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12 Cards in this Set
- Front
- Back
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A charge nurse is planning to utilize a nurse from the hospital’s float pool. Which of the following are disadvantages to float pools? Select all that apply. |
Select one or more: a. Float pools are adequate for filling intermittent staffing holes. b. Float pool nurses have the flexibility to choose when they want to work. c. Float pool nurses receive a higher rate of pay and typically no benefits. d. Float pools are not a solution to the long term staffing shortages. e. Float pools result in a lack of continuity of client care. Answer
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A nurse is working in the Emergency Department (ED). In which order should the following clients be triaged? |
A. 30-year-old male reporting shortness of breath. B. 18-year-old male with a possible fractured tibia. C. 24-year-old female with a swollen and bruised ankle. D. 40-year-old female with high fever and productive cough. Select one: a. A, B, D, C b. C, B, A, D c. B, C, A, D d. A, D, B, C Answer
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A nurse is caring for an infant prescribed digoxin. The client’s apical heart rate is 88 beats per minute. Which of the following interventions should the nurse take? Select all that apply. |
Select one or more: a. Call an emergency code for the arrest team. b. Administer the medication as ordered. c. Withhold the medication. d. Notify the physician. e. Obtain a rhythm strip to evaluate for heart block.
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A client is prescribed iron dextran (INFeD) intramuscularly using the Z-track method. Place the following steps in the order the nurse should take them to administer this medication. |
A. Discard the needle used to draw up the irone. B. Pull the skin and subcutaneous tissues sideways away from the muscle. C. Aspirate to determine needle placement. D. Release the skin and subcutaneous tissue. E. Place a new needle on the syringe. F. Insert the needle deeply into the muscle. G. Administer medication and quickly withdraw the needle. Select one: a. B, C, D, E, F, A, G b. A, F, B, C, D, G, E c. A, E, B, F, C, G, D d. B, D, C, G, A, F, E Answer
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A nurse is caring for a neonate diagnosed with a congenital heart defect. Which of the following signs and symptoms would the nurse note if the client was experiencing heart failure? Select all that apply. |
Select one or more: a. Tachypnea b. Hyperglycemia
c. Mottling
d. Bounding pulses
e. Feeding difficulties
Answer
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A nurse is caring for a client diagnosed with osteomyelitis. The nurse would expect which of the following findings during data collection? Select all that apply. |
Select one or more: a. Elevated erythrocyte sedimentation rate (ESR) b. Positive wound cultures c. Sharp bone pain d. Leukocytosis e. Coolness upon palpation Answer
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An 8-year-old child was admitted to the hospital for possible shunt malfunction. The child has been diagnosed with hydrocephalus since birth. The nurse understands which of the following are symptoms of increased intracranial pressure? Select all that apply. |
Select one or more: a. Increased cluminess b. Hypotonic deep tendon reflexes c. Vomiting d. High-pitched cry e. Headache Answer
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What are common factors that lead a personal or family into crisis? Select all that apply. |
Select one or more: a. Increase family communication b. Recognizable control c. Life-threatening event d. Perceived loss e. Sudden event with no time to prepare
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A nurse is reinforcing instructions for car seat safety to parents of an infant. The nurse should include which of the following? Select all that apply. |
Select one or more: a. The infant should be rear facing until 6 months of age. b. A five point restraint system is recommended for car seats. c. When placing the infant in the front seat, the air bag should be off. d. Infants should be rear facing until they weigh 9.1kg (20 lbs). e. Used car seats should be inspected by the health deparment. Answer
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A nurse is caring for a client who has MRSA in a wound. Which of the following infection control precautions should be initiated? Select all that apply. |
Select one or more: a. Wear sterile gloves when removing the client's wound dressing. b. Use a face shield when irrigating the client's wound. c. Don clean gloves when delivering the client's meal tray. d. Wear a particulate respirator mask when administering medications to the client. e. Wear a protective gown when entering the client's room. Answer
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A nurse is caring for a client with MRSA. In which order should the nurse don Personal Protective Equipment (PPE)? Place the following items in the correct order. |
A. Goggles B. Gown C. Gloves D. Mask Select one: a. A, C, D, B b. C, A, B, D c. D, A, C, B d. B, D, A, C Answer
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A nurse is caring for a client who is being treated with internal radiation. Which nursing interventions are appropriate for this client? Select all that apply. |
Select one or more: a. Encourage visitors to stay at least 6 feet from the client. b. Discard bed linens daily. c. Limit visitors to 30 minutes twice daily. d. Assign the client to a private room with a private bath. e. Always face the radiation source. Answer
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