Suicide precautions are initiated for a child admitted to the mental health
unit following an intentional narcotic overdose. After a visitor leaves, the
nurse finds a package of cigarettes in the client's room. Which intervention
is most important for the nurse to implement? - Remove cigarettes for
the client's room
A family member of a frail elderly adult asks the nurse about eligibility
requirements for hospice care. What information should the nurse provide?
(Select all that apply.)
A.)A client must be willing to accept palliative care, not curative care.
B.)The healthcare provider must project that the client has 6 months or less
to live.
C.)The client must be diagnosed with clinical depression
D.)The client must be of sound mind - A,B
A client with atrial fibrillation receives a new prescription for dabigatran.
What instruction should the nurse include in this client's teaching plan? -
Avoid use of nonsteroidal ant- inflammatory drugs (NSAID).
An infant who is admitted for surgical repair of a ventricular septal defect
(VSD) is irritable and diaphoretic with jugular vein distention. Which
prescription should the nurse administer first? - Digoxin
The nursing staff on a medical unit includes a registered nurse (RN),
practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task
should the charge nurse assign to the RN? - Supervise a newly hired
graduate nurse during an admission assessment.
While teaching a young male adult to use an inhaler for his newly
diagnosed asthma, the client stares into the distance and appears to be
concentrating on something other than the lesson the nurse is presenting.
What action should the nurse take? - Ask
the client what he is thinking about at his time.
After several hours of non-productive coughing, a client presents to the
emergency room complaining of chest tightness and shortness of
,Hesi exit 5 - 160 Questions and answers
graded A+ 2022/2023
,.
breath. History includes end stage chronic obstructive pulmonary
disease (COPD) and diabetes mellitus. While
,Hesi exit 5 - 160 Questions and answers
graded A+ 2022/2023
,.
completing the pulmonary assessment, the nurse hears wheezing and poor
air movement bilaterally. Which actions should the nurse implement? (Select
all that apply.)
A.)Administer PRN nebulizer treatment.
B.)Obtain 12 lead electrocardiogram.
C.)Monitor continuous oxygen saturation.
D.) Lay the client in the prone position - A,B,C
The nurse caring for a 3-month-old boy one day after a pylorotomy
notices that the infant is restless, is exhibiting facial grimaces, and is
drawing his knees to his chest. What action should the nurse take? -
Administer a prescribed analgesia for
pain.
A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a
chemotherapy (CT) protocol that includes methotrexate (Mexate, Trexal,
MIX), an antimetabolite. Which information should the nurse provide the
parents about caring for their child? - Use
sunblock or protective clothing when outdoors.
Two days after admission a male client remembers that he is allergic to
eggs, and informs the nurse of the allergy. Which actions should the nurse
implement? SATA
A.) Tell the client that its a mild reaction
B.)Notify the food services department of the allergy.
C.)Enter the allergy information in the client's record.
D.)Add egg allergy to the client's allergy arm band. - B,C,D
The rapid response team's detects return of spontaneous circulation (ROSC)
after 2 min of continuous chest compressions. The client has a weak, fast
pulse and no respiratory effort, so the healthcare provider performs a
successful oral, intubation. What action should the nurse implement? -
Perform bilateral chest auscultation.
After administering an antipyretic medication. Which intervention
should the nurse implement? - Encouraging liberal fluid intake
A client with hyperthyroidism is being treated with radioactive iodine (I-
131). Which explanation should be included in preparing this client for this
Describe radioactive iodine as a tasteless, colorless medication
administered by the healthcare provider
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller newsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.49. You're not tied to anything after your purchase.
