1) A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which of the following findings should the nurse
... [Show More] expect?
- Nonresponsive Commands
2) A nurse is collecting data from a client who has coronary artery disease. Which of the following manifestations should the nurse identify as an indication that the client has angina
- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest
3) A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?
- A client who has diabetes mellitus with diaphoretic
4) A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which of the following instructions should the nurse include?
- Examine your testicles after a warm shower
5) A nurse is collecting data from a client who has tuberculosis and started combination therapy 2months ago. Which of the following diagnostic results indicates that the client is adhering to the medication regimen.
- A negative sputum culture
6) A nurse is collecting data from a client who has bacterial meningitis. Which of the following findings should the nurse expect?
- Severe Headache
7) A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements by the client indicated an understanding of the teaching
- I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize
8) A nurse is reinforcing teaching with a male client who has right sided hemiparesis about preforming ADL’s. Which of the following instructions should the nurse include in the teaching
- Comb your hair with the unaffected arm
9) A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of dyspnea. Which of the following instructions should the nurse include?
- Used the pursed lip breathing technique
10) A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity. Which of the following instructions should the nurse include in the teaching
- Apply elastic support hoes before getting out of bed in the morning
11) A nurse is preparing to transfer a client from a bed to chair following a total knee arthroplasty. The client has a prescription for partial weight bearing. Which of the following actions should the nurse take
- Flex at the hip and knees before transferring the client
12) A nurse is reinforcing teaching with a client who is scheduled for a thoracentesis to remove pleural fluid. Which of the following information should the nurse include in the teaching
- You will lean forward on the over bed table for this procedure
13) A nurse is reinforcing teaching with a newly licensed nurse about promoting sleep in older adult clients who have Alzheimer’s disease. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching
- I will provide the client with a light snack of cheese and crackers at bed time
14) A nurse is reinforcing teaching with a client who is in early stage stages of COPD and wants to use nicotine chewing gum to help him stop smoking. Which of the following recommendations should the nurse make
- Do not eat or drink anything 15min before or after chewing the gum
15) A nurse is reinforcing teaching about foot care with a client who has a new diagnosis of diabetes mellitus, which of the following statements by the client indicates an understanding of the instructions
- I’ll prop my feet up while im watching television
16) A nurse is contributing to the plan of care for a client who has a neurogenic bladder following a spinal cord injury. Which of the following interventions should the nurse include in the plan to develop bladder control
- Stroke the inner thigh
17) A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect
- Joint pain
18) A nurse is reinforcing dietary teaching with a client who has a new diagnosis of GERD about foods to avoid because they worsen the manifestations of GERD. Which of the following foods should the nurse instruct the clients to avoid
- Peppermint
19) A nurse is planning care for a client who is receiving bolus enteral feedings and is prescribed digoxin and furosemide. Which of the following actions should the nurse take
- Flush the tube with water before and after each medication
20) A nurse is reinforcing teaching about the use of an Oxygen concentrator in the home for a client who has end stage emphysema. Which of the following instructions should the nurse include to promote client safety
- Maintain an electrical back up system
21) A nurse is caring for a client who has type 1 diabetes mellitus and reports hunger and weakness. The clients blood glucose is 50gm/dL. Which of the following actions should the nurse take
-Have the client drink a glass of milk
22) A nurse is assisting a client who has hypertension in making healthy dietary selections regarding sodium intake. Which of the following foods should the nurse instruct the client to avoid?
- Pretzels
23) A nurse is collecting data from a client who has a new diagnosis of pheochromocytoma. Which of the following findings should the nurse expect
- Hypertension
24) A nurse is reinforcing teaching with a client who has gastric bleeding and is to have a gastric lavage by closed system irrigation. Which of the following statements should the nurse include?
- You should expect to be positioned in a semi-upright position
25) A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect
- Peripheral Edema
- Hepatomegaly
- Abdominal Distension
26) A nurse is reinforcing teaching with a client who is experiencing neutropenia as a result of chemotherapy. Which of the following information should the nurse include
- Bathe with antimicrobial soap daily
- Take temperature daily
- Avoid gardening
27) A nurse is reinforcing teaching about home care with the caregiver of a client who is in the early stages of Alzheimer’s disease. Which of the following information should the nurse include
- Put labels on the kitchen cabinets and drawers
28) A nurse is collecting data from a nurse who has sodium level of 128mEq/L. Which of the following findings should the nurse expect
- Mental Confusion
29) A nurse is reinforcing teaching with a client who has prescription for clopidogrel following a thrombotic stroke. Which of the following information should the nurse include in the teaching
- The medication prevents Clot formation
30) A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and is ready to resume eating solid foods. Which of the following food items should the nurse recommend?
- Yogurt
31) A nurse is reinforcing teaching about foods high in calcium with a client who has hypocalcemia. Which of the following foods should the nurse recommend as containing the most calcium
- 3oz canned salmon
32) A nurse is reinforcing teaching with the caregiver of a client who has a visual impairment due to macular degeneration. Which of the following comments by the client’s caregiver indicates an understanding of the teaching
- I will close the blinds to manage glare [Show Less]