Exam 2: Caring Interventions

A nurse mixes two insulins in one syringe for a client with diabetes.Which action by the nurse is incorrect?

The nurse is making an occupied bed.In which order should the nurse perform when removing the top linens and adding the bath blanket? A)Spread the bath blanket over the top sheet. B)Remove the spread and the blanket. C)Reach under the bath blanket,grasp top edge of sheet. D)Ask the client to hold the top edge of the bath blanket. E)Pull the sheet from under the bath blanket.

A nurse is providing oral care to an older adult.What findings does the nurse recognize are normal findings in this client? Select all that apply.

The nurse delegates soft contact lens care to a UAP.Which action by the UAP requires the nurse to intervene?

The nurse determines some client care tasks can be delegated to the UAP.Which task should not be delegated?

The nurse is observing a UAP performing a bed bath for a client.Which action by the UAP requires the nurse to intervene?

When teaching the client about foot care,which statement will the nurse include in the teaching?

The nurse performs a skin assessment while bathing an older adult client.Which lifespan considerations regarding skin characteristics are more common in the older adult? Select all that apply.

The nurse is acting as preceptor for a novice nurse.Which action by the novice nurse requires the nurse preceptor to intervene?

A client places one hearing aid in the ear and tells the nurse,"I hear a whistling sound." Which actions will the nurse take in response to the client's statement? Select all that apply.

While giving the client a bath,the nurse notes the client has facial acne.What statement by the nurse will not be included when teaching the client about this condition?

The nurse delegates oral care of an unconscious client on supplemental oxygen to the UAP.Which action by the UAP requires the nurse to intervene?

The nurse is caring for an older adult client and performs a bed bath and linen change.Which action by the nurse poses an increase of injury in the client?

The nurse understands that,in addition to the five client rights of medication administration,there are now more rights for safe medication administration.Which rights are the new rights for safe medication administration? Select all that apply.

A novice nurse instructs a client on the use of sublingual nitroglycerin.Which statement by the novice nurse requires intervention by the nurse preceptor?

A nurse cares for a client who receives new hearing aids for the first time.Which statements will the nurse include when teaching the client about the hearing aids? Select all that apply.

The nurse is performing hearing aid care for a client and notes the hearing aid has "TM" near its on/off switch.What is the nurse's understanding of the meaning of "TM"?

The nurse prepares to perform a z-track injection to a client.Place the steps of the procedure in correct order. A)Maintain displacement and insert needle at a 90-degree angle. B)Inject medication slowly,keeping skin taut. C)Pull skin 2.5-3.8 cm (1-1.in. )laterally away from the injection site. D)Withdraw needle. E)Release retracted skin.

The nurse prepares to make an unoccupied bed.Place the steps in correct order of how the nurse will remove the soiled linens. A)Detach the call bell and any drainage tubes from the bed linens. B)Loosen all the bedding systematically. C)Roll all soiled linens inside the bottom sheet. D)Remove the incontinent pad and discard. E)Remove the pillowcases and fold reusable linens.

The nurse cares for a client who wears soft contact lenses for vision correction.Which statement will the nurse include when teaching the client about care of the lenses?