1. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of
... [Show More] the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores
2. A nurse is preparing to administer lactated Ringer’s via continuous IV infusion at 200 mL/hr. The IV tubing has a drip factor of 10/drops/mL. How many gtts/min should the nurse set the IV pump to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
3. A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching?
“I should lie down when I take this medication.”
“I can keep my medication for 1 year before replacing it.”
c. “I should discontinue this medication if I develop a headache.”
d. “I can take up to five tablets in 15 minutes before seeking medical attention.”
4. A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?
a. “You should use an incentive spirometer every 8 hours.”
b. “You can cross your legs at the ankles when sitting down.”
c. “Clean the incision daily with hydrogen peroxide.”
Od. “Install a raised toilet seat in your bathroom.”
5. A nurse is planning care for a client following a cardiac catherization. Which of the following actions should the nurse take?
a. Limit the client’s fluid intake to 1 L per day.
b. Change the client’s dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
Od. Maintain he client’s affected extremity in extension.
6. A nurse is caring for a client who has a lower extremity fracture and prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change?
a. “I will need to have my partner take over shopping for groceries and cooking the meals for us.”
b. “I feel bad that I have to ask my partner to keep the house clean.”
c. “These crutches will make it impossible to care for my child.”
d. “It’s going to be difficult to tell my parents I can’t take them to their appointments anymore.”
7. 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.”
“Change the water in your drinking glass every 4 hours.” “Change your pet’s litter box daily.”
“Wash your toothbrush in the dishwasher once each month.”
8. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client’s urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
a. Nitroprusside
b. Epinephrine Furosemide Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is appropriate?
a. “Sucking on a lozenge may reduce the frequency of your cough.”
b. “Increasing your daily fluid intake may eliminate your cough.”
c. “Your cough may require that you stop or change your medication.”
d. “Your cough should go away in time.”
10. A nurse is taking an admission history from a client who reports Raynaud’s disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud’s?
a. Eating a strict vegetarian diet
b. Taking amlodipine for hypertension
c. Using a nicotine transdermal patch
d. A history of herpes zoster [Show Less]