Exam 3: Fundamentals and Issues of Nursing

The nurse is assigned to care for a chemically dependent client who has the potential for violent episodes. In planning to care for the client, which of the following actions is the priority? The nurse:

The nurse is assisting the physician with a bedside liver biopsy. When the procedure is complete, the nurse assists the client into which of the following positions?

The physician prescribes an intramuscular (IM) dose of 250,000 units of penicillin G benzathine (Bicillin). The label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine (Bicillin) 300,000 units/mL. How much medication will the nurse prepare to administer the correct dose? (Enter the answer in the space provided.)

The nurse notes that a 5-year-old child is choking but is awake and alert at this time. As the nurse rushes to aid the child, the nurse plans to place the hands between which of the following landmarks to do the abdominal thrust maneuver?

The registered nurse (RN) is caring for a client with severe cardiac disease. While caring for the client, the client states, "If anything should happen to me, please make sure that the doctors do not try to push on my chest and revive me." The most appropriate nursing action is to:

The physician writes a prescription to apply a heating pad to a client's back. The nurse implements the prescription and avoids which of the following?

The preoperative client expresses anxietyto the nurse about the upcoming surgery. Which of the following statements by the nurse is most likely to stimulate further discussion between the client and the nurse?

The nurse is providing discharge instructions to an Asian-American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. Which of the following nursing actions is most appropriate?

The nurse is collecting data from an African-American client scheduled for surgery. Which of the following questions would be of least priority for the nurse to ask on initial assessment?

A registered nurse (RN) who works on the night shift enters the medication room and finds a co- worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. The most appropriate initial action by the RN is which of the following?

The nurse has a prescription to give 30 mL of an antacid to a client through a feeding tube. Which of the following is a priority nursing action?

The physician prescribes a bolus of 500 mL of 0.9% normal saline to run over 4 hours. The drop factor is 10 drops/1 mL. The nurse plans to adjust the flow rate at how many drops per minute? (Enter the answer in the space provided.)

Which client would the emergency department triage nurse classify as emergent?

The physician prescribes 1000 mL of 0.9% normal saline (NS) to run over 8 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? (Round off your answer to the nearest whole number and enter the answer in the space provided.)

A nurse is inserting a nasogastric (NG) tube for an adult client. During the procedure, the client begins to cough and have difficulty breathing. The priorityaction at this time is which of the following?

The nurse is caring for a client whose physician prescribes airborne precautions. The nurse notes that the client is scheduled for magnetic resonance imaging (MRI). Which of the following nursing actions is most appropriate in preparing the client for the test?

A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the physician that the client had terminal cancer. The emergency department physician examines the client and asks the registered nurse (RN) to contact the medical examiner regarding an autopsy. The family of the client tells the RN that they do not want an autopsy performed. Which of the following responses to the family is most appropriate?

From the following list of nursing activities, select those that the registered nurse (RN) can delegate to the licensed practical nurse or licensed vocational nurse (LPN/LVN). Select all that apply.

The registered nurse (RN) has made an error in documenting an assessment finding on a client in the client's record and obtains the record to correct the error. The RN corrects the error by:

The physician prescribes meperidine hydrochloride (Demerol), 40 mg stat, for a postoperative client in pain. The medication label states meperidine hydrochloride (Demerol), 50 mg/mL. How many milliliters will the nurse prepare to administer to the client? (Enter the answer in the space provided.)