A nurse is assisting with the care of a client who has a terminal illness. The client practices Orthodox Judaism. Which of the following actions should the nurse take? ANS: Assure the client that a family member will stay with the body afterdeath RAT: The nurse should assure the client that a family member will remainwith the body until burial A nurse is caring for a client who is receiving telemetry. which of the following ECG findings should the nurse report to the charge nurse? PR interval 0.24 seconds. A nurse in an urgent care clinic is collecting data from four clients. which ofthe following clients should the nurse recommend for treatment? a client who is experiencing shortness of breath after taking amoxicillin. A nurse is assisting with the transfer of a client to a long-term care facility.the nurse should review which of the following sections of the electronic medical record to locate information about the client’s personal health insurance? admission sheet. A nurse is reinforcing teaching with a client who is scheduled for a lumbarpuncture. which of the following statementsshould the nurse make? you should increase your fluid intake after this procedure. A nurse is reinforcing teaching about puberty with a group of prepubescent female clients. Which of the following information should the nurse include inthe teaching? you will likely gain weight before you start to get taller. A nurse is assisting with a discussion about STI's with a group of adolescentsat a health fair. which of the following statements should the nurse make? an infection with gonorrhea may result in infertility. A nurse in a provider’s office is caring for client who is at 34 weeks of gestation. Which of the following instructions should the nurse anticipateproviding to the client? monitor your blood pressure using your right arm daily. A nurse is preparing to administer amoxicillin 875 mg PO every 12 hours. Theamount available is amoxicillin oral suspension 400 mg/5mL. How many mL should the nurse administer per dose? 11. A nurse is collecting data from a client who has chronic hepatitis. In which of the following locations should the nurse expect the client to point to indicate hepatic tenderness? B. A nurse is monitoring a client who is receiving lactated ringers 500 mL over 4hr. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should check that the manual IV infusion is delivered at how many gtt/min? 21. A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include? apply capsaicin cream four times a day. A nurse is reviewing a client's medication record and notices that a doubledose of oral digoxin was administered 1 hr ago. Which of the following actions should the nurse take first? ANS: Obtain a set of the client's vital signs RAT: The first action the nurse should take when using the nursing process isto collect data from the client. Digoxin can cause bradycardia. By obtaining the client's vital signs, the nurse can identify the need for intervention A nurse is instructing assistive personnel (AP) about caring for a client whohas hepatitis A and is incontinent of stool. Which of the following infection control precautions should the nurse instruct the AP to use? ANS: Contact RAT: Hepatitis A is spread by the fecal-oral route. Standard precautions are usually sufficient to prevent the spread of infection. However, if the client who has hepatitis A is also incontinent of stool, then contact precautions areindicated A nurse is assisting with the transfer of a client to a long-term care facility.The nurse should review which of the following sections of the electronic health record to locate information about the client's personal health insurance? ANS: Admission sheet RAT: The nurse will find client data, such as date of birth, occupation, and theclient's source of health insurance, on the client's admission sheet A nurse is inspecting the skin of a newborn. Which of the following findingsshould the nurse report to the provider? ANS: Generalized petechiae RAT: Petechiae are an expected finding over the presenting part of the newborn, such as on the forehead in a brow presentation, and also anywhereon the head of the newborns who has a nuchal cord, which is an umbilical cord around the neck. However, petechiae all over the newborn's body can indicate infection or a decreased platelet count and should be reported to the provider A nurse in a provider's office is obtaining the health history from a client whois scheduled to undergo a cardiac catheterization in 2 days. Which of the following questions is the priority for the nurse to ask? ANS: "Do you know if you're allergic to iodine?" RAT: The greatest risk to the client is an allergic reaction to the contrast agent, which contains iodine. Therefore, the priority question is to identifythe client's allergies A nurse is reviewing the medical record of a client who is receiving warfarin and has atrial fibrillation. Which of the following laboratory values should thenurse report to the provider? ANS: INR 5.0 RAT: The international normalized ratio (INR) is a measurement of the body'sblood clotting ability. A client receiving warfarin to prevent clot formation related to atrial fibrillation should have an INR of 2.0 to 3.0. An INR of 5.0 orgreater indicates that the client is at risk for bleeding. Therefore, the nurse should notify the provider about this laboratory value