The nurse is entering prescriptions for laboratory work in a client's electronic medical record (EMR) when the system locks up and does not restart. Which action should the nurse take first?
- A. Print the electronic medical record (EMR) from a backup server.
- B. Identify information as a late entry in the record.
- C. Wait for notification that the system has been rebooted.
- D. Notify the information services department of the situation.
Correct Answer: D
Rationale: Notifying IT resolves system issues promptly.
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The nurse receives a new prescription to administer oxygen at 3 L/minute via nasal cannula to maintain an oxygen saturation between 90 and 100% for a client. The nurse obtains an oxygen saturation reading of 85%, and after repositioning the oximeter on a different finger, obtains a second reading of 87%. Which action should the nurse take next?
- A. Place the client in a Trendelenburg position.
- B. Securely place the prongs of the cannula in the nostrils.
- C. Place the pulse oximeter on the client's earlobe.
- D. Document the second reading in the client's record.
Correct Answer: B
Rationale: Proper cannula placement ensures oxygen delivery.
An older adult client returns to the clinic for chronic pain management after taking morphine sulfate 25 mg PO every 12 hours. The client reports taking the medication only when the pain was too severe to sleep. Which action should the nurse implement?
- A. Teach the client alternative ways to manage chronic pain.
- B. Instruct the client to take the morphine sulfate every 12 hours as prescribed.
- C. Tell the client to continue taking the morphine sulfate with severe pain.
- D. Explain the risk of drug addiction from long-term pain medications.
Correct Answer: B
Rationale: Scheduled dosing maintains consistent pain control.
When performing blood pressure measurements to assess for orthostatic hypotension, which action should the nurse implement first?
- A. Record the client's pulse rate and rhythm.
- B. Assist the client to stand at the bedside.
- C. Apply the blood pressure cuff securely.
- D. Position the client supine for a few minutes.
Correct Answer: D
Rationale: Supine position provides baseline for orthostatic assessment.
The nurse is planning assignments for the staff on a medical-surgical unit. Which task should the nurse assign to the practical nurse (PN)?
- A. Complete an admission assessment.
- B. Access a central venous line.
- C. Reinforce discharge teaching.
- D. Initiate blood product infusions.
Correct Answer: C
Rationale: PNs can reinforce teaching within scope.
When conducting diet teaching for a client who is on a postoperative clear liquid diet, which foods should the nurse encourage the client to consume?
- A. Oatmeal, cream of wheat, pureed liquid.
- B. Pureed beans, liquid protein supplements, milkshake.
- C. Pureed carrots, creamed soup, ice cream.
- D. Carbonated drinks, gelatin, broth.
- E. Water, tea, ice chips.
Correct Answer: D,E
Rationale: Clear liquids are transparent and easily digested.
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