The nurse is preparing to discharge a 60-year-old woman on warfarin (Coumadin) after mitral valve replacement. Which dietary restriction should the nurse advise the client to make?
avoid green tea avoid cauliflower avoid green beans avoid asparagus
Category: NCLEX-RN
The nurse is educating a group of student nurses about fire safety. Which statement by a student nurse indicates a need for further teaching by the facility nurse?
“Oxygen near the vicinity of the fire should be turned off if it is safe to do so.” “Bedridden clients may be moved in their beds or in a wheelchair if they are...
The nurse has just administered morphine 4 mg IV to a client with severe pain from a kidney stone. The client then asks to get up to the toilet. Which is the correct nursing action for this client?
assist the client to the toilet offer the client a bedpan or urinal obtain an order for a Foley catheter place a bedside commode in the room
The nurse is caring for a client who is disoriented. To avoid using restraints, the nurse chooses alternative methods to help keep the client oriented. Which interventions would the nurse use for this client?
maintain normal toileting routines minimize visitation so that the client may rest evaluate the client’s medications for side effects keep familiar items such a...
The nurse is caring for a client who was admitted for chest pain. The client is oriented to person and place, but is often confused about the month of the year or what season it is. A family member tells the nurse, “I’d like for you to sign as a witness on my mother’s living will, in case something happens to her and we need to make health care decisions for her.” Which is the best response by the nurse?
“Let me have a copy so my attorney can look at it.” “My unit manager will need to come witness with me.” “Do you think your mother understands what is going on ...
A nurse asks an unlicensed assistive personnel (UAP) to help admit a 22-year-old female client with ulcerative colitis. Which activity is appropriate for the nurse to assign the UAP?
obtain a stool sample obtain abbreviated history of symptoms for the past 30 days instruct the client on the reason for undergoing a lower gastric X-ray exam ob...
Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment?
a client on a ventilator who has an alarm sounding a client who has just returned from an open appendectomy a client ready to transfer to the floor after the nu...
A nurse manager is educating a group of nursing students about the Patient’s Bill of Rights. The nurse knows that the student nurses have an understanding of the bill when one of the nurses makes which statement?
“Clients have the right to view their medical records but may not copy any of the information contained in the records.” “Clients may be declined care at an eme...
The newly graduated nurse is caring for an elderly client on the medical-surgical floor. The nurse recalls learning about client advocacy. Which actions by the nurse indicate an understanding of client advocacy?
The nurse speaks to the daughters regarding care-making decisions, since the client is elderly and may not understand. The nurse tells the family that they shou...
A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?
With care coordination, the stakeholder can be an insurance company or a hospital. The main goal of case management is to promote a better quality of life for t...