A nurse is planning care for a group of clients which of the following tasks should the nurse delegate to

assistive personnel? (ANS Providing postmortem care to a client

-A nurse is conducting a health assessment for a client who takes herbal supplements, which of the

following statements by the client indicates an understanding of the use of the supplements? (ANS I use

ginger when I get carsick

-A nurse is caring for a client who has influenza and isolation precautions in place which of the following

action should the nurse take to prevent the spread of infection? (ANS Wear a mask when working

within 3 feet of the client

-A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube.

Which of the following actions should the nurse take? (ANS Allow room for two fingers to fit between

the client's skin and the restraints

-A nurse is admitting a client who has tuberculosis. Which of the following types of transmission

precautions should the nurse plan to initiate? (ANS Airborne

-A nurse in a well-child clinic receives a telephone call from a parent who states that their child

accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses

should the nurse make? (ANS Have your child drink one large glass of water.

-A nurse is documenting a client's medical record. Which of the following entries should the nurse

record? (ANS Administered pain medication

-A nurse provides oral care for a client who is unconscious. Which of the following actions should the

nurse take? (ANS Place the client in a side-lying position.

-A nurse is collaborating with a risk management team about potential legal issues involving client care.

The nurse should identify which of the following situations is an example of negligence? (ANS A nurse

begins a blood transfusion without obtaining consent.

-A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. Which

of the following actions should the nurse take? (ANS Offer the client oral hygiene after the collection

-A nurse is assessing an older client. Which of the following findings should the nurse expect? (ANS

Decreased sense of balanced

-A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which

of the following instructions should the nurse include in the teaching? (Select all that apply) (ANS "Cut

the opening of the pouch 1⁄8 of an inch larger than the stoma

"Place a piece a gauze over the stoma while changing the pouch"

"Use povidone-iodine to clean around the stoma"

"Empty the ostomy pouch when it becomes one-third full of contents"

-A nurse is preparing to obtain informed consent from a client who speaks a different language than the

nurse. Which of the following actions should the nurse take? (ANS Offer written information in the

client's language

-A nurse is teaching a client about home care equipment. Which of the following information should the

nurse include in the teaching?

(Select all that apply) (ANS -Avoid using wool blankets when receiving oxygen

-Checks the O2 delivery rate at least once a day

-Align the middle of the ball in the flow meter with the line of the prescribed flow rate