Reference no: EM133344253
Assignment:
1. A nurse is providing end of the life of care for a client which of the following action should the nurse take?
A. Position the client supine in bed.
B. Encourage the client to make choices regarding hygiene.
C. Offer the client sip of citrus-flavored soda
D. Suction the client's airway every hour.
2. a nurse is caring for a group of client who is primarily language or different from the nurses. For which client should the nurse provide written material in the client's primary language?
A. A client who is watching a video about the meal service at the facility in their primary language.
B. a client who requires administration of a prescribed pain medication
C. a client who is learning to use an incentive spirometer has an interpreter present
D. a client who requires teaching prior to discharge
3. A nurse is planning to delegate client care to an assertive personnel(AP). Which of the following task should the nurse plan to delegate to the AP?
A. suctioning a client tracheostomy that has been in place for 3days
B. reinserting an NG tube that was pulled out by a client
C. teaching a family member how to change a simple dressing at home
D. for a client who has multiple drains and tubes Q 14"
4. A nurse is caring for a client who is immunocompromised. Which of the following action should the nurse take?
A. Cleanse hands with an alcohol-based hand rub before client contact.
B. Have the time I apply a mask when children are visiting.
C. Play the client in a semi-private room.
D. You sterile gloves, to provide perineal care.
5. A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10. The client informs the nurse that pain medications are not an option for messaging pain. Which of the following is an appropriate response by the nurse?
A. Would you like me to give you a back massage
B. You may any herbal remedies you bring from home
C. Why do you think pain medication is not going to help you
D. I'm sure, it will work if you just give it a chance
6. A nurse is caring for a client who has a tracheostomy which of the following action should the nurse take?
A. Secure the tracheostomy ties to allow one finger to fit snugly underneath
B. soak the outer cannula in warm soapy tap water.
C. Use a cotton tip applicator to clean inside the inner cannula.
D. Cleanse the skin around the stoma with normal saline.
7. A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?
A. Giving a telephone report to a surgical nurse when sending the client to the surgical suite
B. Teaching the client discharge instruction with his partner present.
C. Discussing the clients transfer to a long-term care facility when a nurse from another unit.
D. Faxing medical information to the clients providers office
8. A nurse is planning care for a client who has a new prescription for parenteral nutrition (NP) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
A. Prepare the client for a central venous line.
B. Obtain a random blood glucose daily.
C. Administer the PN and fat emulsion separately