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A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take? - Tell the nurses that this conversation is not appropriate A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take? - Ask the dietitian to recommen...

A chare nurse in an emergency department is informed that a tornado touched down in a nearby town and mass casualties are en route. which of the following actions should the nurse take first? A. Follow Facility policy to activate the disaster plan B. Prepare the triage rooms. C. Obtain additional supplies D. Call in off-duty staff - A is correct The nurse has little information other than that several clients are expected in a short period of time. According to evidenced-based practice, t...

a nurse reinforces teaching to a client about end-of-life decisions. which information about advance directives is correct? a. informed consent should be verified b. a health care proxy can be designated c. specific dietary restrictions are identified d. legal counsel is needed to make decisions - b. a health care proxy can be designated a client who has a terminal illness decides to discontinue treatment. what is the appropriate response from the nurse? a. why are you giving up? b. tel...

A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. What is the appropriate action for the nurse to take? - Place client on NPO status Change in level of consciousness is common and could lead to aspiration if PO A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. What are 3 indicators of viral meningitis? - Negative gram stain Normal glucose content Normal protein content A nurse is caring for a 4 mo...

A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month." - A. "A water-soluble lubricant should be used with condoms." A nurse is instructing a client who is tak...

A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? - Betamethasone Rationale: The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory depression. a diet teaching for hyperemesis gravidarum "I will eat foods that taste good instead of balancing my meals." "I will avoid having a snack before...

Around what time period is it possible to first hear the fetal heart tones? - End of first trimester. 10th or 11th week of gestation. Where should you position the device to listen to a fetal heart tone? - Start at midline above the symphysis pubis. Slowly move around abdomen if not heard right away. What two things can make it hard to hear fetal heart tones? - Excessive amniotic fluid (hydraminos) or excessive subcutaneous fat. What is the name of the assessment for assessing gestational ...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression. C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should...

A charge nurse is discussing mental status examination with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates and understanding of the teaching? (Select all that apply). A. "To assess cognitive ability, I should ask the client to count backwards by seven." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote me...

A 9 year old child with sickle cell anemia lives with her father, stepmother, and half sibling. Which of the following describes this family's composition? A. Nuclear family B. Blended family C. Extended family D. Binuclear family - B. Blended family A blended family includes at least one stepparent, stepsibling, and/or half-sibling. A nuclear family includes two parents and their children. An extended family includes on or more parents, one or more children, and other family members su...