A client admitted to a healthcare facility is found to be a vegan. What food can the nurse
include in the diet of such a client?
A) Custard
B) Cornflakes
C) Milk shake
D) Yogurt
B
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While examining a patient's peripheral intravenous (IV) site, you observe a red streak along the length of the vein. On palpation, the vein feels hard and cordlike. What is your best action?
a. Check for a blood return and notify the prescriber. b. Discontinue the infusion and remove the IV needle. c. Apply ice packs to the vein and continue the infusion. d. Change the IV fluid to normal saline and redress the site.
The nurse observes two clients arguing in the day room. One client runs into the corner and huddles while the other follows and continues with verbal abuse. The nurse's most appropriate action would be to:
A) Authoritatively step between the two clients. B) Comfort the client huddled in the corner. C) Directly address both clients and ask what's going on. D) Engage the attention of the client who is still yelling and ask what is happening.
Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability. After the shock phase, a period of adjustment usually follows. This is often characterized by:
a. Denial. c. Social reintegration. b. Guilt and anger. d. Acceptance of child's limitations.
It has been determined that each one of the following patients is at risk for falling. Which one requires the nurse's priority for ambulation?
a. A 16-year-old with a sprained ankle being discharged from the emergency department b. A 54-year-old who has taken the initial dose of an antihypertensive medication c. A 45-year-old postoperative patient up for the first time since knee surgery d. An 81-year-old who is asthmatic and had a hip replaced 18 months ago