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
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following findings should the nurse identify
as a contraindication to receiving this
alternative therapy?
Lymphedema
A nurse is preparing to administer lactated
Ringer's via continuos IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10
drops/mL. How many gtt/min should the
nurse set the IV ump to administer?
33
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
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A nurse is providing discharge teaching to
an older adult client following total hip
arthroplasty. Which of the following
instructions should the nurse include in the
teaching.
Install a raised toilet seat in your bathroom
A nurse is planning care for a client
following a cardiac catheterization. which of
the following actions should the nurse take.
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a
lower extremity fracture and a prescription
for crutches. which of the following client
statements indicates that the client is
adapting to their role change?
I will need to have my partner take over shopping for groceries and
cooking the meals for us
A nurse is providing 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?
Change your pet's litter box daily
a nurse is caring for a client who has a
contusion and reports thirst. The client's
urinary output was 4,000 ml over past 24 hr.
the nurse should anticipate a prescription
for which of the following IV medications?
Desmopressin
A nurse in a clinic receives a phone call
from a client who recently started therapy
with an ACE inhibitor and reports nagging
dry cough. Which of the following
responses by the
nurse is appropriate?
Sucking on a lozenge may reduce the frequency of your cough
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 parenteral trigger for
exacerbation of Raynaud's?
Using nicotine transdermal patch
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A nurse is caring for a client who
has a central venous device and
notes the tubing has become
disconnected. the client develops
dyspnea and tachycardia. Which of
the following actions should the
nurse take first?
...
A nurse is completing an assessment of an
older client and notes reddened areas over
the bony prominences, but the client's skin
is intact. which of the following interventions
should the nurse include in the plan of
care?
Support bony prominences with pillows
A home health nurse is making an
initial visit to a client who has
multiple sclerosis. Which of the
following actions is the priority for
the nurse to take?
...
A nurse in the emergency department is
assessing a client. which of the following
actions should the nurse take first? (click on
rhe "exhibit" button for additional
information about the client
Initiate airborne precautions
A nurse is reviewing the medical record of a
client to identify factors for colorectal
cancer. The nurse should identify which of
the following findings as increasing the
client's risk?
Historyof Crohn's disease
A nurse is caring for a client who is
scheduled for a mastectomy. The client tells
the nurse, "I'm not sure I want to have a
mastectomy." Which of the following
statements should the nurse make?
I can give you additional information about the procedure
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A nurse is preparing to administer a unit of
packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse
should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate traensfuntion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing discharge teaching to a
client following a modified left radical
mastectomy with breast expander. Which of
the following statements by the client
indicates an understanding of the teaching.
I should expect less than 25 ml of secretions per day in the drainage
devices
A critical care nurse is assessing a client
who has a severe head injury. In response to
painful stimuli, the client does not open her
eyes, displays decerebrate posturing and
makes incomprehensible sounds. which of
the following glasgow Coma scale scores
should the nurse assign the client?
5
A nurse is providing discharge teaching to a
client who has heart failure and instructs
him to limit sodium intake to 2 g per day.
Which of the following statements by the
client indicates an understanding of the
teaching?
I can have a frozen fruit juice bar for dessert
A nurse is preparing to perform ocular
irrigation for a client following a chemical
splash to the eye. Which of the following
actions should the nurse plan to take first?
instill 0.9% sodium chloride solution into the affected eye
A nurse is assessing a client following
extubation from a ventilator.for which of the
following findings should the nurse
intervene immediately?
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