A nurse is collecting data from a client who has an elevated temperature with no
sweating. Which of the following findings is an indication of hypernatremia? -
answersThirst
A nurse is caring for a client who reports difficulty sleeping due to the noise on the
nursing unit. Which of the following actions should the nurse take to reduce
environmental noise? - answersClose the door to the client's room.
A nurse is reinforcing teaching about health promotion with a client. Which of the
following actions should the nurse take first to promote effective learning? -
answersIdentify areas of concern.
A home health nurse is assisting with the plan of care for a client. Which of the following
should the nurse include during the orientation phase of the helping relationship? -
answersClarify the role of this individual nurse.
A nurse is preparing to assist with the admission of a client who has pneumonia. Which
of the following observations about the client's room requires immediate attention? -
answersThe wheel locks on the bed are malfunctioning.
A nurse is reinforcing teaching about health promotion with an older adult client. Which
of the following instructions to the client is an example of secondary prevention? -
answersParticipate in screenings for tuberculosis.
A licensed practical nurse (LPN) is receiving change-of-shift report for a client who had
a stroke. For which of the following tasks should the nurse request assistance from a
registered nurse (RN)? - answersStaging a pressure ulcer
, A nurse is reinforcing teaching about home safety with a client who is at risk for falls.
Which of the following client statements indicates an understanding of the teaching? -
answers"I will secure all of my electrical cords to the baseboard."
A home health nurse is reinforcing teaching about infection control with a client who has
hepatitis A. The nurse should identify that which of the following client statements
indicates an understanding of the teaching? - answers"I will wash my hands with soap
and water for 15 seconds after having a bowel movement."
A nurse at a rehabilitation facility is assisting with the admission of a client who has left-
sided hemiplegia following a stroke. Which of the following actions should the nurse
take first? - answersDetermine the client's mental status.
A nurse is collecting data from an older adult client. Which of the following findings is an
indication of infection? - answersChange in mental status
A nurse is performing a finger stick blood glucose test on a client who has diabetes.
Which of the following actions should the nurse take? - answersPuncture the side of the
finger.
A nurse is collecting data from a client who is receiving potassium in their IV fluids.
Which of the following findings can indicate hyperkalemia? - answersConfusion
A charge nurse is reinforcing teaching about ethics with a group of newly licensed
nurses. The nurse uses the example of performing CPR on a client who has a do-not-
resuscitate (DNR) order. Which of the following ethical principles is being violated in this
example? - answersAutonomy
A nurse is preparing to perform suctioning for a client who has a tracheostomy tube.
Which of the following materials should the nurse obtain? - answersResuscitation bag
A nurse is reinforcing teaching with a group of adolescent clients about testicular self-
examination. Which of the following instructions should the nurse include? -
answersTake a warm shower before performing the exam.
A nurse is entering client care information using the SOAP method of documentation.
Which of the following information would be entered under the heading "S?" -
answersThe client reports experiencing a headache.
A nurse is caring for a client who has vancomycin-resistant enterococci (VRE) in a
wound. Which of the following actions should the nurse take to control the transmission
of this infection? - answersWear a gown when assisting the client with hygiene care.
MY ANSWER
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 SALVADO. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.