The home health nurse is caring for a 46-year-old client.
The client was recently diagnosed with rheumatoid arthritis and r pain in the knees and hands that has made it difficult to perform daily living. The pain is worse at the beginning of the day and im several hours after waking. Sitting for...
The home health nurse is caring for a 46-year-old client.
The client was recently diagnosed with rheumatoid arthritis and r pain in the knees and hands that has
made it difficult to perform daily living. The pain is worse at the beginning of the day and im several
hours after waking. Sitting for extended periods worsens The client takes an NSAID and an
immunosuppressant correct answers-Instruct the client to use distraction techniques
-Instruct the client to perform range-of-motion exercises
-Provide the client with information about rheumatoid arthritis support groups
-Demonstrate the use of ice cubes for a 10-minute joint massage
A student nurse is caring for an adult client with a prescription for a cleansing enema. Which of the
following statements by the student nurse indicate a correct understanding of the procedure? Select all
that apply. correct answers-"I will apply a water-soluble lubricant to the tip of the tubing prior to
insertion."
-"I will insert the tip of the tubing 3-4 inches (7.6-10.2 cm) into the rectum."
-"The client should be placed in the left side-lying position with the right knee flexed."
The nurse is caring for a 24-year-old client.
Nurses' Notes
0200: The client enters the emergency department appearing extremely agitated and disheveled. The
client states, "I am in so much pain. The provider would not prescribe my pain medications again." The
client has stable vital signs, and the physical assessment is normal.
0400: The client shouts, "Find someone to give me the medication!" The client appears angry and
irritable, pacing around the room. The nurse enters room to assess the client's vital signs, but the client
refuses to comply. The client sits in the corner with a tense posture and clenched fists.
For each potential intervention, click to specify if the intervention is expected or not expected for the
care of the client at this time. correct answersExpected:
-Use verbal deescalation techniques
,-Avoid direct eye contact with the client
-Offer the client something to eat or drink
-Assign staff to continuously observe the client
Not Expected:
-Obtain a prescription for physical restraints
-Offer the client the option to be discharged against medical advice
The nurse is reinforcing discharge instructions with a client who received a prescription for a 24-hour
urine test for creatinine clearance. Which of the following instructions should the nurse provide? Select
all that apply. correct answers-"Be careful not to spill any collected urine while pouring it into the
collection container."
-"Discard the urine from your first void, and then mark the time to begin the collection."
-"Do not place toilet tissue in the urine collection container."
-"Place a collection device in the toilet to help you collect the urine."
The nurse receives a prescription to obtain orthostatic blood pressure measurements on a client with a
history of syncope. What action should the nurse take first? correct answersAssist the client to lie quietly
in the supine position for 3-5 minutes
The nurse is caring for a client with an indwelling urinary catheter. Which of the following actions by the
nurse are appropriate? Select all that apply. correct answers-Checks for kinks in the catheter tubing after
repositioning the client
-Empties the urine collection bag frequently to prevent overfilling
-Stabilizes the catheter tubing near the urinary meatus while cleaning the tubing
-Uses the sampling port on the drainage tubing to obtain a urine specimen
A pediatric client diagnosed with bilateral otitis media is prescribed amoxicillin. The medication is
available as a 200 mg/5 mL suspension. The client weighs 50 lb. How many milliliters should the client
receive with each dose (mL/dose)? Record the answer using two decimal places. Click on the exhibit
button for more information.
, Exhibit:
Health care provider's prescription
Amoxicillin: 45 mg/kg/day PO divided every 12 hr correct answers12.78 (mL/dose)
The nurse is demonstrating proper instillation of ofloxacin ear drops to the parents of a 2-year-old client
with otitis externa. Place the steps for medication administration in the correct sequence. All options
must be used. correct answers1. Assist the client to a side-lying position with the affected ear positioned
up
2. Straighten the ear canal by pulling down and back on the auricle
3. Instill ear drops by holding the dropper ½ inch (1.3 cm) above the ear canal
4. Apply gentle pressure to or massage the tragus with a finger
5. Loosely place a cotton ball in the outermost part of the meatus of the ear
The nurse is caring for a client with gonorrhea who is prescribed IM ceftriaxone. The medication is
available as a 500-mg vial for reconstitution. How many milliliters (mL) of ceftriaxone should the nurse
administer? Click on the exhibit button for additional information. Record your answer using two decimal
places.
Exhibit 1
Medication package insert
For IM route: Reconstitute medication with 1 mL of sterile 0.9% sodium chloride to produce an
approximate total volume of 1.42 mL. Each 1 mL of solution has a concentration of approximately 350
mg/mL.
Exhibit 2
Medication package insert
For IM route: Reconstitute medication with 1 mL of sterile normal saline to produce an approximate total
volume of 1.42 mL. Each 1 mL of solution has a concentration of approximately 350 mg/mL. correct
answers0.71 (mL/dose)
A student nurse is caring for a client with hemolytic anemia with the precepting nurse. A new
prescription for 2 units of packed red blood cells is received. Which statement by the student nurse
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