Capstone Exam 3 2023 With 100% Correct Answers

The nurse is preparing to remove a peripheral IV from a client. Which nursing action is the priority with this procedure? A. checking for an intact catheter tip B. washing the hands and donning gloves C. charting the client's tolerance to the procedure D. removing catheter slowly using the dominant hand E. holding pressure on the site until hemostasis is achieved {Ans: B. washing the hands and donning gloves}The nurse is caring for a client who complains of a headache with a pain level of 5 on a scale of 1 to 10. Which PRN pain medication order is most appropriate for the nurse to administer? A. morphine 2 mg IV q6h PRN B. aspirin 325 mg PO q6h PRN C. acetaminophen 650 mg PO q6h PRN D. nitroglycerin 0.4 mg sublingually every 5 minutes, up to 3 doses over 15 minutes {Ans: C. acetaminophen 650 mg PO q6h PRN}The nurse is caring for a client who just had a bone marrow biopsy. The nurse understands that which statement is the nursing priority for this client? A. keeping the client NPO for 2 hours B. avoiding contact sports for 24 hours C. monitoring the client for excessive bleeding