A nurse is preparing to delegate client care tasks to an assistive personnel.
Which of the following tasks should the nurse delegate?
Ambulatory a client who is postoperative
A nurse is caring for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the clients risk of developing plantar
flexion contractures?
Apply an ankle foot orthotic device to the clients feet
A nurse is caring for a client who is refusing a blood transfusion for religious
reasons. The clients partner wants the client to have the blood transfusion. Which
of the following actions should the nurse take?
Withhold the blood transfusion.
A charge nurse is discussing the responsibility of nurses carig for clients who
have C. difficile. Which of the following information should the nurse include in
the teaching?
Have family members wear a gown and gloves when cisiting
A nurse is giving change-of-shift report about a client they admitted earlier that
day who has pneumonia. Which of the following pieces of information is the
priority for the nurse to provide?
Breath sounds
A nurse enters a clients room and finds her on the floor. The clients roommate
reports that the client was trying to get out of bed and fell over the side rail onto
the floor. Which of the following statements should the nurse document about
this incident?
Client found lying on floor
A nurse is caring for a client who has a prescription for wound irrigation. Which
of the following actions should the nurse take?
Cleanse the wound from the center outward
A nurse is admitting a client who has rubella. Which of the following types of
transmission based precautions should the nurse initiate?
Droplet
A nurse is providing discharge teaching for a client who has a new prescription
for a home oxygen concentrator. Which of the following instructions should the
nurse provide to the client and his family?
Check the cord routinely for grays or tearing
Consider purchasing a generator for power backup
Observe for signs of hypoxia
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