2. A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of
the following actions should the nurse include in the
... [Show More] plan of care?
a. Place a plate guard on the client’s meal tray
b. Remind the client to use a cane on his left side while ambulating
c. Provide the client with a short-handled reacher
d. Position the bedside table on the client’s left side
3. Missing
4. A nurse is providing discharge teaching to a client who has an impaired immune system due
to chemotherapy. Which of the following information should the nurse include in the teaching?
a. Wash your perineal area two times each day with antimicrobial soap
b. Change your pet’s litter box daily
c. Wash your toothbrush in the dishwasher once each month
d. Change the water in your drinking glass every 4 hours
5. A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her
left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of
the following actions should the nurse take in managing the client’s PICC line?
a. Access the catheter using a non-coring needle
b. Flush the catheter with a 0.9% sodium chloride solution after each use
c. Change the transparent membrane dressing dailyd. Maintain a continuous IV infusion through the PICC line
6. A nurse is assessing a client following a kidney biopsy. Which of the following findings should
the nurse identify as an indication that the client is experiencing internal bleeding?
a. Flank pain
b. Polyuria
c. Bradycardia
d. Increasing blood pressure
7. A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority
for the nurse to report?
a. Clay-colored stools
b. Platelets 70,000/mm^3
c. Distended abdomen
d. Alkaline phosphatase 125 units/L
8. A nurse is caring for a client who has diabetes mellitus. The client’s ABGs are pH 7.14, PaO2
90 mmHg, PaCO2 35 mmHg, and HCO3 4 mEq/L. The nurse should identify that the client has
which of the following acid-base imbalances?
a. Respiratory alkalosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Metabolic acidosis
9. A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following
instructions should the nurse include?
a. Wash your feet twice per day with antibacterial soap and hot waterb. Wear cotton rather than nylon socks
c. Use a heating pad to keep your feet warm at night
d. Wear loose-fitting slippers around the house
10. A nurse is caring for a client who has active tuberculosis. Which of the following
interventions should the nurse include in the plan of care?
a. Initiate droplet precautions
b. Wear a high-efficiency particulate air mask
c. Obtain daily sputum specimens
d. Perform chest percussion twice daily [Show Less]