A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? a. Monitor the client for 1 hr after meals A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? a. Close the fire door on the unit A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? a. Hallucinations 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? hyperemesis 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? A1C 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? a. Use a dedicated stethoscope 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? Tell the client to avoid drinking fluids 1 hr before bedtime 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? a. Place the newborn 45 cm from the light source 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? social worker 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication decreased reflexes 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? indigestion 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? offer oral fluids to the client