Form B
Call Kai
Learn
Practice Test
Spaced Repetition
Match
Flashcards
Knowt Play1/81
There's no tags or description
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai |
|---|
No analytics yet
Send a link to your students to track their progress
82 Terms
nurse is providing teaching about the gastrostomy tube feedings to the parents of a school
age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
A. Administer the feeding over 30 min.
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
B. Apical pulse 58/min.
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not
want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which
of the following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family’s concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
A. Arrange for an ethics committee meeting to address the family’s concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should the nurse
take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
A. Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching?
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client’s room.
C. Wear gloves when providing care to the client.
.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation.
D. Obtain a cardiac rehabilitation consultation.
7. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client’s history is a contradiction to the use of oral
contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D.Hypocalcemia
Thrombophlebitis
A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client’s understanding of life-sustaining measures.
C. Determine the client’s preferences about post mortem care.
D. Request a conference with the client’s family.
Evaluate the client’s understanding of life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing.
A. Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take?
A. Instill 500 mL of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side.
B. Insert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist.
D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
D. Erythrocyte sedimentation rate 75 mm/hr
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C.Creatine clearance.
D. Prealbumin.
A. Platelet count.
A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow.
B. Palpate the pulse distal to the cast.
A nurse is caring for a client who has vision loss. Which of the following actions should the nurse
take? (Select all that apply)
A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
C. Approach the client from the side.
D. Allow extra time for the client to perform tasks.
E. Touch the client gently to announce presence.
A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.
D. Allow extra time for the client to perform tasks.
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about
the disease. To research the nurse should identify that which of the following electronic database has the
most comprehensive collection of nursing (Unable to read) articles?
A. MEDLINE
B. CINAHL.
C. ProQuest.
D. Health Source.
CINAHL
A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
D. Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia following aright hemispheric stroke. Which of the following interventions should the nurse include in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. Place the client’s left arm on a pillow while he is sitting.
D. Place the client’s left arm on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues
to display aggressive behavior. Which of the following actions should the nurse take?
A. Confront the client about this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
C. Speak assertively to the client.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take?
B. Limit the client’s visitors to 30 min per day.
C. Discard the client’s linens in a double bag.
Discard the radioactive source in a biohazard bag
B. Limit the client’s visitors to 30 min per day.
A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion?
A. Frothy, pink sputum.
B. Jugular vein distention.
C. Weight gain.
D..Bradypnea
A. Frothy, pink sputum.
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin.
A. Diabetes mellitus.
B. Shoulder presentation.
C. Postterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page
100)
D.Chorioamnionitis
B. Shoulder presentation.
A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the following responses should the nurse make?
A. “Your baby needs an IV because she is not producing any tears”
B. “Your baby needs an IV because her fontanels are budging”
C. “Your baby needs an IV because she is breathing slower than normal”
D. “Your baby needs an IV because her heart rate is decreasing”
A. “Your baby needs an IV because she is not producing any tears”
A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?
A. “Taking furosemide can cause your potassium levels to be high”
B. “Eat foods that are high in sodium”
C. “Rise slowly when getting out of bed”
D. “Taking furosemide can cause you to be overhydrated”
C. “Rise slowly when getting out of bed”
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the client from exploring irrational fears.
D. Provide negative reinforcement for ritualistic behaviors.
A. Allow the client enough time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances?
A. Serotonin syndrome
B. Tardive dyskinesia
C. Pseudo parkinsonism.
D. Acute dystonia.
A. Serotonin syndrome
A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload?
A. Low back pain.
B. Dyspnea.
C. Hypotension.
D. Thready pulse.
Dyspnea
A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April . Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date?
(Use mmdd format.)
0119 date
A nurse is discussing group treatment and therapy with a client. The nurse should include which of the following as being a characteristic of a therapeutic group?
A. The group is organized in an autocratic structure.
B. The group encourages members to focus on a particular issue. (Mental Health Chapter 8 Page
42)
C. The group must be led by a licensed psychiatrist.
D. The group encourages clients to form dependent relationships.
The group encourages members to focus on a particular issue.
