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A nurse is reinforcing educating with a client who has a brand new diagnosis of myasthenia gravis (MG) and a prescription for neostigmine. Which of the next information ought to the nurse include about the action of the medication? Improves muscle power A nurse is assisting with the admission of an older grownup client who has impaired mobility and is at risk for falls. Which of the following actions should the nurse plan to carry out first? Check the consumer’s skill to use the call light. A nurse is assisting with the admission of an older adult shopper. Which of the following subjective findings means that the consumer may have cataracts? Cloudy vision A nurse is caring for a consumer who was diagnosed with hyperemesis gravidarum. Which of the following findings ought to the nurse anticipate? Poor pores and skin turgor A nurse is reinforcing discharge teaching with an older adult consumer who has osteoarthritis. Which of the following statements by the shopper signifies an understanding of the teaching? “I will limit purine intake іn my eating regimen.” A nurse is discussing incident studies with a bunch of newly licensed nurses. The nurse should embody that which of the following situations requires completion of an incident report? A nurse collects information from a client who reports severe ache and finds a dose of hydromorphone in the shopper’s bed. A nurse is reinforcing instructing with a shopper who has rheumatoid arthritis and is utilizing a straight-legged cane for ambulation. Which of the next directions should the nurse include? “Keep tһe cane on the stronger facet of tһe physique.” A nurse is participating in a efficiency enchancment course of to decrease the speed of well being care- related infections within the facility. The nurse ought to recognize that which of the next is an applicable performance enchancment consequence indicator? Client information signifies a decreased price of infection. A nurse is contributing to the plan of care for a college-age little one who has sickle-cell illness and is experiencing a vaso-occlusive crisis. Which of the next should the nurse advocate to include within the plan of care? Perform passive vary-of-movement exercises. A nurse is accumulating information from a client who has hepatitis A. Which of the next findings should the nurse expect? Abdominal ache A nurse is gathering data from a client who has preeclampsia and is receiving magnesium sulfate via a steady IV infusion. Which of the following findings should the nurse report back to the supplier? Urine output 20 mL/hr A nurse is orienting a newly licensed nurse to a medical-surgical unit. Which of the next actions should the nurse take to confirm that the newly licensed nurse understands the process for measuring a consumer’s blood glucose degree? Have the nurse perform a return demonstration. A nurse is caring for a client who has a new prescription for a protecting security restraint. Which of the following actions should the nurse take? Secure the restraint with a straightforward-to-release tie. A nurse is caring for a consumer who has a chronic sickness. Through which phase of the therapeutic relationship ought to the nurse help the consumer develop downside-fixing expertise? Working part A nurse is monitoring a client who’s receiving a blood transfusion. Which of the next findings signifies the consumer is experiencing an allergic response? Urticaria A nurse is assisting in the care of a consumer who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse plan to administer? Methylergonovine A nurse is caring for an older grownup consumer who has pneumonia. When reinforcing instructing about the prognosis and age-related adjustments with the consumer’s family, which of the next alterations should the nurse embody? Increased elasticity of the thoracic cage A nurse is amassing information from the guardian of a toddler during a effectively-child go to. The guardian expresses concern to the nurse because his baby has a poor appetite, however drinks a quart of milk every day. The nurse ought to determine that this practice locations the toddler at risk for which of the following conditions? Lactose intolerance A nurse is making use of a condom catheter to a male consumer who is incontinent. Which of the following is an applicable approach to make use of? Leave space between the tip of the penis and the top of the condom catheter. A nurse is aiding in the preparation of an in-service for a group of unit nurses about ethical principles. Which of the following nursing actions should the nurse include for example of fidelity? A nurse keeps a promise made to a shopper. A nurse is helping with a gaggle therapy session through which a consumer begins to monopolize the group’s time. Which of the following interventions is acceptable? Schedule one-on-one dialogue time with the consumer. A nurse is caring for a consumer who is 3 days postoperative following abdominal surgery and has a Penrose drain. Which of the next actions should the nurse take? Reposition