Instruct the scrub nurse to re drape the client 581

 Instruct the scrub nurse to re-drape the client
581.
An adult male who was admitted two days ago following a cerebrovascular accident
(CVA) is confused and experiencing left-side weakness. He has tried to get out of bed several
times, but is unable to ambulate without assistance. Which intervention is most important for
the nurse to implement?
 Ask a family member to sit with the client
 Apply bilateral soft wrist restraints
 Assign staff to check client q15 minutes
 Install a bed exit safety monitoring device
582.
A client in her first trimester of pregnancy complains of nausea. Which complementary
therapy should the nurse recommend?
 Drink chamomile tea at breakfast and in the evening.
 Eat food high in garlic with the evening meal
 Join a yoga class that meets at least weekly
 Increase cocoa in the diet and drink before bedtime
583.
When gathering for a group therapy session at 1400 hours, a female client complains to
the nurse that a smoking break has not been allowed all day. The nurse responds that 15 minute
breaks were called over the unit intercom after breakfast and after lunch. The nurse is using
what communication technique in responding to the client?
 Doubt
 Observation
 Confrontation

 Reflection
584.
A female client with rheumatoid arthritis (RA) comes to the clinic complaining of joint
pain and swelling. The client has been taking prednisone (Deltasone) and ibuprofen (Motrin
Extra Strength) every day. To assist the client with self-management of her pain, which
information should the nurse obtain?
 Presence of bruising, weakness, or fatigue
 Therapeutic exercise included in daily routine.
 Average amount of protein eaten daily
 Existence of gastrointestinal discomfort
585.
The charge nurse of the Intensive Care Unit is making assignments for the permanent
staff and one RN who was floated from a medical unit. The client with which condition is the
best to assign to the float nurse?
 Diabetic ketoacidosis and titrated IV insulin infusion
 Emphysema extubated 3 hours ago receiving heated mist
 Subdural hematoma with an intracranial monitoring device
 Acute coronary syndrome treated with vasopressors
586.
A client admitted to the emergency center had inspiratory and expiratory wheezing,
nasal flaring, and thick, tenacious sputum secretions observed during the physical examination.
Based on these assessment findings, what classification of pharmacologic agents should the
nurse anticipate administering?
 Beta blockers
 Bronchodilators
 Corticosteroids
 Beta-adrenergics
587.
The home health nurse is assessing a male client who has started peritoneal dialysis (PD)
5 days ago. Which assessment finding warrants immediate intervention by the nurse?
 Finger stick blood glucose 120 mg/dL post exchange
 Arteriovenous (AV) graft surgical site pulsations.