pncomp

A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit doors at the end of the hallway. The clients appears to be anxious and agitated. Which of the following actions should ...

A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit doors at the end of the hallway. The clients appears to be anxious and agitated. Which of the following actions should the nurse take? - ANSWER escort the client to a quiet area on the nursing unit rationale: a client who has Alzheimer disease experiences chronic confusion. Guiding the client to a quiet, familiar area will help decrease agitation. A nurse is assisting with the plan of care for a client who has a continent urinary division. Which of the following interventions should the nurse plan to implement to facilitate urinary elimination? - ANSWER Use intermittent urinary catheterization for a client at regular intervals A nurse is assisting with a educational program about car restraint safety for a group of parents. Which of the following statements by a parent indicates an understanding of the instructions? - ANSWER My 12 year old child should place the shoulder lap belt low across his hips A nurse is reinforcing teaching about strategies to promote eating with a client who has COPD. Which of the following instructions should the nurse include in the teaching? - ANSWER Drink high protein and high calorie nutritional supplements A nurse is supervising an assistive personnel who is preparing to remove her personal protective equipment after providing direct care to a client who requires airborne and contact precautions. the nurse should recognize that the AP understands the procedure when she removes which of the following PPE first? - ANSWER Gloves A nurse is caring for a client who is crying and states that his provider informed him that he has a tumor and will need a biopsy. Which of the following responses should the nurse make? - ANSWER What have you done in the past to help yourself get through stressful situations before? A nurse is inspecting the skin of a newborn. Which of the following findings should the nurse report to the provider - ANSWER Generalized petechiae *petechiae all over the newborn's body can indicate infection or a decreased platelet count Norm Findings: -Milia - on the face-tiny, white, raised papules are sebaceous glands which secrete oil to lubricate hair. resolve 2 to 4 weeks. -Lanugo - fine, downy hair commonly covers the torso, upper extremities, ears, and forehead gone in 2 wks -Mongolian spots-skin pigmentation on the back and buttocks, frequently found on newborns with ethnic origins in Africa, Asia, or Latin America. A nurse is contributing to a teaching plan for a group of male adolescents about the adverse effects of anabolic steroid use. Which of the following manifestations should the nurse include - ANSWER Reduced height potential A nurse is reinforcing teaching with an older adult client who has a severe left sided heart failure. Which of the following statements should the nurse make - ANSWER Rest 15 minutes between activities A nurse in a long term care facility is documenting the care of an older client. Which of the following information should the nurse include in the weekly nursing care summary - ANSWER Hydration status A nurse is caring for a client who has a head injury. using the gasgow coma scale collection data, the nurse should obtain which of the following information - ANSWER motor response A home health nurse is reinforcing teaching with a client about the use of elastic stockings to decrease peripheral edema. which of the following instructions should the nurse include? - ANSWER apply stockings in the morning A nurse in a providers office is obtaining a health history from a client who is scheduled to undergo a cardiac catheterization in 2 days. which of the following questions is the - ANSWER Do you know if your allergic to iodine A nurse is planning to administer nystatin oral suspension to a client who has oral candiasis. which of the following instructions should the nurse give to the client - ANSWER Hold the medication in your mouth for several minutes prior to swallowing A nurse is preparing to care for the assigned clients on her upcoming shift. which of the following time management strategies should the nurse plan to use? - ANSWER prepare a priority list of client needs for the shift A nurse is preparing to witness a client who is scheduled for surgery sign a informed consent. which of the following actions should the nurse take? - ANSWER Ask the client if he understands the procedure a nurse in an inpatient mental health clinic is caring for a newly admitted client who has alcohol use disorder. during a therapy session, the client asks about alcoholics anonymous. which of the following responses should the nurse make? - ANSWER What is your current understanding about the purpose of AA A nurse is assisting with the care of a client who is 2 days postop following a total knee arthroplasty. which of the following tasks should the nurse assign to an assistive personnel? - ANSWER reapply antiembolic stockings to the client following a shower A client in a mental health facility unjustly accuses a nurse of stealing money from his room. which of the following therapeutic responses should the nurse make? - ANSWER tell me how you decided who took your money A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. which of the following statements made by the client indicates understanding of the teaching? - ANSWER I will wear a soft scarf around my neck when i am outside a nurse is using the FLACC scale to determine the level of pain for an 11 month old infant who is postop. which of the following factors should the nurse consider when using this pain scale - ANSWER level of activity A nurse is reviewing the techniques for transferring a client from bed to chair with a group of assistive personnel. which of the following instructions should the nurse include - ANSWER use lower body strenght