the sterile security pin when the surgeon advances the drain. A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative following a tonsillectomy. Which of the following findings is an indication of hemorrhage? Frequent swallowing A nurse in a protracted-term care facility is observing an assistive personnel (AP) who’s performing hand hygiene. Which of the following actions by the AP requires intervention? Holding his hands up and elbows down whereas washing his hands A nurse is establishing a baseline postoperative assessment for a consumer who is recovering from a proper femoropopliteal bypass graft. Which of the following findings in the assessment of the shopper’s proper leg should be of the most concern to the nurse? The shopper’s pedal pulse in the appropriate foot is not palpable. A nurse is reviewing normal precautions with an assistive personnel (AP) who’s new to the newborn nursery. For which of the next newborn care procedures should the nurse remind the AP to wear clear gloves? Applying an identification bracelet A nurse is caring for a shopper who is receiving prazosin. The client’s blood strain is 100/60 mm Hg. Which of the next actions should the nurse take? Instruct the client to stand up slowly. A nurse is checking the house atmosphere of a client for security hazards. Which of the next items require intervention by the nurse? The television set is turned to a loud quantity. A nurse is reinforcing educating with a consumer about the significance of a low-sodium weight loss plan. Which of the following foods ought to the nurse suggest as your best option to incorporate in a low-sodium weight loss plan? 1 medium baked potato A nurse in a prenatal clinic is reinforcing educating with a shopper a few nonstress take a look at. Which of the following statements ought to the nurse include? “Yߋu cаn Ьe asked to press a button whеn you’re feeling your baby move.” A nurse is preparing to instill an otic suspension into an adult consumer’s ear. Which of the following strategies ought to the nurse plan to use? Pull the auricle upward and backward. A nurse is reinforcing educating about colostomy care with a consumer. Which of the next consumer statements signifies an understanding of easy methods to care for the colostomy? “I will empty tһe colostomy bag ѡhen it’s one-half full,” A nurse is caring for a consumer who’s postoperative following a hemicolectomy. Which of the following is the best indication that the client wants PRN pain medication? The shopper reports pain. A charge nurse in an extended-time period care unit is planning care for a gaggle of purchasers. Which of the following care duties should the nurse plan to delegate to an assistive personnel? Measuring urine output each 2 hr for a client recently diagnosed with a urinary tract infection A nurse in a supplier’s workplace is reinforcing instructing with the mother and father of a college-age youngster who has an energetic case of Pediculosis humanus capitis. Which of the next should the nurse embody within the instructing? Wash the bed linens in scorching water. A nurse in an inpatient psychological well being facility is caring for a client who has bipolar disorder and is in an acute manic episode. Which of the next activities should the nurse recommend for the shopper? Take a walk with a workers member, A nurse is reinforcing wholesome eating habits for an older grownup client to ensure adequate dietary intake. Which of the next is an acceptable advice? Snack between meals. A nurse in a provider’s office is amassing data from a shopper who was discharged from the hospital 7 days in the past following therapy for deep-vein thrombosis. Which of the following findings is the nurse’s precedence? (Click on the “Exhibit” button for additional information in regards to the shopper. There are three tabs that contain separate categories of information.) The shopper takes ibuprofen daily to deal with musculoskeletal pain. A nurse is preparing to administer an IM injection to a consumer. To scale back the chance of a needlestick harm, the nurse should take which of the following actions? Dispose of the used needle immediately in a puncture-proof sharps container. A nurse is reviewing the laboratory results for a consumer who is at 32 weeks of gestation. For which following results should the nurse notify the provider? Platelet depend 90,000/mm3 A nurse is reinforcing teaching with a client who has a brand new prescription for levothyroxine. Which of the next statements signifies understanding of the directions? “I need tօ take thіs medication for the remainder ⲟf my life.” A nurse is getting ready to administer purified protein derivative (PPD) to a client. The nurse ought to use which of the following routes? Intradermal A nurse in a clinic is reinforcing instructing with a consumer who has a brand new prescription for a mixture contraceptive transdermal patch. Which of the next ought to the nurse embody in the educating? Apply the patch to the lower abdomen,” A nurse іs reinforcing instructing ԝith a dad or mum аbout appropriate snacks for a toddler.