Nursing Care for Various Conditions: Case Studies and Teaching Materials, Exams of Health sciences

Download Nursing Care for Various Conditions: Case Studies and Teaching Materials and more Exams Health sciences in PDF only on Docsity! NURSING NUR3465 3kaplan CAT 3 KAPLAN (3) Q & As NEWEST EXAM SOLUTION LATEST UPDATE,[GRADED A+.]  The nurse prepares teaching materials to review chest physiotherapy with the parents of apediatricclientdiagnosedwithcysticfibrosis(CF).Whichobservationindicates tothenursethatadditionalteachingis needed? (Selectallthatapply.) 1. Blood pressure 110/68 mm Hg.2. Pulseoximetry88%onroomair. 3. Respiratoryrate24breaths/min. 4. Ecchymosisoverthebackandlater alchest.5. Complaintofpainwithdeepinspiration.  Thenursereceivesaverbalprescriptionfromahealthcareprovider(HCP)d uringaclientemergency.Whichactiondoesthenursetaketoensureclientsaf ety?(Selectallthatapply.) 1. Recordtheprescriptionintheclient’smedicalrecord. 2. Read back the prescription to verify the accuracy of the prescription.3. Dateandtimetheprescriptionthatwasissuedduringtheemerg ency. 4. RecordtheHCPsprescribernumber. 5. Documentthenurse’sownnameandtitle.  Thenurseauscultatescracklesthroughoutalllungfieldsandmeasuresaheartrat eof132bpm,arespiratory rate of 30, and blood pressure of 102/54 mm Hg in a client recovering from anesophagectomy.Whichactionwillthenursetake first?  Placetheclientoncontinuouspulseoximetry.  Monitortheclientforchangesinbloodp ressure.3. Notifythehealthcareprovider. 4. Assisttheclienttousetheincentivespirometer.  Thenurseassignsaclientdiagnosedwithcancerwhoisreceivingchemothera pytoanursingassistivepersonnel(NAP).Whichinstructionismostimportantfo rthenursetoinclude?  Performhandhygienefrequently.  Wearamaskwhenenteringtheroom.  Monitortheroommateforsignsofinfection.  Monitortheamountofproteintheclienteats.  The nurse provides care for a client diagnosed with a bone infection. The client was givenintravenousmorphine3hoursagoandcannothaveanotherdoseforanhour.T heclientreportspainthat is rated as 6 out of 10. The nurse implements several nonpharmacological approaches.  Thenurseprovidescaretoanolderadultclientsuspectedofbeingavictimofphysical abuse.Whichaction is appropriate for the nurse to implement when providing care to the client? (Select all thatapply.) 1. Placetheclientinasingleroomnearthenurses’station. 3. Identify,collect,andpreservephysicalevidenceofabuse. 4. Takephotographstodocumentsignsofphysi calabuse.5. Usestandardizedtooltoscreenforeldermistreatm ent.  A client receiving an enema reports cramping and discomfort when the nurse releases the clampandplacesthecontainer12inchesabovetheclient’shiplevel.Whichactionwill thenursetakenext? 1. Instructtheclienttotakedeepbreaths. 2. Discontinuetheen ema.3. Clampthe tubing. 4. Lowertheenemabagbelowthelevelofthehips.  Thenursemanagercreatesadischargeteachingformforclientswithacquiredim munodeficiencysyndrome(AIDS).Whichstatementwillthemanagerincludeonthis form?(Selectallthatapply.) 1. Avoidchildrenwhohavejustgottenalive vaccine.2. Acondomisnecessaryduringsexualactivity. 3. Contactsports,suchasfootball,mustbeavoided. 2.Assesstheclientforbilateralinjuriesinanklesorwrist. 4. Drugparaphernaliamustnotbesharedwithothe rs. 5. Sexualactivitymustberestrictedtoasinglepartner.  