Kateaccademia

1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of the following findings as an indication of a possible allergic reaction to the medication? A. Bradycardia B. Headache C. Joint pain D. Hypotension 2. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic medication. Which of the following responses s...

A Nurse is caring for a clients on the med-surg unit. Which client is most at risk to develop a nosocomial infection? A- clinet with alcohol abuse admitted for detox B- Client with Type I diabetes and peripheral neuropathy C- Client recovering from a choleystectomy D- Client with full thickness burns, an NG tube and a Foley - ...ANSWER....D- Full thickness burn, NG tube and Foley *Think immunosupression and avenues for infection A nurse is caring for clients in the ICU. Which client ma...

A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d. Providing postmortem care to a client - ...ANSWER....d. Providing postmortem care to a client A nurse is conducting a health assessment for a client who takes herbal supplem...

1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Identify nurses who accept the change to help influence other staff nurses B. Provide a brief overview of the new scheduling system immediately before it implementation C. Introduce the new scheduling system by descri...

A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? - ....ANSWER....Hypokalemia A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? - ....ANSWER...

1. A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints d. Administer risperidone - ...ANSWER...A. Place the child in seclusion 3. A nurse is caring for a client who exhibits excessive compliance, passivity, and selfdenial. The nurse should recognize tha...

1) A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take? a. Wash the site with alcohol prior to applying the cream b. Gently rub the cream into the skin c. Apply the cream 1 hour before the procedure d. Avoid removing the cream prior to the procedure. - ...ANSWER...c. Apply the cream 1 hour before the procedure 2)A nurse is caring for an infant who has Patent ductus...

1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention 2. A nurse is assessing a client who is immediately post-operative following hip arthroplasty, which of the following considerations should the nurse take when positioning the client? A. Place the client’s heels directly against the bed mattress B. Ensure that the client’s hips...

A nurse is caring for a group of patients. For which of the following situations should the nurse complete an incident report? - ANS - A client was administered one-half of the prescribed dose of medication Rationale: An incident report is a recording of any occurrence that does not meet the standard of care. The nurse should report medication errors using the facility's incident or occurrence form. A nurse is caring for a group of patients. Which of the following findings is the nurse req...

1.A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? 1, Amantadine. 2, Bupropion 3, Phenelzine 4, Hydroxyzine 2.A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client...