Question

Please Answer the Following Nursing Questions

1)   A nurse is preparing to administer eye drops to a client. Which of the following nursing actions is appropriate?
a.   Have the client tilt her head slightly so that the medication enters the nasolacrimal duct.
b.   Gently wash away any exudate along the eyelid margin from the outside towards the inner canthus.
c.   Use aseptic technique and drop the medication into the conjunctival sac.
d.   Drop prescribed number of drops onto the cornea.

2)   A nurse is planning care for a child who has increased intracranial pressure with a decrease in level of consciousness. Which of the following interventions should the nurse include in the plan of care?
a.   Perform active range-of-motion exercises
b.   Maintain the head at a midline position
c.   Suction the airway frequently
d.   Perform neurological checks every 4 hr.

3)   A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions should the nurse take?
a.   Rupture the amniotic sac
b.   Medicate the client for pain
c.   Prepare the client for a cesarean section
d.   Perform a vaginal exam.

4)   A nurse is planning care for a client who has a gambling disorder. Which of the following instructions should the nurse provide to the client?
a.   Participate in a 12-step program.
b.   Plan to take clozapine for the next 6 months
c.   Use systematic desensitization to decrease gambling behaviors
d.   Learn to use projection to adapt to stressful experiences

5)   A nurse notices smoke coming from a client’s room and discovers a fire in the wastebasket. After moving the client to safety, which of the following is the priority action?
a.   Notify the facility operator
b.   Close the fire doors on the unit
c.   Turn off oxygen sources
d.   Put out the fire with the appropriate extinguisher

6)   A nurse is monitoring a client during an IV urography procedure. Which of the following client reports is the priority finding?
a.   Metallic taste in mouth
b.   Abdominal fullness
c.   Feeling flush and warm
d.   Swollen lips

7)   A nurse is assessing a client who has a complete heart block and is receiving transcutaneous pacing. Which of the following findings indicates to the nurse that the treatment is effective?
a.   Heart rate greater than 60/min
b.   Pedal pulses 2+
c.   Pacer spikes after the QRS complex
d.   Distended jugular veins

8)   A nurse is caring for a client who experienced a stroke and has dysphagia. Which of the following findings should indicate to the nurse the client is at risk for aspiration?
a.   The client tucks his chin while swallowing food.
b.   The client sits upright in bed during meals
c.   The client pockets food on one side of his mouth.
d.   The client has a cough reflex

Answer 1

1-c)Use aseptic technique and drop the medication into the conjunctival sac. But don't allow to fall onto the cornea.

2- d) Nurse should Perform neurological checks every 4 hr for a child with increased ICP.

3-C)Client with placenta previa and 36 weeks gesatation- Nurse has to Prepare the client for a cesarean section

5) d) Put out the fire with the appropriate extinguisher and b) Close the fire doors on the unit

6)Metallic taste in mouth and feeling flush and warm,swollen lips are common symptoms will go after some times.

b) abdominal fullness will be the main finding.

7.Pacer spikes after the QRS complex

8. The client has a cough reflex