A nurse is providing teaching to a group of older adults about sources of complete and incomplete protein. Which of

the following foods should the nurse include as a complete protein? Lentils

A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions should the nurse

direct the client to take first? Remove safety pin

A nurse is preparing to insert an indwelling urinary catheter for a male client, where would you attach the urinary

catheter tubing? Lower abdomen

A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration.

The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the

stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document?

Pericardial friction rub

A nurse is evaluating a client’s use of crutches. The nurse should identify that which of the following actions by the

client indicates safe usage of the equipment? The client has a slightly flexed elbows when ambulating with the

crutches

A nurse in the emergency dept is caring for a client who has abdominal trauma. Which of the following assessment

findings should the nurse identify as an indication of hypovolemic shock? Tachycardia

Adolescent client in an outpatient mental health facility tells the nurse that he struggles to follow his treatment plans

because his friends discourage him. Which of the following statements should the nurse make? “tell me more about how

your friends discourage you”

A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe add Alexis. Which of the

following actions should the nurse plan to take? Place the client in Trendelenburg position

And worse is preparing to change interesting on a client who's receiving negative pressure wound therapy period what

sequence of actions should the nurse plan to take? Turn off the vacuum on the end PW T device and administer

prescribed analgesic. Remove the soil dressing and perform hand hygiene. Apply sterile or clean gloves and irrigate

the wound. Apply a skin protection or a barrier film to the skin around the wound. Place prepared form into the wound

bed and covered with a transparent dressing. Connect the tubing to transparent film and turn on the NPWT unit.

a nurse is teaching the newly licensed nurse about pain management and clients age 65 and older. Which of the

following pieces of information should the nurse include in the teaching? Clients who are older than 65 are reluctant to

report pain

A nurse is planning care for a client who's postoperative and has a history of poor nutritional intake. Which of the

following actions should the nurse include in the plan of care to promote wound healing? Provide a protein intake of 1.5

g/kg of body weight per day

A nurse is planning care for a client who reports abdominal pain. An assessment by the nurse reveals the client has a

temperature of 39.2 degrees Celsius, a heart rate of 105 beats per minute, a soft nontender abdomen, and menses

overdue by two days. Which of the following findings should the nurses priority be? Temperature

While in the hospital, a client who has a terminal illness tells the nurse, “ I can't believe I'm dying. A lot of bad people

in the world are healthy, and here I am dying” which of the following responses should the nurse provide? “ tell me

more about how you feel about dying”

The nurse is obtaining a capillary blood sample to determine a client's blood glucose level. The nurse prepares and

punctures the client's finger for the procedure but does not obtain an adequate amount of blood. Which of the

following actions should the nurse take next? Wrap the clients finger in warm washcloth

And there's just beginning a therapeutic relationship with the client. Which of the following actions should the nurse

take to convey empathy when using a therapeutic communication technique of active listening? Assume an open

position

The nurse is preparing to administer medication to a client who has gout the nurse discovers that an error was made

during the previous shift in which the client atenolol instead of allopurinol. Which of the following interventions is the

nurses priority? Measure the clients apical pulse.

And there's just caring for a client who has a prescription for vest restraint. Which of the following actions should the

nurse take? Tie the restraint with a quick release knot.

Hospice nurse is reviewing religious practices of the group of clients with a newly licensed nurse. Which of the

following statements by the newly licensed nurse indicates an understanding of teaching? People who practice Judaism

stay with the body of the deceased until burial.