Samenvatting

43) Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of
thefollowing is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort
44)Nurses caring for four clients. Which of the following client data should the nurse report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing
b) Client was a total of 110 mLofserosanguineous fluid from the Jackson Pratt drain within the first
24hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm3
45) Nurses caring for client was in end-stage osteoporosis and is reporting severe pain. Clients
respiratoryrate is 14 per minute. Which of the following medications should the nurse expect to be
the highest priority to administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline
46) A nurse is caring for a client who has DVT. Which of the following instructions the nurse include in
theplan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client’s affected extremity when in bed
47) A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client’s
contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170
to180/minute. Which of the following actions should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion
48) A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal
newbornunit. The client has a history of herpes simplex virus 2. Which of the following questions 11 of 28
is most appropriate for the nurse to ask the cli
a) Have your membranes ruptured?
b) How far apart are your contractions?
c) Do you have any active lesions?
d) Are you positive for beta strap?
49) Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions
shouldthe nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice
50) Four clients present to the emergency department. The nurse should plan to see which of the
followingclients first?
a) A6 year old client whose left shoulder is dislocated
b) A26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foulsmelling urine – uti
d) A 50- year old client who has slurred speech, is disoriented, and reports a headache – stroke
51) A nurse is completing a dietary assessment for client who isJewish and observes kosher dietary
practices.Which of the following behaviors should the nurse expect to find?
a) Leavened bread maybe eaten during Passover.
b) Shellfish is commonly consumed in the diet.
c) Meat and dairy products are eaten separately.
d) Fasting from meat occurs during Hanukkah.
52) ?
53) A nurse is in an ER caring for client of multiple wounds due to a motor vehicle crash. Which of
thefollowing interventions are appropriate? Select all that apply
a) Apply direct pressure to bleeding wounds
b) Clean rest last rations and abrasions with hydrogen peroxide
c) Cover wounds with a sterile dressing
d) Administer 650 mg aspirin PO as needed for pain
e) Determine date of last tetanus toxoid vaccination.

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