1. A nurse is caring for a child with sickle cell anemia and is having a vaso-occlusive crisis.
Which intervention should the nurse implement first?
D) Increase oral fluid
2. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
Ensure that the newborn wears a diaper.
3. A nurse is preparing a client for a paracentesis. What action should the nurse take?
Instruct the client to void prior to the procedure.
4. A nurse is providing dietary teaching to a client who has end-stage of kidney disease
and a potassium level of 6. Which of the following is the best food the nurse to
recommend?
1. Hard boiled eggs.
5. A director of nursing in a rehab facility is planning for measure of quality care provided.
Which of the following should the nurse director plan to use after the client is
discharged to gather information about quality of care?
6. A nurse is caring for a client who repeatedly refuses meals, a nurse overhears an AP
telling the client “If you don’t eat, I’ll put restraint on you” … The nurse should
intervene.
a. Assault
7. A nurse is caring for a client who reports insomnia. Which of the following is a priority
for the nurse to report to the provider?
a. Wake up to urinate during the night.
8. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the
following interventions to prevent skin breakdown should the nurse include in the plan
of care?
a. Massage reddened area over bony
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