After administering a medication that stimulates the sympathetic division of the autonomic nervous system, the nurse assesses the client. For which clinical manifestations should the nurse assess? (Select all that apply.)
a. Decreased respiratory rate
b. Increased heart rate
c. Decreased level of consciousness
d. Increased force of contraction
e. Decreased blood pressure
Question 2A nurse delegates care for an older adult client to the unlicensed assistive personnel (UAP). Which statements should the nurse include when delegating this client's care? (Select all that apply.)
a. Plan to bathe the client in the evening when the client is most alert.
b. Encourage the client to use a cane when ambulating.
c. Assess the client for symptoms related to pain and discomfort.
d. Remind the client to look at foot placement when walking.
e. Schedule additional time for teaching about prescribed therapies.
Question 3A nurse is caring for a client who is prescribed a computed tomography (CT) scan with iodine-based contrast. Which actions should the nurse take to prepare the client for this procedure? (Select all that apply.)
a. Ensure that an informed consent is present.
b. Ask the client about any allergies.
c. Evaluate the client's renal function.
d. Auscultate bilateral breath sounds.
e. Assess hematocrit and hemoglobin levels.
Question 4A nurse performs an assessment of pain discrimination on an older adult client. The client correctly identifies, with eyes closed, a sharp sensation on the right hand when touched with a pin. Which action should the nurse take next?
a. Touch the pin on the same area of the left hand.
b. Contact the provider with the assessment results.
c. Ask the client about current medications.
d. Continue the assessment on the client's feet.
Question 5After teaching a client who is scheduled for magnetic resonance imaging (MRI), the nurse assesses the client's understanding. Which client statement indicates a correct understanding of the teaching?
a. I must increase my fluids because of the dye used for the MRI.
b. My urine will be radioactive so I should not share a bathroom.
c. I can return to my usual activities immediately after the MRI.
d. My gag reflex will be tested before I can eat or drink anything.
Question 6A nurse plans care for an 83-year-old client who is experiencing age-related sensory perception changes. Which intervention should the nurse include in this client's plan of care?
a. Provide a call button that requires only minimal pressure to activate.
b. Write the date on the client's white board to promote orientation.
c. Ensure that the path to the bathroom is free from equipment.
d. Encourage the client to season food to stimulate nutritional intake.
Question 7A nurse cares for a client who is experiencing deteriorating neurologic functions. The client states, I am worried I will not be able to care for my young children. How should the nurse respond?
a. Caring for your children is a priority. You may not want to ask for help, but you have to.
b. Our community has resources that may help you with some household tasks so you have energy to care for your children.
c. You seem distressed. Would you like to talk to a psychologist about adjusting to your changing status?
d. Give me more information about what worries you, so we can see if we can do something to make adjustments.
Question 8A nurse teaches a client who is scheduled for a positron emission tomography scan of the brain. Which statement should the nurse include in this client's teaching?
a. Avoid caffeine-containing substances for 12 hours before the test.
b. Drink at least 3 liters of fluid during the first 24 hours after the test.
c. Do not take your cardiac medication the morning of the test.
d. Remove your dentures and any metal before the test begins.
Quick Reply
