Question: Time Remaining 01.24.42 28 Of 100 Exit A_Alt Calculator The Nurse Prepares To Insert An Indwelling Urinary Catheter For A Client Diagnosed With Urinary Retention. Which Is The Most Important Principle For The Nurse To Follow When Inserting The Catheter? 01. Inflate Balloon Before Inserting The Catheter. O2 Wear Sterile Gloves During The Entire Procedure …

Time Remaining 01.24.42 28 of 100 Exit A_Alt Calculator The nurse prepares to insert an indwelling urinary catheter for a client diagnosed with urinary retention. Which is the most important principle for the nurse to follow when inserting the catheter? 01. Inflate balloon before inserting the catheter. O2 Wear sterile gloves during the entire procedure 3. Identity urinary meatus before cleansing 04. Maintain catheter sterility at all times Calculator The nurse suctions a client. The nurse implements the procedure based on which most important principle? O 1. Use sterile saline to lubricate airway O2 Keep skin and area around stoma sterile. O3. Suction trachea before pharyngeal area. O 4. Prevent hyperoxygenation Calculator The nurse provides care for a client who has an open leg wound. The health care provider has written a prescription to apply heat to the leg after 24 hours The nurse writes the care plan and includes which nursing diagnosis? (Select all that apply.) 1. Risk for bleeding 2. Hyperthermia 3 Ineffective health maintenance 04 Risk for thermal injury 5. Impaired skin integrity 06. Risk for ineffective peripheral tissue perfusion I Next A client takes pancrelipase for cystic fibrosis. Which client statement indicates an understanding of the nurse’s teaching about the medication? 01. 1 will plan to take the medication at bedtime.” O2 “I will not crush, chew, or hold the medication in my mouth.” O3 “1 know I am getting the right dose if I start to lose weight.” 04. 1 will sprinkle it on ice cream to make it taste better 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? O 1. 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 O 3. Explain to the parents how important it is for the client to play with others 04. Ask the parents why they are limiting the client’s social activities. 16 of 100 Calculator 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? O1 Will eat regular diet with no salt added or salty foods O2 Will observe strict bed rest with limited activities O 3. Will maintain urine output of 3.000 mu 24 hours 04. Will have no headache, dizziness, or vomiting, 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 lb 9 oz (3.4 kg) and 172 inches (43.7 cm) 03. Widely spaced nipples 4. Chest shaped like a shield 5. Skin folds along the neck to the shoulders. Ne 10 of 100 Calculator A client is recovering from burns received while rescuing a child from a house fire. The nurse plans care based on which nursing diagnosis? O 1 Acute confusion O2. Risk for impaired skin integrity. O 3. Impaired gas exchange O 4. Risk for bleeding Time Remains Exit A_Alt Calculator A client is recovering from burns received while rescuing a child from a house fire. The nurse plans care based on which nursing diagnosis O 1. Acute confusion O2. Risk for impaired skin integrity. 3. Impaired gas exchange. O 4. Risk for bleeding KAPLAN NURSING Exit A_Alt Calculator Time Remaining 00:22:03 83 of 100 A client in labor has an epidural anesthesia placed. The nurse must make which important assessment while the anesthetic is in place? 01. Feet and legs for edema. O2. Respirations for increase. 03. Bladder for distention 04. Temperature for decrease. Calculator The nurse prepares a client for electroconvulsive therapy. The nurse knows the client needs additional teaching when the client makes which statement? 1. “When I wake up after the procedure, I may be confused and unsure where I am.” O2. “My heart will be monitored during the procedure to make sure I am safe.” 3. “I may have muscle soreness or fractures following the procedure 04.”1 will be given medication so I don’t feel what is happening during the procedure.” Quit Next → o Calculator A school-age client recovering from theumatic fever finishes the 10-day course of antibiotics. There does not appear to be any permanent cardiac damage The nurse teaches the parent about prophylactic antibiotics for the client. Which statement by the parent indicates to the nurse the teaching was understood? O 1. “I will need to give my child antibiotics before a dentist appointment.” O2. I will need to give my child two doses of penicillin every day for 5 years.” 3. “My child should use ibuprofen if there is fever or joint pain.” 04. ‘My child will need to take penicillin every day until age 21.” A client is newly diagnosed with hepatitis B. The nurse identifies a nursing diagnosis based on which most important client problem? 01. Client is not interested in eating O2 Client has low self-esteem because of the infection O3. Client has become confused because of the infection. 04. Client is weak and tired all the time.