Question: the client? 97. A nurse is caring for a client is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions
the client? 97. A nurse is caring for a client is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for A. Posting swallowing precautions at the head of the client's bed B. nothing changes in the treatment plan and the client's medical record. C. recording the client's progress and the nurse's notes D. having interdisciplinary team meetings for the client on a regular basis 98. A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure? A. Administer nitroglycerin 0.4mg SL 30 minutes before the procedure. B. draw blood specimens for culture and sensitivity. C. obtain a CBC with differential. D. transport the client to radiology for a CT scan. 99. A nurse is caring for a client who has a new diagnosis of chlamydia trachomatis Which of the following actions should the nurse take? A. Report the infection to the state Department of Health B. administers attracts the phone via intermittent IV bolus. C. schedule the client for retesting in one week. 100. D. instruct the client to abstain from sexual inter- course for one month. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first? A. A client who has narcissistic personality disorder and is mocking others during group therapy. B. a client who has obsessive compulsive disorder and is upset about a change in daily routine. C. a client who has depressive disorder and requires assistance with ADL's. D. a client who is taking clozapine to treat schizophrenia and reports a sore throat. 101. A nurse is reviewing change of shift report for a group of clients which of the following clients should the nurse plan to assess first? A. Our client who has epidural analgesia and weakness in the lower extremities B. a client who has a hip fracture and a new onset of tachypnea C. a client who has a sinus arrhythmia and is receiving cardiac monitoring. D. a client who has diabetes mellitus and an HbAlc of 6.8% 102. A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? A. I'm so glad I've retired because the work was making me sick and depressed. B. since I retired, I have entered many gardening competitions. C. there were layoffs on my company, so I journaled about what I accomplished during my career. D. I had to retire because my boss didn't like me. 103. A nurse is planning care for a child during admission to the facility. Which of the following actions should the nurse take first? A. Obtain a prescription for pain medication. B. collect blood cultures. C. transport the child to obtain a CT scan. D. initiate seizure precautions 104. A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? A. There is a loop of tubing below the drainage system. B. the system is working properly. C. the tubing is partially obstructed by clots. D. the lung has re-expanded
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