A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching. UNSURE IF ON THE REPORT
A. “OOB with assistance for breakfast”
B. “Given 2 mg MSO4 IM for report of pain”
C. “Dressing changed qd”
D. “Administered 8 u regular insulin sq.”
A. “OOB with assistance for breakfast”
A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
1. Apply pressure to the lacrimal punctum.
5. Place the child in a sitting position.
2. Ask the child to look upward.
3. Pull the lower eyelid downward.
4. Instill the drops of medication.
52341
A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take?
A. Request an interpreter of a different sex from the client.
B. Request a family member or friend to interpret information for the client.
C. Direct attention toward the interpreter when speaking to the client.
D. Review the facility policy about the use of an interpreter.
D. Review the facility policy about the use of an interpreter.
A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
ON THE REPORT needs double checking
A. Urine output 20 ml/hr.
B. Montevideo units constantly 300 mm Hg.
C. FHR pattern with absent variability.
D. Contractions every 5 min that last 30 seconds.
D. Contractions every 5 min that last 30 seconds.
A public health nurse is managing several projects for the community. Which of the
following interventions should the nurse identify as a primary prevention strategy?
A. Teaching parenting skills to expectant mothers and their partners.
B. Conducting mental health screenings at the local community center.
C. Referring client who have obesity to community exercise programs.
D. Providing crisis intervention through a mobile counseling unit.
A. Teaching parenting skills to expectant mothers and their partners.
A nurse is preparing to administer an autologous blood product to a client. Which of
the following actions should the nurse take to identify the client?
A. Match the client’s blood type with the type and cross match specimens.
B. Confirm the provider’s prescription matches the number on the blood
component. C. Ask the client to state the blood type and the date of their last blood
donation.
D. Ensure that the client’s identification band matches the number on the blood unit.
D. Ensure that the client’s identification band matches the number on the blood unit.
A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the
following statements by the client indicates the need for a referral to physical therapy?
B. “I noticed that I am having a harder time holding on to my toothbrush”
C. “Lately, I feel like my feet are freezing up, as they are stuck to the ground”
D. “Sometimes, I feel I am making a chewing motion when I’m not eating”
C. “Lately, I feel like my feet are freezing up, as they are stuck to the ground”
A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of
the following findings should the nurse expect?
A. Increased creatine.
B. Increased hemoglobin.
C. Increased bicarbonate.
D. Increased calcium.
A. Increased creatine.
A nurse is administering a scheduled medication to a client. The client reports that the medication
appears different than what they take at home. Which of the following responses should the nurse take?
B. “I recommend that you take this medication as prescribed”
C. “Do you know why this medication is being prescribed to you?”
D. “I will call the pharmacist now to check on this medication”
D. “I will call the pharmacist now to check on this medication”
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
A. Use three pronged grounded plugs.
B. Cover extension cords with a rug.
C. Check the tingling sensations around the cord to ensure the electricity is
working.
D. Remove the plug from the socket by pulling the cord.
A. Use three pronged grounded plugs.
A charge nurse is recommending postpartum client discharge following a local disaster. Which of the following should the nurse recommend for discharge?
B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago.
C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage.
D. A client who delivered precipitously 36 hr. ago and has a second-degree
perineal laceration.
A client who delivered precipitously 36 hr. ago and has a second-degree
perineal laceration.
A nurse in a provider’s office is reviewing the laboratory results of a group of clients. Which to
report? A. Herpes simplex.
B. Human papillomavirus
C. Candidiasis
D. Chlamydia
Chlamydia
A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies on my pizza.”
C. A client who has a prescription for spironolactone and states “I will reduce my intake of foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with a full glass of water”.
B. A client who has gout and states, “I can continue to eat anchovies on my pizza.”
A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take
A.
B. Pull the pinna of the infant’s ear forward before inserting the probe.
C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
D. Insert the thermometer in front of the infant’s tongue.
Axilla
45. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of the following information should the nurse include?
B. Children who have varicella should receive the herpes zoster vaccination.
C. Children who have varicella should be placed in droplet precaution.
D. Children who have varicella are contagious 4 days before the first vesicle eruption.
Children who have varicella are contagious 4 days before the first vesicle eruption.
A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect?
A. Withhold the next dose.
B. Increase the dosage.
C. Discontinue the medication.
D. Administer the medication.
D. Administer the medication.
A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer?
A. Pregabalin
B. Lorazepam
C. Colchicine
D. Codeine.
Pregabalin
A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take?
A.
