A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the
following manifestations
... [Show More] should the nurse expect?
1) Cool, clammy skin.
2) Hyperventilation
3) Increased blood pressure
4) Bradycardia
A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse
include in the teaching?
1) Avoid bending at the waist.
2) Remove the eye shield at bedtime.
3) Limit the use of laxatives if constipated.
4) Seeing flashes of light is an expected finding following extraction.
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and
reports nausea. Which of the following actions should the nurse take first?
1) Suggest that the client rests before eating the meal.
2) Request a dietary consult.
3) Check the client's vital signs.
4) Request an order for an antiemetic.
A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is
infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the
type of drainage found?
1) Sanguineous
2) Serous
3) Serosanguineous
4) Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications
which of the following actions should be reinforced during the teaching?
1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.
2) Place the client’s affected leg into the CPM machine with the machine in the flexed position.
3) Place the client into a high Fowler’s position when initiating the CPM exercises.
4) Align the joints of the CPM machine with the knee gatch in the client’s bed.
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all
that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
5) Bradycardia
A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin
stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first?
1) Take the client's temperature.
2) Place a dressing under the client's nose.
3) Notify the charge nurse.
4) Test the drainage for glucose. [Show Less]