RN Comprehensive Predictor 2019 Form C1.A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actionsshould the nurse include in the plan of care?a.Administer analgesics on a scheduled basis for the first 24 hr2.A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?a.Wear gloves to apply the patch to the client’s skin3.A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?a.A client who was just given a glass of orange juice for a low blood glucose level4.A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should expect the client to have an increase inwhich of the following laboratory values?a.Serum glucose level increased5.A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues themagnesium sulfate after the client displaces toxicity. Which actions should the nurse take?a.Administer calcium gluconate IV6.A nurse is preparing to perform a sterile dressing change. Which actions should the nurse take when setting up the sterile field?a.Place the cap from the solution sterile side up on clean surface7.A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should thenurse take first?a.Identify environmental hazards in the home8.A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should thenurse ask the client?a.“What high school did you graduate from9.A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include inthe teachinga.HbA1c level less than 7%10.A nurse is caring for a client who is receiving phenytoin for grand mal seizures and has a new prescription for isoniazid and rifampin.Which should the nurse conclude if the client develops ataxia and incoordination?a.The client is showing evidence of phenytoin toxicity11.A nurse is caring for a client who is 1 hr postoperative following manifestations requires immediate action?a.Increase in frequency of swallowing→ may indicate bleeding12.A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions shouldthe nurse include in the plan of care?a.Monitor the child’s cardiac status13.A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potentialconsequences of smoking is most likely to discourage adolescents from using tobacco?a.Use of tobacco decreases the level of athletic ability14.A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory values should the nurse monitor for thisclient?a.Serum potassium- diuretic that retains potassium= hyperkalemic risk15.A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statementsby the nurse indicates an understanding of this role?a.“I will let the client know that I am available as the interpreter.”16.A nurse is performing assessments on newborns in the nursery. Which findings should the nurse report?a.A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal17.A nurse on an acute unit has received change of shift report for 4 clients which of the following clients should the nurse assess first? Painpallor pulselessness paresthesiaa.A client who has fractured left tibia and pallor in the affected extremity18.A nurse is providing discharge instructions to a client who has a new prescription for haloperidol which of the following adverse effectsshould the nurse instruct the client to report to the provider?a.Sedation → s/s neuroleptic malignant syndrome??>> life threateningb.Shuffling gait19.A nurse is teaching dietary guidelines to a client who has celiac disease which of the following food choices is appropriate for the client?a.Potato pancakes20.A nurse is working in acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings shouldthe nurse expect?a.Disorganized speech21.A nurse is caring for a client who is immobile which interventions is appropriate to prevent contracture?a.Apply an orthotic to the clients foot22.A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the followingactions should the nurse plan to take?a.Provide anticipatory guidance classes to parents through public schools23.A nurse in the emergency department is performing triage for multiple clients following a disaster in the community. To which of thefollowing types of injuries should the nurse assign the highest priority?a.Below the knee amputation → ESI Level 124.A nurse is admitting a client who has anorexia nervosa. Which of the following is an expected finding?lOMoARcPSD|13778330
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