B. Use a 24-gauge IV catheter
C. Obtain filter less IV tubing.
D. Place blood in the warmer for 1 hr.
Use 18–20 gauge IV
Use filtered Y-tubing
Prime with 0.9% normal saline only
Verify blood with 2 nurses
Start slowly and stay with patient for first 15 minutes
Monitor for transfusion reactions
none of the choices are right pick A
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate?
B. Playing with a large plastic truck.
C. Use scissors cut out paper shapes.
D. Watching a cartoon in the dayroom.
B. Playing with a large plastic truck.
A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nurse make?
A. Coffee with creamer.
B. Lettuce with sliced avocados.
C. Broiled skinless chicken breast with brown rice.
D. Warm toast with margarine.
C. Broiled skinless chicken breast with brown rice.
A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take?
A. Obtain the newborn’s body temperature using a tympanic thermometer.
B. (Unable to read) FACES pain scale.
C. Auscultate the newborn’s apical pulse for 60 seconds.
D. Measure the newborn’s head circumference over the eyebrows and below the occipital prominence. (NOT)
C. Auscultate the newborn’s apical pulse for 60 seconds.
A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane. Which of the following actions should the nurse take?
A. Insert an indwelling urinary catheter.
B. Apply fetal heart rate monitor.
C. Initiate fundal massage.
D. Initiate an oxytocin IV infusion.
B. Apply fetal heart rate monitor.
A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of the following findings should the nurse to report?
A. Chest pain
B. Muscle spasms.
C. Cool, moist skin.
D. Incisional pain.
A. Chest pain
A nurse is completing an incident report after a client fall. Which of the following competencies of Quality and Safety Education for Nurse is the use demonstrating?
A. Quality improvement.
B. Patient (Unable to read)
C. Evidence based practice.
D. Informatics.
A. Quality improvement.
A nurse is talking with another nurse on the unit and smells alcohol on her breath. Which of the following actions should the nurse take?
A. Confront the nurse about the suspected alcohol use.
B. Inform another nurse on the unit about the suspected alcohol use.
C. Ask the nurse to finish administering medications and then go home.
D. Notify the nursing manager about the suspected alcohol use.
D. Notify the nursing manager about the suspected alcohol use.
A nurse is caring for a client who has diaper dermatitis. Which of the following actions should the nurse take?
A. Apply zinc oxide ointment to the irritated area.
B. (Unable to read)
C. Wipe stool from the skin using store bought baby wipes.
D. Apply talcum powder to the irritated area.
A. Apply zinc oxide ointment to the irritated area.
A nurse is reviewing the facility’s safety protocols considering newborn abduction with the parent ofa newborn. Which of the following statements indicates an understanding of the teaching?
A. “Staff will apply identification band after first bath”
B. “I will not publish public announcement about my baby’s birth”
C. “I can remove my baby’s identification band as long as she is in my room”
B. “I will not publish public announcement about my baby’s birth”
A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first?
59. A. Notify the provider.
B. Report the incident to the nurse manager.
C. Monitor vital signs.
D. Fill out an incident report.
C. Monitor vital signs.
A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make?
A. “Dehydration is treated with calcium supplements”
B. “Dehydration can increase the risk of preterm labor”
C. “Dehydration associated gastroesophageal reflux”
D. “Dehydration is caused by a decreased hemoglobin and hematocrit”
B. “Dehydration can increase the risk of preterm labor”
A nurse is receiving a change-of-shift report for an adult female client who is postoperative. Which of the following client information should the nurse report?
A. (Unable to read)
B. (Unable to read)
C. Answer might be lower platelets.
C. Answer might be lower platelets.
A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as clinical staff. Which of the following instructions should the nurse include?
A. Use the client’s children to provide interpretation.
B. (Answer was the nurse was going to do the interpretation)
C. Offer client’s translation services for a nominal fee.
D. Evaluate the clients’ understanding at regular intervals.
B. (Answer was the nurse was going to do the interpretation)
nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. which of the following examples should the nurse include in teaching
administering potassium via IV bolus
nurse is providing discharge teaching to a client who has a new prescription for phenelzine. nurse should instruct client that it is safe to eat which of the following foods while taking this medication
whole grain bread
nurse manager updating protocols for the use of belt restraints. which of the following guidelines should the nurse include?
document client’s condition every 15 minutes
charge nurse on a med-surg unit is assisting w/ emergency response plan following an external disaster in the community. in anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge
a client 1 day postop following a vertebroplasty
nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. which of the following findings should nurse include.
