1. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s
upper
extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the
bathrooms
2. The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
3. The nurse is teaching a client with stomatitis about mouth care. Which instruction
is most
appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
4. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
5. A client has returned from surgery during which the jaws were wired as treatment
for a fractured mandible. The client is in stable condition. The nurse in instructing
the unlicensed assistive personnel (UAP) on how to properly position the client.
Which instructions about positioning would be appropriate for the nurse to give to
the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
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