Question 35. A nurse is planning care for a client who is concerned

Question 35. A nurse is planning care for a client who is concerned about hertobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?  -Assist the client in setting goals to make the change  -Develop a plan for the client to integrate the change into her lifestyle  -Present information about the benefits of quitting smoking  -Recommend small changes for the client to make to change her behavior over time 36. A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?  -I will keep my legs crossed while sitting  -I will perform exercises once every 4 hours while i am awake  -I should massage my legs when they hurt  -I should limit the time that I spend sitting in a chair 37. A nurse is documenting client care. Which of the following abbreviations should the nurse use?  BRP for bathroom privileges  -Sodium 140  -Potassium 1.8  -Magnesium 1.9  -Calcium 6.5 38. A nurse who is documenting information in a client’s electronic medical record is asked to assist with an emergency. Which of the following actions should the nurse take? -Ask another nurse to monitor the computer  -Turn the computer off  -Move the computer to a secure place  -Print out the current notes to finish later 39. A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?’  -Diarrhea one time in a 24-hour period   -A weight gain of 0.91 kg (2 Ib) in 2 days  -A gastric residual of 300 mL at the end of the shift  -A blood glucose level of 110 mg/dL 40. A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?  -Tape the catheter to the lower abdomen  -Attach the drainage bag to the side rails of the bed  -Keep the drainage bag below the level of the bladder  -Empty the drainage bag when it is three quarters full 41. A nurse is reviewing the medical record for a newly admitted client. Which of the following laboratory values should the nurse report to the provider?  -Sodium 140  -Potassium 1.8  -Magnesium 1.9  -Calcium 6.5  42. A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 Ib. How many mg should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use trailing zero). 1.200 mg 2.220mg3.205mg4.400mg 43. A nurse is caring for a client who tells the nurse, since I retired, I have a lot of time on my hands and nothing to do. I guess nobody needs me. Which of the following responses should the nurse make?  -If I were you, I would volunteer my time  -Do you have family members you can visit?  -You need to realize that you have valuable skills to offer others  -Tell me about some hobbies you enjoy  44. A nurse is caring for a client who has an NG tube and has repeatedly pulled it out. The nurse should identify that which of the following findings indicates a need for restraints?  -The client’s family is unable to stay with the client  -The client becomes confused at night   -The client gets of bed to use the bathroom frequently  -The client is assigned a room near the nurse’s station 45. A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrate correct documentation?  -No changes noted to the wound from previous nursing notes  -Client premedicated with MSO4 sun q prior to dressing change  -The wound seems clean and does not appear to be infected  -New dressing applied as prescribed, no drainage on old dressing 46. A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?  -Place the client’s arms at their sides  -Flex the client’s knees  -Place the client at the side of the bed nearest the direction they will be turned  -Roll the client as one unit in a smooth continuous motion. 47. A nurse is caring for a client who has TB. which of the following precautions should the nurse plan to implement when working with the client? 1.Airborne 2.droplet3.contact 48. A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client’s bedside? 1.Oral suction equipment and oral airway2.suction3.Enteral suction . 49. A nurse is providing teaching to the family of a client who is at the end stage of life. Which of the following client manifestations should the nurse instruct the family to expect?  -Increased periods of wakefulness  -Altered breathing patterns  -Increased salivation  -Warm and dry extremities  Health Science Science Nursing NURS 318 Share QuestionEmailCopy link Comments (0)

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