A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? - a) Tell me about your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d) Tell me about your school schedule C A nurse is observing bonding to the client her newborn. Which of following actions by the client req...

A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Remove the client's restraint every 4hr B. Document the client's condition every 15 min C. Attach the restrain to the bed's side rails D. Request a PRN restrain prescription for clients who are aggressive B: Document the client's condition every 15 min A nurse is teaching an in-service about nursing leadership. Which of the following information should th...

A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment? A) Tell me about your siblings? B) Tell me what kind of music you like? C) Tell me how often do you drink alcohol? D) Tell me about your school schedule? - Tell me how often do you drink alcohol A nurse is observing bonding to the client her newborn. Wh...

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? - Contractions A nurse is providing teaching to an older client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? - Eat a light snack before bedtime A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardi...

1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? - a. "You don't have to go through with the treatment." 2. While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's CPM device. Which of the following actions should the nurse take first? - c. Remove the ...

A home health nurse is caring for a child who has lyme disease. Which of the following is an appropriate action for the nurse to take a. Ensure the state health department has been notified b. Administer antitoxin c. Educate the family to avoid sharing personal belongings d. Assess for skin necrosis - a. Ensure the state health department has been notified A nurse is caring for a client who has been admitted to the hospital. (NGN) - - Provide frequent rest periods - Restrict client sodium ...

Delegation for effective task management. - RNs must delegate tasks so that they can complete higher level tasks. RNs may delegate to other RNs, PNs or APs. PNs may delegate to other PNs or APs. Predictability of outcome: Is this routine, or is this new, is there potential for complications Potential for harm: Is the client stable? Risks? Aspiration, Bleeding Complexity of Care: Does the delegatee have the license to perform the task, and the training? Need for problem solving: Does this ...

A nurse is providing discharge instructions to a client who has a new prescription for amitriptyline to treat depression. The nurse should identify that which of the following client statements indicates an understanding of the teaching? - "I should watch for common reactions like dry mouth and constipation." Manifestations of bacterial meningitis can include - fever, photophobia, nuchal rigidity, petechial rash, and impaired consciousness. Encephalitis is characterized by - fever, nuchal r...

A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. Which of the following actions should the nurse take when suctioning the client's airway? A. Withdraw the catheter if the client begins coughing B. Apply suction for 10 seconds C. Advance the catheter 2 cm (0.8 in) after resistance is met D. Use medical asepsis when performing the procedure - CORRECT: Apply suction for 10 seconds Rationale: The nurse should apply suction for only 5 to 15 ...

A nurse is providing discharge instructions to a client who has a new prescription for amitriptyline to treat depression. The nurse should identify that which of the following client statements indicates an understanding of the teaching? - "I should watch for common reactions like dry mouth and constipation." Manifestations of bacterial meningitis can include - fever, photophobia, nuchal rigidity, petechial rash, and impaired consciousness. Encephalitis is characterized by - fever, nucha...