The nurse provides pain management teaching to an older adult client diagnosed withosteoarthritis(OA).Whichmedicationdoesthenursediscussastheinitialtreat mentofchoiceforOApain? 1. Morphine. 2. Acetaminophen. 3. Ibuprofen. 4. Cyclobenzaprine.  Aclientinthepostanesthesiacareunit(PACU)reportsnauseatothenurse.Which medicationwillthenursegiveintravenouslyforthisclient'sproblem?(Selectallthat apply.) 1. Hydroxyzine. 2. Promethazine. 3. Ondansetron. 4. Aluminumhydroxide. 5. Sucralfate.  After being notified that a client is seeking legal counsel about care received while hospitalized,thenursemanagerinvestigatesastaffnurse’sperformanceregardingt heclient’scare.Whichnursingactionwillconcernthenursemanager? (Select allthatapply.) 1. Thenursemailedprescriptionstotheclientafterdischarge. 2. Thenurseconsultedthewoundcarenursefortheclient’sareaofskinbreak down. 3. Thenursefoundareferralforhomecarewithlaboratoryresultsfaxed aftertheclientwasdischarge. 4. Thenursedelegatedsterilewoundcaretonursingassistivepersonnel(NA P). 5. Thenurseadministeredanoralpainmedicationwhenanintramus culardosewasprescribed.  Thenurseprovidescareforaninfantwhohasafracturedfemur.Whichstatement regardingpaininaninfantisaccurate?(Selectall that apply.) 1. Infantscannotfeelpain. 2. Infantscannotexpresspain. 3. Infantshavethesamesensitivitytopainasolderchildren. 4. Painscalesdonotworkwellwithinfants. 5. Absorptionofpainmedicationisfasterinaninfantthananadult.  Thenurseprovidescareforaclientdiagnosedwithnewonsetatrialfibrillation.The client’shealthcare provider prescribes a transesophageal echocardiogram (TEE). What reason will the nurse give totheclientasthe primaryreason forperformingaTEE? 1. Tomeasurethecardiacindex. 2. Toruleoutthrombusintheheart. 3. Toestimatetheejectionfraction. 4. Toobserveventricularwallmotion.  The nurse provides care for a pediatric client suspected of having the respiratory syncytial virus(RSV).Whichtransmission- basedprecautiondoesthenurseinitiateonceinfluenzaandadenovirusareruled outforthis client? 1. Airborneprecautions.  Thenurseassessesanewborn.Whichfindingalertsthenursethatthenewbor nisatriskforhyperbilirubinemia? 1. Caputsuccedaneum. 2. Hyperglycemia. 3. Petechiae. 4. Cephalhematoma.  Thenurseassessesclientswaitingtobeseenbythehealthcareprovider.Whichc lientdoesthenurseidentifytobe seenfirst? 1. Clientwithmyastheniagravisreportingdoublevisionanddroopingoft herighteyelid.2. Clientwithaflat9mmindurationareaatthesiteofatuberculinskintestplaced 48 hoursago. 3. Clientwithameanarterialpressureof80mmHg. 4. Clientwithlungdiseasereportingdyspneaafterwalkingupstairs.  AclientexperienceswideQRScomplexesontelemetry,numbnessofthefeet,and tinglingofbothhands.Whichmedicationwillthenursequestionbeforeadministerin gtothisclient? 1. Diltiazem. 2. Furosemide. 3. Spironolactone. 4. Metoprololtartrate.  Thenurseprovidescareforaclientdiagnosedwithleukemia.Thenursenotes theclienthasvomitedalargeamountofbloodyemesis.Whichactionshouldthe nursetakefirst? 1. Measurethevomitusbeforedumpingit. 2. Assesstheclient’slastplatelet count.3. Notifythehealthcareprovider. 4. Completeaheadtotoeassessment.  Thenurseisteachingaclientwhohasundergoneacataractextractionwithintra ocularimplant.Whichinstructiondoesthenurseincludeinthedischargeteaching? (Selectallthatapply.) 1. Avoidactivitiesthatrequirebendingover. 