Herzing Funds Final Prep

Front

The client tells the nurse about starting an aerobic workout program to lose weight and help with insomnia. The client states that it still takes over an hour to fall asleep at night. Which action should the nurse implement?

Back

Advise the client that lifestyle changes often take several weeks to be effective.

Front

An unlicensed assistive personnel (UAP) is assigned to feed a client who has received a prescription to institute droplet precautions for a bacterial meningitis infection. The UAP requests a change in assignment, reporting having not yet been fitted for a particulate filter mask. Which action should the nurse take?

Back

Instruct the UAP that standard face mask is sufficient to be able to provide care for the assigned client.

Front

Which assessment data reflects the need for the nurse to include the problem, “Risk for falls” in a clients plan of care? Reference range: Hemoglobin (14 to 18) Recent serum hemoglobin level of 16, Opioid analgesic received one hour ago, Expressed feelings of depression, Stooped posture with a steady gait

Back

Opioid analgesic received one hour ago

Front

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which of the following is most useful for the nurse to include?
Options:
- Providing physical demonstration
- Using simulation activities
- Incorporate verbal analogies
- Offering positive reinforcement

Back

Using simulation activities

Front

The nurse notices a client grimacing while moving from the bed to the chair, but when asked about the pain the client denies any pain. Which intervention should the nurse implement first?

Back

Ask the client what is causing the grimacing.

Front

A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferring from the bed to a wheelchair, which action should the nurse take?

Back

Place the wheelchair on the client’s left side

Front

A patient with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the patient’s fluid balance? Options: Skin turgor, weight, Blood pressure, Lung Sounds

Back

weight

Front

surgical incision that is healing by secondary intention develops a thick tan exudate. Which action should the nurse take first?

Back

Obtain a wound culture

Front

The nurse is initiating a 24 hour urine collection for a client with an indwelling urinary catheter. After emptying all the urine from the collection bag, which action is most important for the nurse to implement?

Back

Start the collection time now and stop the collection the next day at the same time.

Front

While preparing to obtain a stool specimen for occult blood, the nurse observes that the client’s feces is soft, solid, and light brown. Which action should the nurse implement?

Back

Obtain specimen from the clients current bowel movement.