swelling of the face
performing sterile wound irrigation and dresssing change on pt. what is surgical aseptic technique
balancing bottle on the sterile basin while pouring the liquid
nurse is teaching prenatal class about infection prevention at community center. which of the following is understanding of teaching.
can visit my nephew who has chickenpox 5 days after the sores have crusted
nurse is planning care for a group of clients and is working w/ one LPN & one assistive personnel following actions should the nurse take first to manage her time effectively.
determine goals of the day
nurse is providing teaching to an adult who has peptic ulcer disease. understanding of the teaching
“I will avoid food and beverages that contain caffeine.”
nurse is reviewing legal issues in health care w/ a group of newly licensed nurses. which of the following recs should the nurse make
ensure that each client has a living will on file prior to treatment
intradermal injection areas
upper back
inner forearm
A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the following are expected findings? (Select all that apply.)
a. Impulse control difficulty
b. Left hemiplegia
c. Loss of depth perception
d. Aphasia
e. Lack of situational awareness
a. Impulse control difficulty
b. Left hemiplegia
c. Loss of depth perception
e. Lack of situational awareness
A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention?
f. Teach the client to scan the right to see objects on the right side of her body.
g. Place the bedside table on the right side of the bed.
h. Orient the client to the food on her plate using the clock method.
i. Place the wheelchair on the client’s left side.
g. Place the bedside table on the right side of the bed.
nurse is planning care for a client who has dysphagia and a new dietary prescription. Which of the following should the nurse include in the plan of care? (Select all that apply.)
j. Have suction equipment available for use.
k. Feed the client thickened liquids.
l. Place food on the unaffected side of the client’s mouth.
m. Assign an assistive personnel to feed the client slowly.
n. Teach the client to swallow with her neck flexed.
j. Have suction equipment available for use.
k. Feed the client thickened liquids.
l. Place food on the unaffected side of the client’s mouth.
n. Teach the client to swallow with her neck flexed.
A nurse is caring for a client who has global aphasia (both receptive and expressive.). Which of the following should the nurse include in the client’s plan of care? (Select all that apply.)
o. Speak to the client at a slower rate.
p. Assist the client to use flash cards with pictures.
q. Speak to the client in a loud voice.
r. Complete sentences that the client cannot finish.
s. Give instructions one step at a time.
o. Speak to the client at a slower rate.
p. Assist the client to use flash cards with pictures.
s. Give instructions one step at a time.
A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following is an expected finding?
t. Impulse control difficulty
u. Poor judgement
v. Inability to recognize familiar objects
w. Loss of depth perception
v. Inability to recognize familiar objects
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take?
a. Position the client in an upright position, leaning over the bedside table.
b. Explain the procedure.
c. Obtain ABG’s.
d. Administer benzocaine spray.
a. Position the client in an upright position, leaning over the bedside table.
A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that the client is experiencing which of the following acid-base imbalances?
e. Respiratory acidosis
f. Respiratory alkalosis
g. Metabolic acidosis
h. Metabolic alkalosis
f. Respiratory alkalosis
nurse is assessing a client following bronchoscopy. Which of the following findings should the nurse report to the provider?
i. Blood-tinged sputum
j. Dry, nonproductive cough
k. Sore throat
l. Bronchospasms
l. Bronchospasms
A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should the nurse ensure are in the client’s room? (Select all that apply.)
m. Oxygen equipment
n. Incentive spirometer
o. Pulse oximeter
p. Sterile dressing
q. Suture removal kit
m. Oxygen equipment
o. Pulse oximeter
p. Sterile dressing
A nurse is caring for a client following a thoracentesis. Which of the following manifestations should
the nurse recognize as risks for complications? (Select all that apply.)
r. Dyspnea
s. Localized bloody drainage on the dressing
t. Fever
u. Hypotension
v. Report of pain at the puncture site
Dyspnea
Fever
u. Hypotension
A nurse is preparing to care for a client following chest tube placement. Which of the following items should be available in the client’s room? (Select all that apply.)
a. Oxygen
b. Sterile water
c. Enclosed hemostat clamps
d. Indwelling urinary catheter
e. Occlusive dressing
a. Oxygen
b. Sterile water
c. Enclosed hemostat clamps
e. Occlusive dressing