2. Placeaneyeshieldonthesurgicaleyeatb edtime.3. Avoidliftinganythingover5pounds. 4. Contactthesurgeonifeyescratchinessoccur s.5. Takeacetaminophen forminoreyediscomfo rt.  Aninfantdiagnosedwithpertussisisbeingdischargedhomewiththeparents.Whi chinformationwillthenurseincludeintheparents’ teachingplan? (Select allthatapply.) 1. Handhygieneusinganalcohol- basedhandrubiseffectiveagainstpertussis. 2. Familymembersandothersinclosecontactwiththeinfantshould bevaccinated.3. Airborneisolationprecautionsarerequiredfor5daysafterthestartofan tibiotic therapy. 4. Pertussisismostseverefortheelderly. 5. Evenifaperson’simmunizationstatusforpertussisisunknown,itissafeto immunize again.  Thenursereviewsthecareneedsforassignedclients.Whichclientwillthenurseasse ssfirst? 1. Clientwithulcerativecolitiswhoreportsrectalbleeding. 2. Clientwithanacutekidneyinjurywithaurineoutputof100mLoverthepas t6hours. 3. Clientwithanginapectoriswhoreportsaheadacheafterreceivingados eofprescribednitroglycerin. 4. Clientwitharadioactiveimplantforcervicalcancerwhoisinthebathroom .  Thenurseprovidescareforaclientwhoisseverelywithdrawn.Whichmedicatio nwillthenurseexpecttobeprescribed forthis client: 1. Lorazepam 2. Chlordiazepoxide 3. Phenyto in4.Citalo pram  .Aclientasksforanexplanationaboutadvancesdirectives.Whichentityshoul dthenurseincludeinthe responsetothisclient? (SATA) nurse as to why all these tests arenecessaryWhichresponsebythe nurseisbest? 1. The tests serve to obtain a 3 dimensional view of the tumor.2.Thetestshelptheprovidergatherdetailedtu morinformation 3. Theprovidercanusetheteststodeterminethegradeofthetumorcells. 4. Theproviderwillusetheteststodecideifchemotherapywillbehelpful.  Thenurseprovidescareforaclientwhorequeststestingforhumanimmunodeficie ncyvirus(HIV).Whichinterventionismostimportantforthenursetoperformbeforea dministeringtesting? 1. DiscusspreventionpracticestopreventthetransmissionofHIVtoothers. 2. Explainthatalltestsmustberepeatedtwicetobevalid. 3. Asktheclienttoidentifyallsexualpartners. 4. DeterminewhentheclientthinkstheexposuretoHIVoccurred.  Anurseworkstoestablishanurse- clientrelationshipwithaclientwhoisnewtothementalhealthunit. Which task does the nurse perform during the introductory phase of the nurse- clientrelationship?(Selectall that apply.) 1. Discussconfidentialitywiththeclient. 2. Assisttheclienttoexplorefe elings.3. Clarifytheclient’sproblem. 4. Summarizetheclient’ssuccess. 5. Identifythetaskstheclientshouldaccomplish.  Thenurseprovidescareforaclientwhoreportsalackofappetite,nausea,andpa ssingasmallamountofliquidstoolthroughoutthedayforseveraldays.Whichacti ondoesthenursedonext? 1. Administerprescribedmedicationforconstipation. 2. Consultwiththedietitianregardingclie nt’sdiet.3. Performadigitalrectalexam. 4. Obtainastoolsamplefromtheclient.  Whileassessinganadolescentforasorethroatandfatigue,thenursenotesmulti plewoundsindifferentlevelsofhealingonbothoftheclient’sarms.Whichactionwil lthenursetakefirst? 1. Inquireastohowthewoundsoccurred. 2. Askaboutahistoryofsexualabuse. 3. Assessthewoundsforhealingandsignsofinfection. 4. Reportthefindingstothenursingsupervisor.  Thenurseperformstriageatamasscasualtyincident.Whichclientwillthenurs erecommendreceivetreatmentfirst? 1. Adolescentclientwithabdominalbleedingandconfusion. 