Author: NCLEX.ME Nurse
A client who is Muslim is refusing to eat food served to him by a nursing assistant. The nurse should do which of the following? Select all that apply.
arrange a mealtime that will avoid prayer times remove farm-raised catfish from the food tray arrange with the family for halal food to be brought from home del...
The nurse is on a memory care unit. A client insists on leaving to go home. Which of the following should the nurse do?
review the reality orientation board in the client’s room take the client to the activity room to interact with others contact the client’s primary health care ...
The nurse is caring for a client who recently experienced a massive stroke. Which of the following statements by the spouse indicates a need for further teaching by the nurse?
“My spouse may not return to normal for some time.” “I plan on returning to work full time as soon as my spouse returns home.” “Home health care will help us on...
A client who is postmenopausal asks the nurse how to prevent osteoporosis. Which statement should the nurse make to the client?
“Eat 2 ounces of cheese each day and walk a mile a day.” “There are no known ways to prevent osteoporosis.” “Do weight-bearing exercises regularly and take horm...
An elderly client’s wife tells a nurse she is concerned because her husband insists on talking about past events. The nurse assesses the client and finds him alert, oriented, and responsive to questions. Which statement should the nurse make to the client’s wife?
“Your husband is choosing to live in a happier time in his life.” “Redirect your husband to speak about current events when he begins regressing into the past.”...
A client who just delivered is concerned about her neonate’s Apgar scores of 7 at 1 minute and 8 at 5 minutes. She has been told a score lower than 9 is associated with learning disabilities. Which response is best ?
“Your infant is fine. Don’t worry.” “Apgar scores indicate a need for extra medical care at birth. Your baby’s score of 7 is fine.” “There are many good special...
The nurse is entering several orders that the health care provider has just ordered for a new admission. One of the medication orders is illegible. Which action by the nurse is correct?
ask another nurse to transcribe the order call the prescribing physician for clarification scan the order to the pharmacy and let the pharmacy staff decipher it...
The nurse is preparing to administer the first dose of IV antibiotic to the client. Halfway through the infusion, the nurse realizes that the antibiotic dosage is not the same as ordered by the health care provider. Which action should the nurse take first ?
stop the infusion fill out an incident form notify the health care provider only give part of the antibiotic to obtain the correct dose
The nurse is in the medication room drawing up insulin for a client when a code blue is called. In his haste to respond to the call, the nurse places the syringe of insulin on the counter and responds to the code. Afterward, the nurse returns to the medication room and retrieves the syringe of insulin. Which action by the nurse is correct?
return the insulin to the insulin vial and draw up a new syringe administer the insulin after labeling the syringe with the date, dose, and client name dispose ...