1. The  nurse  cares  for  the  client  diagnosed  as  being  in  the  manic  phase  of  bipolar  disorder.  Which  behavior  indicates  to the nurse the client condition is improving?

    1. The client offers suggestions to other clients on the unit

    2. The client begins to write a book about life

    3. The client sits and eats with other clients on unit

    4. The client talks with other clients a group meeting

  2. The health care provider orders a continuous intravenous aminophylline infusion for a two year old client. It is most important for the nurse to intervene for which situation?

    1. The  client  heart  rate  is  100  bpm

    2. The  clients  blood  pressure  is  100/60  mmHg

    3. The clients serum theophylline level is 25 mcg/mL

    4. The client is sleepy

  3. The nurse teaches the client about the schedule cardiac catheterization. Which statement, if made by the client to the nurse, indicates that the teaching was effective?

    1. "I understand that there is little or no risk associated with this procedure."

    2. "I  may  experience  a  little  pounding  sensation  in  my  chest  during  the  procedure."

    3. "I will be in and out of the procedure room in about 30 minutes."

    4. "I will be able to walk in the hall soon after the procedure is completed."

  4. During the second stage of labor, the client's partner asks the nurse, "Can I go get a cup of coffee from the cafeteria?" Which response by the nurse is best?

    1. "I  will  get  you  a  cup  of  coffee."

    2. "It would be best if you stayed here at this time."

    3. "Ask your partner if it is acceptable to leave."

    4. "Why do you want to leave the room?"

  5. The  nurse  discovers  that  client  lying  face  down  on  the  floor.  Which  action  does  the  nurse  take  first?

    1. Assess the patency of the client's airway b. Determine whether the client is responsive

  1. Check the client's carotid pulse

  2. Reposition the client onto the back

  1. A  nurse  works  3  weeks  at  a  100-bed  suburban  hospital  after  working  several  months  at  a  40-bed  rural  hospital.  The nurse prefers the total client care delivery system that was used at the rural hospital, rather then the team leading system  of  client  care  that  is  used  at  the  suburban  hospital.  Which  action  does  the  nurse  take?

    1. Works with in the system at the hospital to change the type of client care delivery

    2. Discuss his thoughts about the type of client care delivery system with the nurses supervisor

    3. Asks the nurses peers why this type of client care delivery system is used

    4. Suggests a change in the type of client care delivery system to the director of nursing

  2. The nurse cares for the client diagnosed with a left traumatic below knee amputation (BKA) with a tourniquet in place. The client also has a tear from the perineum to the rectum. Which action is the nurse take first?

    1. Apply anti-shock trousers

    2. Assesses the clients level of consciousness

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