2. School-agedchildwithlacerationsonthefaceandscalp. 3. Olderadultclientwithachestwoundwhoisapneic. 4. Adultclientwithanopenfractureofthehumeruswithpresentradialpulse s.  A female client received 2 units of packed red blood cells (PRBCs) for gastrointestinal bleeding.Whichfindingindicatestothenursethattheclientmayneedanadditionaltra nsfusion?(Selectallthatapply.) 1. Pulse rate 115 beats/minute.2. Bloodpressure82/40mmHg. 3. Hemoglobin 13g/dL(130 g/dL).4. Hematocrit 28%. 5. Redbloodcellcount4X106cells/µL(4.4X1012cells/L).  Thenursenotestheclient’selectrocardiogram(ECG)rhythmistorsadesde pointes.Whichassessmentdoesthenursecompleteafteranormalsinusrhyth misrestored? 1. “Glovesshouldberemovedbeforetheprotectivegowni sremoved.”2. “Glovecuffsarepulledupoverthegowncuff s.” 3. “Performhandhygienebeforeglovingandimmediatelyafterremovingth egloves.” 4. “Theneedleshouldnotberecappedafterwithdrawingmedicationfroma vial.” 5. “Glovesshouldbewornwhenmeasuringthebloodpressureofaclient whohastestedpositiveforthehumanimmunodeficiency virus(HIV).”  Thenurseprovidescareforanewbornclientinthenursery.Whichsignindicatestot henursethattheclientisexperiencingneonatalhypoglycemia?(Selectall thatapply.) 1. Hyperther mia.2. Poor feeding.3. Jitteriness. 4. Hypertonia.5. Seizures.  Aclientreportsreceivinginjuriesfromfallingdownthestairs,yetavoidslookingatt henursewhenasked about a left eye bruise. Further questions are answered only after glancing at the spouse andwiththewordsyes or no.Whichactionwillthenursetake first? 1. Reportthespousetothenursingsupervisorforabuse. 2. Asktheclienthowthefalldownthestairsoccurred. 3. Asktheclientforaurinespecimentobecollectedinthepresenceofthenurs e. 4. Asktheclientiftheheadwasalsoinjuredinthefall.  Thenurseteachesaparentmeasurestoreduceherschool- ageclient’sfever.Whichinformationdoes thenurseinclude? 1. Spongetheskinwithcoldwater. 2. Giveaspirinforafeverof100.4°F(38°C)orhigher. 3. Coverwithwarmbla nkets.4. Applyclothinglightly.  Anursingunitisshort- staffed.Thenurseprovidescareforseveralmoreclientsthanusual.Thenurse uses the triage principle to best distribute the nursing care. Which ethical principle will thenurseuseinthis situation? 1. Beneficen ce.2. Justice. 3. Nonmaleficence. 4. Fidelity.  The nurse provides care for a client who is diagnosed with diabetic ketoacidosis. The health careproviderprescribesanintravenous(IV)insulininfusion.Whichactiondoesthenu rseimplementwhenadministeringtheinfusion?(Select allthatapply.) 1. Monitorbloodglucoselevelsevery4hours. 2. Preparetheinfusionof100unitsofintermediate- actinginsulinin100mLnormalsalinesolution. 3. Discontinuetheinsulininfusionassoonasbloodglucoselev elsdecrease.4. Monitorpotassium levelclosely. 5. Administertheinsulininfusionviaanelectronicinfusiondevice.  A client suddenly develops anxiety, dyspnea, and tachypnea immediately after central venousaccessdevice(CVAD)insertion.Thenursedeterminesthatwhichcomplicatio nisthemostlikelycauseoftheclient’s distress?(Selectallthatapply.) 2. Pneumothorax. 3. Pulmonaryedema. 4. Heartfailure. 5. Cardiactamponade.  Thenurseprovidescareforaclientinthepost- operativeanesthesiacareunit(PACU)whohadanopenreductionforahipfracture. Whichnursingdiagnosis isthehighestpriority? 1. Anxiety. 2. RiskforInfecti on.3. Acutepain. 4. Delayedsurgicalrecovery.  