Nursing Practice and the Provision of Care-Nurse Case Studies

• A nurse is assessing a client who has pneumonia. Which of the following finding is the priority for the nurse to report to the MD?

a. Change in vocal tone after drinking liquids

b. Nocturia with episodes of incontinence

c. Oral temp of 100.4 F degree

d. Weight loss 1.8 kg in a month

• A nurse is teaching a client about smoking cessation. Which of the following client statement should the nurse identify as an understanding of the teaching?

a. If i stop abruptly i can not use a nicotine replacement.

b. After 6 months, my risk of heart disease is the same as that of a nonsmoker

c. I will set a specific date to stop smoking

d. I will use high carbohydrate snacks as a substitute for cigarette.

A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose which of the lab values should the nurse evaluate

?

a. ABG

b. Total cholesterol

c. Thyroid hormones

d. Hemoglobin

A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? Blurred vision/ dry mouth

1. A nurse is a substance use unit spends an equal amount of time with each of his assigned clients, even though some of the clients have committed serious crimes. Which of the following ethical principles is the nurse demonstrating? Justice, autonomy, nonmalegicence, veracity

1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? Recreational therapist/social worker ?

1. An occupational health nurse at a group of health care clinics is planning activities to prevent and control the spread of communicable disease. The nurse should identify that which of the following activities is a secondary level of prevention? Tuberculosis screening or influenza immunizations

A nurse is providing teaching to the parent of a 6 month old infant who is teething and having difficulty sleeping. Which of the following instructions should the nurse include?

A. rub your child’s gums with an aspirin tablet before bedtime

B. place an amber teething necklace on your child before bedtime

C. administer acetaminophen drops to your child before bedtime

D. apply a teething product containing benzocaine to your child’s gums before bedtime