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Asked by ColonelTankWhale19
1)A nurse is preparing to perform tracheostomy care and suctioning a client with coplus tenacious secretions.
Which of the following is an acceptable method for the nurse to use to thin secretions when suctioning?
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A. Instill the client with 3 to 5 mL of sterile normal saline.
B. Perform chest physiotherapy prior to suctioning.
C. Pre-lubricate the suction catheter tip with sterile saline.
D. Hyperventilate the client on 100% oxygen before suctioning.
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2). A nurse is caring for a 4-year-old child who had hydrocephalus as an infant and is admitted with a malfunctioning ventriculo-peritoneal shunt. Following new shunt placement, the nurse conducts a postoperative check. Which of the following findings requires immediate action by the nurse?
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A. Sleepy and very difficult to arouse ?
B.  Pupils equal and reactive to light
C. BP 100/60, apical pulse of 90
D. Urine output 30 mL in 2 hr.
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3)A nurse’s sibling had labs done at the facility where the nurse is employed. Now the sibling asks the nurse to look up the result in the computer. In replying to the sibling, the nurse realizes that disclosing the result is
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A. permissible. Since the sibling has paid for the service, the test results are actually the sibling’s property.
B. not permissible. Only the physician is allowed to disclose laboratory results or findings to a client.
C. not permissible. Despite the request, there exists no nurse-client relationship between the sibling and nurse.
D. permissible. Since this is a sibling who has given the nurse permission, this makes the action allowable
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4). The nursing unit is notify should there is a limited number of IV pumps available for use to a which census in though therapy? hospital. The nurse should use one of the available pumps for which of the following clients receivingÂ
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A. An 82-year-old client with digitalis toxicity
B. A 58-year-old client with bronchial pneumonia
C. A 21-year-old client with a fractured left femur
D. A 47-year-old client with acute alcohol withdrawal
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5)At the preoperative visit before an elective surgery, the nurse is planning to prepare a 9-year-old client to have an intravenous (I) inserted preoperatively. In the teaching plan, the nurse will first
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A. explain to the client’s parents what they can expect during and after IV insertion. –
B. provide an opportunity for the client to see and touch IV tubing and supplies.
C. describe the insertion procedure to the client, emphasizing sensory aspects.
D. ask the client what the client knows about the IV and why it is necessary.
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6). A nurse is caring for a group of clients on the unit. The nurse understands that the delivery of quality care to a specific client is the responsibility of.
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A. the primary care provider.
B. the Joint Commission.
C. the institution providing the care.
D. the institution’s medical staff and nursing administration.
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7)The nurse is caring for a hospitalized client who asks to review his medical record. The appropriate response by the nurse is:
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A. “You will need to discuss your request with your primary care provider.”
B. “You will need permission from hospital administration to review your chart”
C. “I’m sorry, but clients are not permitted to read their medical records.”Â
D. “I’ll be right back with your chart, and we will review it together.” ?
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SCIENCE
HEALTH SCIENCE
NURSING
NURISNG 210