Thenurseprovidescareforaclientwithsealedradiationimplantstotreatuterine cancer.Whichactionisappropriatefor thenursetoimplement?(Selectallthat apply.) 1. Keeptheclient’sdooropentopreventisolation. 2. Placeadosimeterfilmbadgeontheclient ’sgown.3. Restrictvisitorslessthan16yearsofage. 4. Keeplong-handledforcepsintheclient’sroom. 5. Limiteachvisitortonomorethan30minperday.  Thenurseprioritizescareforagroupofclientsafterreceivinghand- offcommunication.Whichclient does thenurseseefirst? 1. Anolderadultclientwithpneumoniarequiringintravenousaccessfort henextdoseofantibiotics. 2. Amiddle- 1.Airembolism. 5. Providetheclientwithsimplerecordedinstructions.  Thenurseinstructsaclientaboutalow-fat,high- fiberdiet.Whichfooddoestheclientchosethatbestindicatesanunderstandingof thelow-fat,high-fiberdiet? 1. Gardensaladwithhard-boiledeggsandItaliandressing. 2. Vegetablestocksoupwithvegetablesservedwithoatbread. 3. Tunasaladsandwichwithceleryonwholewheatbread. 4. Broiledchickenstuffedwithchoppedapplesandwalnuts.  Thenurseprovidescarefora12-month- oldinfant.Theinfant’sparentstatestothenurse,“Mybabysleeps18hoursaday;1 4hoursatnightanda4hournap.”Whichactiondoesthenursetakenext? 1. Lettheparentknowthisisnormalfortheinfant’sage. 2. Instructtheparenttocutbackonthetimetheinf antnaps.3. Notifythehealthcareprovider. 4. Instructtheparenttoputtheinfanttobedearlieratnight.  The nurse provides care for a client who begins nutritional therapy with parenteral nutrition. Theclientreportsfeelinganxiousandrestless.Whichactiondoesthenursetaketopre venttheclientfrombeing injured? 1. Secureallconnectionsinthesystem. 2. Monitorvitalsignseverytwohours. 3. Calculateintakeandoutputeveryfourhours. 4. Checkbloodglucoselevelseveryfourhours.  Thenurseadministersaregularinsulinintravenous(IV)infusionforaclientdi agnosedwithdiabeticketoacidosis(DKA).Whichfindingindicatestothenurset hattheclientisexperiencingcomplicationsfromtheinsulininfusion? (Selectallthat apply.) 1. Bloodglucoseof66mg/dL(3.6mmol/L). 2. Increasedurineoutput. 3. Sodiumof148mEq /L.4. Altered mental status.5. Potassiumof3.0mEq/L.  Thenurseassessestherespiratorystatusof6newborns.Whichfindingdoesthen ursereporttothehealthcareprovider?(Selectallthatapply.) 1. Respirations38breathsperminuteat30minutesofage. 2. Six- secondperiodsofapneaat1hourofage.3. Gruntingat20minutesofage. 4. Nasalflaringwhentheinfantissupine. 5. Abdomenandchestrisetogetherforeachbreath.  Thenurseplansthedischargeofaclientrecoveringfromanischemicstroke.Whic hcoremeasureneedstobemetforthisclient?(Selectallthat apply.) 1. Provideaprescriptionforastatinmedicationatdischarge. 2. Refertheclientforpsychotherapyatdischarge. 3. Meetgoalsfornutritionwithin1week. 4. Provideanddocumentstrokeeducationpriorto discharge.5. Preventvenousthromboembolism.  Whichactivitiescanthenursedelegatetothenursingassistivepersonnel(NAP)f orclientinthepostanesthesiaunit(PACU)?(Selectallthat apply.) 1. Obtainingvitalsigns 2. Assistingwithpositioning 3. Suctioningtheoropharynx 4. Accompanying clienttr ansfer5.Measuringurineo utput  Thenurseprovidescareforaclientexperiencedmajorheadtrauma.Theclienti sscheduledtoreceiveabolusenteralfeeding.Whichisthemostimportantactiont henursetakes? 