fundamental
fundamental
fundamental
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100
While teaching a health promotion group of adults, the nurse notices one person who is clutching his throat with both hands. What should the nurse do first?
What is Ask, "Are you choking?"
100
A mother comes to the emergency department after receiving a phone call informing her that her son was involved in a motor vehicle accident. When she approaches the triage desk, she frantically asks, "How is my son?" Which response by the nurse is best?
What is He's being examined now; he's awake and talking. We'll take you to see him soon."
100
The nurse assesses the client's pedal pulses as having a pulse volume of 1 on a scale of 0 to 3. Based on this assessment finding, it would be important for the nurse to also assess the
What is Blood pressure
100
The nurse assesses clients' breath sounds. Which one requires immediate medical attention? A client who has:
What is Stridor
100
A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the nurse. Based on his injury, which type of pain is this patient most likely experiencing?
What is Deep somatic
200
A patient is agitated and continues to try to get out of bed. The nurse tries unsuccessfully to reorient him. What should the nurse do next?
What is Provide comfort measures
200
19. A local church organizes a group for people who are having difficulty coping with the death of a loved one. Which type of group has been organized?
What is Therapy group
200
Which of the following clients has indications of orthostatic hypotension? A client whose blood pressure is:
What is 146/88 when lying down and 130/78 when standing, and reports feeling dizzy
200
Which of the following clients is experiencing an abnormal change in vital signs? A client whose (select all that apply):
What is ) Blood pressure (BP) was 132/80 mm Hg sitting and is 120/60 mm Hg upon standing Heart rate was 76 before eating and is 60 after eating
200
Which pain management task can the nurse safely delegate to nursing assistive personnel?
What is Asking about pain during vital signs
300
The nurse is teaching a child and family about firearm safety. The nurse should instruct the child to take which step first if he sees a gun at a friend's house?
What is Stop where he is.
300
A patient is admitted to the medical surgical floor with a kidney infection. The nurse introduces herself to the patient and begins her admission assessment. Which goal is most appropriate for this phase of the nurse-patient relationship? The patient will be able to:
What is Describe how to operate the bed and call for the nurse.
300
A client who has experienced prolonged exposure to the cold is admitted to the hospital. Which method of taking a temperature would be most appropriate for this client?
What is Rectal with an electronic thermometer
300
A client who is receiving epidural analgesia complains of nausea and loss of motor function in his legs. The nurse obtains his blood pressure and notes a drop in his blood pressure from the previous reading. Which complication is the patient most likely experiencing?
What is Epidural catheter migration
300
Which factor in the patient's past medical history dictates that the nurse exercise caution when administering acetaminophen (Tylenol)?
What is Hepatitis B
400
Which factor(s) in the patient's past medical history place(s) him at risk for falling? Select all that apply.
What is Orthostatic hypotension and Dizziness
400
The nurse suspects that a patient is being physically abused at home. What is the best environment in which to discuss the possibility of abusive events?
What is A conference room at the end of the hall
400
Which of the following clients would have the most difficulty maintaining thermoregulation?
What is Older adult raking leaves on a cold day
400
Which nonsteroidal anti-inflammatory drug might be administered to inhibit platelet aggregation in a patient at risk for thrombophlebitis?
What is Aspirin (Ecotrin)
400
Which action should the nurse take before administering morphine 4.0 mg intravenously to a patient complaining of incisional pain?
What is Assess the patient's respiratory status.
500
21. During a presentation at a nursing staff meeting, the unit manager speaks very slowly with a monotone. She uses medical and technical terminology to convey her message. Dressed in business attire, the manager stands erect and smiles occasionally while speaking. Which elements of her approach are likely to cause the staff to lose interest in what she has to say? Select all answers that apply
What is Slow speech and Monotone
500
Which situation requires intrapersonal communication?
What is Positive self-talk
500
Which of the following clients should have an apical pulse taken? A client who is:
What is An infant with no history of cardiac defect
500
The nurse administers codeine sulfate 30 mg orally to a patient who underwent craniotomy 3 days ago for a brain tumor. How soon after administration should the nurse reassess the patient's pain?
What is In 60 minutes
500
Which action should the nurse take when preparing patient-controlled analgesia for a postoperative patient?
What is Ask another nurse to double-check the setup before patient use.
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