A charge nurse is coordinating the evacuation of clients from a facility following a bomb threat. Which of the following actions should the nurse take when implementing the evacuation process? - Instruct clients who are able to ambulate to leave. A charge nurse on a pediatric unit receives the laboratory results for several clients. Which of the following results should the nurse report to the provider? - A client who has DKA and a blood glucose of 375 mg/dL. The initial goal of therapy for DKA is a blood glucose level below 240 mg/dL. To accomplish this, the client should receive regular insulin via continuous IV infusion, and the nurse should monitor the blood glucose level hourly. The nurse should report the client's result so that the provider can adjust the insulin dosage. A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy. Which of the following responses should the nurse make? - "The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common." This is an information-seeking question; therefore, the therapeutic response is an answer that provides the client with the information she requested. A client comes to the emergency department in severe respiratory distress following left-sided blunt chest trauma. The nurse finds that the client has absent breath sounds on the left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client? - Chest tube insertion The client's manifestations indicate pneumothorax due to blunt chest trauma. The nurse should prepare for the provider to insert a chest tube and connect it to a water-seal drainage system. A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? (Select all that apply.) - 1. Sit with your back supported 2. Keep your knees at hip level 3. Use ergonomically designed computer keyboard A community health nurse is performing client triage while participating in a disaster drill. The nurse should recommend that which of the following clients receives treatment first? - Hemothorax A community health nurse is planning care for four high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse plan to care for first? - A 4-day-old newborn who has an elevated bilirubin level and requires phototherap
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