1. Measureintakeandoutput 2. Monitorbloodglucoselevels 3. Checkalbuminlevel 4. Monitorfordiarrhea  The nurse provides care for a client diagnosed with itractable pain. The client is prescribedmagnesiumsulfate2mgintravenouspush(IVP)nowandevery4to6h ours,PRNforpain.Whichactionshouldthenursetakefirst? 1. Administerthemedication 2. Insert an intravenous access device3.Questiontheprescribe dmedication 4.Assesspainlevelusinganumericratingscale response by the nurse is the mostappropriate? 1. Reassuretheclientaboutthesurgery 2. Notifythesurgeonoftheclientsfeelings . 3. Askthecaretakertonotberatetheclient 4. Answertheclientsquestionsaboutthesurgery.  The nurse provides care to a client prescribed long-term prednisone for the treatment ofCOPD.Whichsideeffectofprednisonedoesthenurseexpecttoobserve? (Selectallthatapply) 1.Lossofappetit e2.K+3.1 3. Weightloss 4. Bloodsugar180 5.BP140/90  Thenurselearnsthataclienthasnorunningwaterorelectricityinthehome.Whi chactionwillthenursetakewhenadvocatingforthisclient? 1. Contacttheutilitycompanies 2. Notifythelocalfiredepartment 3. Assisttorelocatetoahomelessshelter 4. Provideskillednursingfacilityinformation  Thenurseprovidescaretoaclientwithatracheostomy.Whichnursingactionper formedbeforetheclienteatsposesarisk totheclient? 1. Deflatethetracheosto mycuff2.Providethinliqui ds 3. Suctionthetrach 4. Raiseheadofthebed  Thenursedevelopsateachingplanforaclientwithhyperlipidemia.Whichlifest ylechangewillthenurseincludeintheplan?(Selectall thatapply) 1. Consumeadietlowinsaturatedfat. 2. Engageinregular,highintensityAerobi cactivity.3.Stoptobaccousebyanypossibl emeans 4. Avoidexposuretosecondhandsmoke 5. Consumeadietlowinsolublefiber  Thenursepreparestoinsertarectaltubeinaclientexperiencingsevereabdomi nalpainfromflatus.Whichapproach doesthenurseuse wheninserting thisdevice? 1. Tapethetubeinplacefor30mins 2. Insertthetube2-4inchespastboththeanalsphincters 3. Placetheclientintherightlateralrecumbentposition 4. Lubricatethetubewithanoilbasedlubricant  Thenursedeterminesthataclient’sconditionisdeteriorating.Whichcriticalthin kingactionwillthenurse performtomake thisdetermination? (Selectallthatapply) 1. Recognizeachangeinbreathing pattern.2.Analyzecolorandconsist encyofsputum 3. Comparevitalsignstopreviousmeasurements 4. Questionthedoseofprescribedpainmeds 5. Recallinterventionsusedforsimilarproblems  Thenurseprovidescareforaclientwithaplateletcount38,000.Whichactionsarea ppropriateforthenursetotake?(Selectall theapply) 3. Useatwo- personverificationprocesstomatchtheunitofbloodtotheprescriptionan dtheclienttothe unit of blood. 4. Monitortheclientcloselyduringthefirst15to30minutesofadministration . 5. Ensuretheadministrationtimedoesnotexceed6hours.  Thenursecaresforaclientscheduledforsurgicalrepairofahiatalhernianextm onth.Whichinterventionshouldthenursesuggestthattheclientimplement? (Selectallthatapply.) 1. Avoidchocolateandcarbonateddrinks. 2. Wearabdominalbinderduringt heday.3.Stayinanuprightposition aftermeals. 4. Increasefluidintakeintheevening. 5. Elevatetheheadofthebedsixinches.  Aclientreportshavingchestirradiationasachildfornon- hodgkinlymphoma(NHL).Onwhichpotentialadulthoodcomplicationwillthenur seefocuswhenassessing thisclient? 1. Chronicinfertility 2. Asthmaticbron chitis3.Hodgkin Lymphoma4.Lungc ancer  Thenursenotesthatthelastimmunizationa15- yearoldclientreceivedwasatage6.Whichvaccinewillthenurseadministertothe client?