Question

Please answer questions below

1. A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include is important to support the client’s nutritional requirements?

1. Schedule meals at 6hr
2. Keep a calories amount for foods and beverages
3. Amount of protein, high carbohydrates diet
4. Maintain the calories intake as 1,500 per day

2.  A sure at a mental health unit is planning room assignments for four clients. Which of the following client should the nurse assign to a room near the nurse station

1. A client who has bipolar disorder and impaired social interactions
2. A client who has a source symptom disorder and reports chronic pain
3. A client who has a depressive disorder and reports feeling hopeless
4. A client who has an anxiety disorder and is experiencing moderate anxiety

3. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following information resources should the nurse provide to the client?

4. A nurse is caring for a 1 day old newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?

1. Apply lotion to the newborn every 4 hr
2. Ensure that the newborn wears a diaper
3. Give the infant 30 ml( 1oz) or glucose water every 2 hr
4. Keep the infant’s head covered with a cap

5.. A charge nurse on a medical surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN?

1. A client who is post following a bowel resection with an NG tube set to continuous suction
2. A client who orientation a conversation and has unequal pupils
3. A client who fractured a fetter yesterday and is experiencing shortness of breath
4. A client who has an high of 6.3gdl and a prescription for packed of RBCs

6.  A sure at a mental health unit is planning room assignments for four clients. Which of the following client should the nurse assign to a room near the nurse station

1. A client who has bipolar disorder and impaired social interactions
2. A client who has a source symptom disorder and reports chronic pain
3. A client who has a depressive disorder and reports feeling hopeless
4. A client who has an anxiety disorder and is experiencing moderate anxiety

7.. A nurse is caring for a client who has increased intracranial pressure following a traumatic brain injury. Which of the following actions should the nurse take? (select all that apply)

1. Encourage the client to cough and deep breathe
2. Provide a quiet environment for the client
3. Obtain client vital signs every 8 hr
4. Maintain the head of the bed at 30 degree angle
5. Administer stool softeners to the client

8. A nurse is providing discharge instructions about newborn safety to a client wo is 2 days postpartum. Which of the following instructions should the nurse includes?

1. Change smoke detector batteries every other year
2. Place a plastic waterproof sheet over the crib bedding
3. Lay the baby on his stomach to nap during the daytime
4. Use a car seat when traveling by airplane

9. A nurse has identified tasks to delegate to a group of assistive personal (AP) after receiving change-off-shift reports. Identify the sequence of step the nurse should follow when delegating tasks to the APs. Placing then in the selected order of the following

Review the skill level and qualification of each AP

Communities appropriate tasks to the APs with specific expectations

10. A home health nurse is preparing to make a initial visit to a family following a referral from a local provider. Identify the sequence of step the nurse should take when conducting a home visit. Placing them in the order of performance. Use all steps

1. Discus plans for future visits with the family
2. Clarify the reason for the referral with the provider’s office
3. Record information about the home visit according to agency policy
4. Identify family needs and interventions using the nursing process
5. Contact the family to determine availability and readness to make an appointment

Monitor progress of tasks competitor with each AP

Educate the APs performance of each tasks

Answer 1

1. A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include is important to support the client’s nutritional requirements?

Amount of protein, high carbohydrates diet

2. A sure at a mental health unit is planning room assignments for four clients. Which of the following client should the nurse assign to a room near the nurse station

A client who has a source symptom disorder and reports chronic pain

3. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following information resources should the nurse provide to the client

• Dietary restrictions
• drug related counselling
• need of routine blood glucose analysis
• prevention of cardiovascular diseases

4. A nurse is caring for a 1 day old newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?

Keep the infant’s head covered with a cap

5.. A charge nurse on a medical surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN?

A client who is post following a bowel resection with an NG tube set to continuous suction

6.  A sure at a mental health unit is planning room assignments for four clients. Which of the following client should the nurse assign to a room near the nurse station

A client who has a source symptom disorder and reports chronic pain

7.. A nurse is caring for a client who has increased intracranial pressure following a traumatic brain injury. Which of the following actions should the nurse take? (select all that apply)

• Provide a quiet environment for the client
• Obtain client vital signs every 8 hr
• Maintain the head of the bed at 30 degree angle
• Administer stool softeners to the client

8. A nurse is providing discharge instructions about newborn safety to a client wo is 2 days postpartum. Which of the following instructions should the nurse includes?

• Change smoke detector batteries every other year
• Place a plastic waterproof sheet over the crib bedding
• Use a car seat when traveling by airplane