12.  1. A nurse is caring for a client who has gone into cardiac arrest.The client’s chart indic

12.  1. A nurse is caring for a client who has gone into cardiac arrest.The client’s chart indicates refusal of life- sustaining measures in a living will signed 10 years ago but do-not-resuscitate (DNR) prescription has not been written by the provider. Which of the following actions by the nurse is appropriate? -Contact the provider for instructions regarding a DNR. -Call a code because a DNR prescription has not been written  -Consult with the client’s family regarding resuscitation efforts -Comply with the living will and let the client expire naturally13.  16. A nurse on a neonatal unit is reinforcing teaching with an assistive personnel about infant abduction. Which of the following situations should the nurse include as a potential breach of facility security?  -A parent reports that his identification bracelet is loose and requests a replacement. -A person wearing scrubs is seen carrying an infant out of the unit doors. -A parent has not signed the facility’s infant safety pledge -A person wearing a picture identification badge asks to take an infant for testing. 14. 25. A nurse is reinforcing teaching with a client about a living will. Which of the following statements made by the client indicates an understanding of the teaching? -My provider will make my health care decisions -I will have an outline of my wishes for medical treatment -I need my partner present in a medical emergency -I am required to appoint a health care surrogate 15.  22. A nurse is reviewing documentation on a group of clients as part of a quality in improvement initiative. Which of the following actions should the nurse document as decreasing the risk for skin breakdown? -Implementation of incentive spirometry for clients who are postoperative -Documentation of PAINAD scale for clients who have dementia -Use of the Braded scale for clients who are immobile -Daily weighing of clients who have heart failure 16.  14. A nurse is prioritizing care for clients. Which of the following tasks should the nurse perform first? -Initiate oxygen via nasal cannula for a client who has COPD -Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus -Change the dressing for a client who has a decubitus ulcer -Initiate a 24-hr urine collection for a client who has end-stage kidney disease 17. 19. A nurse is observing assistive personnel (AP) provide care for a clients. Which of the following actions by the AP requires intervention by the nurse? -Applying water-soluble lubricant to the nares of the client who is receiving oxygen -Removing gloves before leaving an isolation room -Filling a basin with water at 40C (104F) when proving foot care -Instructing a client to look down at their feet when being assisted to ambulates  18. 23. A nurse is talking with a client who asks where to get information about in alternative medications on the internet so they can discuss which with their provider. Which of the following sources of information should the nurse recommend? -The website of a pharmaceutical company that sells prescription medications -A government website that is updated weekly referencing research on alternative medicine -A website created for social use by clients who use alternative medications -The commercial website of a company that offers alternative medications 19. 31. A nurse enters a client’s room and discovers a fire in the trash can. After removing the client from the room, which of the following actions should the nurse take next? -Shut the doors of all client rooms -Turn off sources of oxygen -Pull the nearest fire alarm  -Use an extinguisher to put out the fire 21.   17. A nurse at a long-term care facility is assisting with teaching staff about infection control practices. Which of the following examples should the nurse include as an infection control hazard? -A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill. -A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture -A staff member places a midstream urine sample in a specimen refrigerator after collecting it. -A nurse uses alcohol-based antiseptic to clen his hands after talking with a client who has varicella zoster. 22.  26. A nurse in a long-term care facility is monitoring clients in the day room. A client who has dementia becomes angry and hurts increasingly with nurse. Which of the following interventions should the nurse take first? -Administer PRN haloperidol IM to the client -Apply wrist restraints to the client -Place the client in a seclusion room -Engage the client in a repetitive activity as a distraction.  Health Science Science Nursing PNR MISC Share QuestionEmailCopy link Comments (0)

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