to which of the following age related factors? 22. Which of the following should a nurse document an age- related finding in an older adult? 23. A nurse is observed placing the stethoscope on each side of the spine, using a back and forth method of auscultation to assess breath sounds. Which of the following best describes the rationale for this action? 24. A nurse has instructed a student nurse on the principles of an incident Report. Which of the following statements indicates the student has a correct understanding of incident report? 75 Anurse is teaching the student at the administeria 1. Which of the following actions should a nurse take for a patient who is to receive potassium chloride 20 mEq po TID? 2. A nurse is teaching a student nurse how to measure an apical-radial pulse for a patient who has hypertension Which of the following statements by the student indicates a need for further instructions? 3. A nurse’s signature on an informed consent confirms all but which of the following? 4. A student nurse caring for a patient who has atherosclerosis is administering clopidogrel. The student nurse demonstrates a correct understanding of this medication by which of the following statements. 5. A patient is to receive docusute sodium twice daily. A nurse should explain to the patient the purpose of this medication by which of the following? 6. A nurse is to administer hydrochlorothiazide 50 mg by mouth twice daily. Which of these actions should a patient anticipate the nurse would do prior to administering this medication? 7. What should a nurse monitor for in a patient who is taking captopril? Select All that apply! 8. A nurse is to administer warfarin sodium to a patient Which of the following patients should not receive this medication? 9. Which of these factors should a nurse consider when obtaining an informed consent? 10. Which of these actions should a nurse take when assessing the peripheral pulses? 11. A nurse has just completed teaching a patient who has cataracts how to self-administering eye drops. The patient correctly understands of the teaching how to carry out this procedure when making which of the following statements? 12. A student nurse has just completed teaching a patient about the medication acetylsalicylic acid. The patient demonstrates a correct understanding of the teaching by which of the following statements? 13. A nurse documents the following information in a patient’s chart: Skin pale and dry, skin turgor, slow return of tenting: mucous membranes, dry. Based on the information, the mine formulates antiarity problem of dehydration which nhase of the nursing process was used 24. A nurse has instructed a student nurse on the principles of an incident Report. Which of the following statements indicates the student has a correct understanding of incident report? 25. A nurse is teaching the student about the administering of PPD injection. The student nurse demonstrates a need for further instructions when stating which of the following regarding the administration of medication through this parenteral route. 26. Which of these assessments is a priority for a patient to monitor at home when receiving warfarin? 27. A nurse should administer an IM medication to a patient using Z-track method, by which of the following techniques? 28. A nurse performs a health assessment and reviews the admission form and health care provider’s orders. Which of the following statements by the patient should the nurse react to initially? 29. 30. A patient is taking levetiracetam. What action should a nurse perform, related to this medication? 31. A nurse is preparing to administer a narcotic analgesic intramuscularly to an adult patient in acute pain. Which action should the nurse use when administering the medication to the patient? 32. Which of the following tasks should a nurse delegate to unlicensed assistive personnel? Select All that Apply. 33. A nurse notes that a patient has visual impairment of the left eye. The patient is alert and oriented xl: person has an unsteady gait and has not had a bowel movement in 2 days. Which of the following should the nurse consider as the priority problem for the patient? 34. A nurse assesses a patient who has complained of pain. The nurse documents the patient report as 4/10 and then administers acetaminophen as per physician orders. Which phase of the nursing process is the nurse carrying out when administering the medication to the patient? 35. A nurse is caring for a patient who has a seizure disorder who is receiving levetiracetam. Which of these statements indicates that the patient needs further instructions about the medications? 36. A patient who has glaucoma has acetazolamide ordered. Which of the following statements made by a patient is 24. A nurse has instructed a student nurse on the principles of an incident Report. Which of the following statements indicates the student has a correct understanding of incident report? 25. A nurse is teaching the student about the administering of PPD injection. The student nurse demonstrates a need for further instructions when stating which of the following regarding the administration of medication through this parenteral route. 26. Which of these assessments is a priority for a patient to monitor at home when receiving warfarin? 27. A nurse should administer an IM medication to a patient using Z-track method, by which of the following techniques? 28. A nurse performs a health assessment and reviews the admission form and health care provider’s orders. Which of the following statements by the patient should the nurse react to initially? 29. 30. A patient is taking levetiracetam. What action should a nurse perform, related to this medication? 31. A nurse is preparing to administer a narcotic analgesie intramuscularly to an adult patient in acute pain. Which action should the nurse use when administering the medication to the patient? 32. Which of the following tasks should a nurse delegate to unlicensed assistive personnel? Select All that Apply. 33. A nurse notes that a patient has visual impairment of the left eye. The patient is alert and oriented xl: person has an unsteady gait and has not had a bowel movement in 2 days. Which of the following should the nurse consider as the priority problem for the patient? 34. A nurse assesses a patient who has complained of pain. The nurse documents the patient report as 4/10 and then administers acetaminophen as per physician orders. Which phase of the nursing process is the nurse carrying out when administering the medication to the patient? 35. A nurse is caring for a patient who has a seizure disorder who is receiving levetiracetam. Which of these statements indicates that the patient needs further instructions about the medications? 36. A patient who has glaucoma has acetazolamide ordered. Which of the following statements made by a patient is 24. A nurse has instructed a student nurse on the principles of an incident Report. Which of the following statements indicates the student has a correct understanding of incident report? 25. A nurse is teaching the student about the administering of PPD injection. The student nurse demonstrates a need for further instructions when stating which of the following regarding the administration of medication through this parenteral route. 26. Which of these assessments is a priority for a patient to monitor at home when receiving warfarin? 27. A nurse should administer an IM medication to a patient using Z-track method, by which of the following techniques? 28. A nurse performs a health assessment and reviews the admission form and health care provider’s orders. Which of the following statements by the patient should the nurse react to initially? 29. 30. A patient is taking levetiracetam. What action should a nurse perform, related to this medication? 31. A nurse is preparing to administer a narcotic analgesic intramuscularly to an adult patient in acute pain. Which action should the nurse use when administering the medication to the patient? 32. Which of the following tasks should a nurse delegate to unlicensed assistive pers hel? Select All that Apply. 33. A nurse notes that a patient has visual impairment of the left eye. The patient is alert and oriented xl: person has an unsteady gait and has not had a bowel movement in 2 days. Which of the following should the nurse consider as the priority problem for the patient? 34. A nurse assesses a patient who has complained of pain. The nurse documents the patient report as 4/10 and then administers acetaminophen as per physician orders, Which phase of the nursing process is the nurse carrying out when administering the medication to the patient? 35. A nurse is caring for a patient who has a seizure disorder who is receiving levetiracetam. Which of these statements indicates that the patient needs further instructions about the medications? 36. A patient who has glaucoma has acetazolamide ordered. Which of the following statements made by a patient is Correct?