Back to FlashcardsNursing / Nursing Practice and Procedures
When working with a client through an interpreter, which action should the nurse take?
Tap or swipe ↕ to flip
Swipe ←→Navigate
1/30
Key Terms
Term
Definition
When working with a client through an interpreter, which action should the nurse take?
Talk directly to the client, instead of the interpreter, when speaking.
Which action should a nurse include when reviewing oxygen therapy with a newly licensed nurse?
Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Which finding should a nurse identify as a potential indication of abuse in an older adult client?
Bruises on the arms in various stages of healing.
How should a nurse document 120 mL of fluid intake from ice chips?
Document half the volume of ice chips, which is 120 mL for 8 oz.
What is the first action a nurse should take for a client with fluid overload?
Evaluate electrolytes.
Which statement should a nurse document about a client found on the floor?
Client found lying on the floor.
Related Flashcard Decks
| Term | Definition |
|---|---|
When working with a client through an interpreter, which action should the nurse take? | Talk directly to the client, instead of the interpreter, when speaking. |
Which action should a nurse include when reviewing oxygen therapy with a newly licensed nurse? | Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. |
Which finding should a nurse identify as a potential indication of abuse in an older adult client? | Bruises on the arms in various stages of healing. |
How should a nurse document 120 mL of fluid intake from ice chips? | Document half the volume of ice chips, which is 120 mL for 8 oz. |
What is the first action a nurse should take for a client with fluid overload? | Evaluate electrolytes. |
Which statement should a nurse document about a client found on the floor? | Client found lying on the floor. |
What information should a nurse give to a client who developed a rash from an antibiotic? | We need to document the exact medication you were taking because you might be allergic to it. |
What should a nurse do first when transferring a client who can bear weight on one leg? | Assess the client for orthostatic hypotension. |
What action should a nurse take first if a client has received only 80 mL of IV fluid over 2 hours? | Check the IV tubing for obstruction. |
What should a nurse add to the plan of care for a client with frequent tonic-clonic seizures? | Wrap blankets around all four sides of the bed. |
Whose signatures can a nurse legally witness for informed consent? | A 16-year-old client who is married, a 27-year-old client with schizophrenia, an adoptive parent, and a 17-year-old mother. |
Which finding should a nurse expect in a client with a pressure ulcer? | Albumin level of 3g/dL indicates protein deficiency, risking poor wound healing. |
What should a nurse do next from a legal perspective when a client shows signs of hemorrhagic shock? | Notify the nursing manager to ensure timely intervention. |
How should a nurse administer enoxaparin subcutaneously? | Administer the medication with the needle at a 45-degree angle. |
What confirms correct NG tube placement? | An x-ray shows the end of the tube above the pylorus. |
What action should a nurse take when using a sequential compression device post-knee arthroplasty? | Make sure two fingers can fit under the sleeves. |
What indicates that a urinary catheter requires irrigation? | Bladder scan shows 525 mL of urine. |
What should a nurse do when initiating IV therapy for an older adult? | Insert the IV catheter without using a tourniquet. |
What indicates successful treatment for fluid-volume deficit? | Decrease in heart rate. |
Which client should a nurse consult a provider before using aromatherapy? | A client who has asthma. |
What practice should a nurse intervene in when a client receiving tube feeding reports diarrhea? | The feeding bag should be washed out at each refilling throughout the day. |
What question should a nurse ask to assess the quality of a client's pain? | Is your pain sharp or dull? |
What should a nurse tell a client with a terminal illness about resuscitation in her living will? | We will apply oxygen through a tube in your nose. |
What precautions should a nurse initiate for a client with pharyngeal diphtheria? | Droplet precautions. |
What intervention should a nurse implement to prevent infection when inserting an IV catheter? | Thread the IV catheter so that the hub rests at the insertion site. |
Which tasks should a nurse assign to an assistive personnel for a client with aphasia and dysphasia? | Assist with a partial bed bath, measure BP, and use a communication board. |
What indicates understanding of crutch use for a client with a leg cast? | When descending stairs, I will first shift my weight to my right leg. |
What precautions should a nurse take for a client with diarrhea due to shigella? | Wash hands before and after contact with the patient. |
What indicates understanding of using a behind-the-ear hearing aid? | I will be sure to remove my hearing aid before taking a shower. |
What response should a nurse make to a middle adult client feeling useless? | People in middle adulthood often find satisfaction in nurturing and guiding young people. |