8. 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 4hrB. Document the client’s condition every 15 minC. Attach the restrain to the bed’s side railsD. Request a PRN restrain prescription for clients who are aggressive11. A nurse in a provider’s office is reviewing the laboratory resultsof a group of clients. The nurse should identify that which of thefollowing sexually transmitted infections is a nationally notifiableinfectious disease that should be reported to the state healthdepartment?A. ChlamydiaB. Human papillomavirusC. CandidiasisD. Herps simplex virus17. A nurse is assessing a newborn who has a blood glucose level of30 mg/dl. Which of the following manifestations should the nurseexpect?A. Loose stoolsB. JitterinessC. HypertoniaD. Abdominal distention19. A charge nurse is teaching a newly licensed nurse about clientsdesignating a health care proxy in situations that require a durablepower of attorney for heal care (DPSHC). Which of the followinginformation should the charge nurse include?A. “The proxy should make health care decisions for the clientregardless of the client’sability to do so.”B. “The proxy can make financial decisions if the need arises.”C. “The proxy can make treatment decisions if the client is underanesthesia.”D. “The proxy should manage legal issues for the client.”21. A nurse is caring for a client who has a history of depression andis experiencing a situational crisis. Which of the following actionsshould the nurse take first?A. Confirm the client’s perception of the eventB. Notify the client’s support systemC. Help the client identify personal strengthsD. Teach the client relaxation techniques29. A nurse is caring for a client who has end-stage kidney disease.The client’s adult child asks the nurse about becoming a livingkidney donor for her father. Which of the following condition in thechild’s medical history should the nurse identify as a contraindicationto the procedure?A. AmputationB. OsteoarthritisC. HypertensionD. Primary glaucoma30. A nurse is providing discharge teaching for a group of clients.The nurse should recommend a referral to a dietitianA. A client who has a prescription for warfarin and states “I will needto limit how muchspinach I eat”.B. A client who has gout and states, “I can continue to eat anchovieson my pizza.”C. A client who has a prescription for spironolactone and states “Iwill reduce my intake offoods that contain potassium”.D. A client who has (Unable to read) and states “I’ll plan to take mycalcium carbonate witha full glass of water”.31. A nurse is assessing a child who is being treated for bacterialpneumonia. The nurse notes an increase in the child’s glucose. Thenurse should identify this finding as an adverse effect of which of thefollowing medicationsA. Methylprednisolone.B. Ondansetron.C. Guaifenesin.D. Amoxicillin37. A nurse is assessing a client who is in active labor. Which of thefollowing findings should the nurse report to the provider?A. Contractions lasting 80 secondsB. FHR baseline 170/minC. Early decelerations in the FHRD. Temperature 37.4C (99.3)40. A nurse is preparing to measure a temperature of an infant. Whichof the following action should the nurse take?A. Place the tip of the thermometer under the center of the infant’saxilla.B. Pull the pinna of the infant’s ear forward before inserting theprobe.C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.D. Insert the thermometer in front of the infant’s tongue.41. A nurse is planning care for a client who has bipolar disorder andis experiencing mania. Which of the following interventions shouldthe nurse include in the plan?A. Encourage the client to spend time in the day roomB. Withdraw the client’s TV privileges is the does not attend grouptherapyC. Encourage the client to take frequent rest periodsD. Place the cline in seclusion when he exhibits signs of anxiety44. a nurse is preparing an in-service for a group of nurses aboutmalpractice issues in nursing. Which of the following examplesshould the nurse include in the teaching?A. Leaving a nasogastric tube clamped after administering oralmedicationB. Documenting communication with a provider in the progressnotes of the client’s medical recordsC. Administering potassium via IV bolusD. Placing a yellow bracelet on a client who is at risk for falls46. The nurse is reviewing the medical record of a client who isrequesting combination oral contraceptives. Which of the followingconditions in the client’s history is a contradiction to the use of oralcontraceptives?A. Hyperthyroidism.B. Thrombophlebitis.C. Diverticulosis.D. HypocalcemiaPreview Mode
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