(Selectallthat apply.) 1. Varicella Vaccine (VAR)2.Influenzavacc ine(LAIV) 3. Tetanustoxoid,reduceddiphtheriatoxoid,andacellularpertussisvaccine(Tdap ) 4. Pneumococcalconjugatevaccine (PCV13).5.HumanPapillomaVaccin e(HPV)  Anursingunitisshort- staffed.Thenurseprovidescareforseveralmoreclientsthanusual.Thenurse uses the triage principle to best distribute the nursing care. Which ethical principle will thenurseuseinthe situation? 1. Benefice nce2.Justice 3. Nonmaleficence 4. Fidelity  Thenursenotesthataclientisprescribedsevelamer.Whichactionwillthenur setakewhenprovidingtheclient withadoseofthe medication? 1. Remindtochewthemedication. 2. Asktodrinkafullglassofwater. 3. Inquireaboutanallergytoshellfish. 4. Providewithameal.  Thenursenotesthesefindingsinanewborn:skinsmoothandtransparent,abun dantlanugoonback, slow recoil pinna, and absent plantar creases. When planning care, the nurse will assess thenewbornforwhichcondition? 1. Subinvolution 2. Hyperglycemia 3. Postmaturitysyndrome 4. Respiratorydistresssyndrome  The charge nurse notes that a client is seen in the emergency department (ED) for the third timein5weeks.Theclienthasahistoryofachronicrespiratorydisorderanddiabetes mellitus.Theclient’srecord lists multiple home addresses and no family. The client indicates a lack of employment. Whichreferralis mostappropriateforthis client? 1. Hospitalsocialworker. 2. Communityhou sing.3.Casemanag er 4.Countywelfareprogram  ThenursewhoisapracticingMuslimrequeststowearahijabwhileworking.Whi chactionwillthenursemanagertakenext? 1. Declinetherequest 2. Maketheaccomodation 3. Advocateformodificationoftheorganization’s dresscode.4.Reviewtheorganization’sdresscode policy  Thenurseprovidescareforaclientpreparingtogotosleep.Theclientstatestothe 4. Maculardegeneration  Thenurseplansthedischargeofaclientrecoveringfromanischemicstroke.Whic hcoremeasureneedstobemetforthisclient?(Selectallthatapply) 1. Provideaprescriptionforastatinmedicationatdischarge,. 2. Refertheclientforpsychotherapyatd ischarge3.Meetgoalsfornutritionwithi n1week. 4.Provideanddocumentstrokeeducationpriortodischarge  Thenurseprovidescareforaclientwhobeginsnutritionaltherapywithparenteral nutrition.Theclientreportsfeelinganxiousandrestless.Whichactiondoesthenurset aketopreventtheclientfrombeing injured? 1. Secureallconnectionsinthesystem 2. Monitorvitalsq2hrs 3. Calculateintakeandoutputeverfourhours 4. Checkbloodglucoselevelseveryfourhours  Thenurseprovidescareforaclientdiagnosedwithasthma.Theclientisprescribe dalbuterolandbeclomethasone metered dose inhalers. Which client action indicates to the nurse that furtherteachingIs needed? 1. Usingaspacerwithbothinhalers. 2. Rinsingthemouthaftertakingthebeclamethasonemetereddoseinhaler. 3. Writingdownhowmanydoseshavebeentakenfromthemetereddoseinhaler.  ThenurseiscaringforaclientadmittedwithaCOPDexacerbation.Whichfinding wouldrequireimmediateattentionfromthenurse?(Selectallthatapply) 1. Decreasedexpiratorypeakflowmeterreadings. 2. Evidenceoffingerclubbing 3. Increasedanteriorposteriorchest diameter4.Changeinsputumcolor andamount 5.Presenceoffeverandtachycardia. 4. Usingthebeclomethasoneinhaler,waiting5minutes,thentakingthealbuterolinhaler. 5. Placingtheinhalerdirectlytothelipswhenadministeringthedosewithoutaspacer.