46. a staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include? Use full length side rales on the clients bed Check on the client frequently while he is in the restroom Encourage physical activity throughout the day to expand energy Remove clocks from the clients room 11. a nurse is providing teaching to a client about reducing first effects of immobility. Which of the lowing statements by the client indicates an understanding of the teaching? I will have my partner help me change positions every 4 hours I will hold my breath rising from a sitting positing I will perform my ankle and knee exercises every hour I will remove my antiembolic stockings while I am in bed 48. to ensure a clients safety a manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. Which of the following roles is the nurse manager functioning? Client care provider Client educator Client advocate Client case manager 49. a nurse is planning to obtain a blood sample from a client for capillary blood glucose post test. Which of the following should the nurse take to obtain the sample? The pad of the finger tip The lateral aspect of the finger The pinna of the ear The side of the wrist 50. a nurse enters a clients room an discovers a smoldering fire in the drapes. After moving clients to a safe location which of the following actions should the nurse take next? Use an extinguisher to put out the fire Close the doors to the client’s room Pull the fire alarm Turn off any electrical equipment in the room 47. a nurse in a long term care facility is planning care for 4 client’s, which of the following client’s is at Vgreatest risk of developing a pressure ulcer? A client who is incontinent of urine 1 to 2 times a day A client who is receiving enteral tube feedings Client who requires assistance to transfer from the bed to a chair Client who is unresponsive to pain stimuli 42. a nurse is preparing to perform a sterile dressing change for a client. Which of the following actions should the nurse plan to take? Place the cap of the sterile solution inside the sterile field Don sterile gloves prior to opening sterile dressing supplies Setup the sterile field above the waist level Consider 2 inches of the sterile fields boarder to be contaminated 48. a nurse is caring for a client who has a new diagnosis for fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead the medication prescribed by the provider. Which of the following is an appropriate response by the nurse? I can arrange a referral to a Practioner for traditional Chinese medicine You should ask your provider if she recommends traditional Chinese medicine The FDA regulates traditional Chinese medicine You should try the prescribed medication before choosing an alternative 44. a nurse is teaching newly licensed nurse about the care of a client who has a MRSA infection. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? will remove my gown before my gloves after client care I will place the client in a private room I will tell the client’s visitors to wear a mask when they are within 3 feet away of the client I will wear an N95 respiratory mask when caring for the client 45. a nurse is caring for a client who reports that she has insomnia. Which of the following interventi is appropriate for the nurse to recommend? Eat a light carbohydrate snack before bedtime Exercise 1 hour before bedtime Drink a cup of hot cocoa before bedtime Take a 30 min nap daily 51. nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the following actions should the nurse plan to complete first? Provide the client with a contact number for a diabetes education specialist Make a copy of the medication record of the reconciliation for the client Determine whether the client can afford the insulin administration supplies Obtain printed information about self-administration 5 a nurse is assessing a client who’s therapy has included bedrest for several weeks. Which of the following findings the nurse would identify as priority? Loss of appetite Musculoskeletal weakness X Left lower extremity tenderness Increased heart rate during physical activities 5. a nurse is caring or a client who has a influenza and has isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? Don protective eye wear before entering the room Administer metronidazole Wear a mask when working within 3 ft of the client Place the client in a negative air pressure flow room 84. a nurse is delegating client’s care to an assistive personnel. Which of the following tasks should the V nurse delegate to the AP? ADLs (bathing, grooming, toileting, ambulate etc) specimen collection, I&O, vital sign (stable) 35. a nurse is teaching about home safety with a client. Which of the following instructions should the V nurse include? Use electrical tape to secure extension cords next to base boards on the floor Replace carpet floors with tiles Unplug electronics by grasping the cord To use a fire extinguisher, aim high at the top of the flames 66. a nurse is caring for a client who has restraints to each extremity. Which of the following assessment should the nurse perform first? 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