1. A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate
this risk, which of the following dietary alterations
... [Show More] should the nurse recommend?
- Add cabbage to the diet
2. A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
- Visual spatial deficits
- Left hemianopsia
- One-sided neglect
3. A nurse is caring for a client who has viral pneumonia. The client’s pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min.
- Nonrebreather mask
4. A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client
has dyspnea with a productive cough and is using accessory muscles to breathe.
- Place the client in high- Fowler’s position
5. A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection?
- Avoid placing plants or flowers in the client’s room
6. An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration?
- Urine specific gravity 1.045
7. A nurse in an emergency department is reviewing the provider’s prescription for a client
who sustained a rattlesnake bite to the lower leg.
- Administer an opioid analgesic to the client
8. A nurse is assessing a client who has had a suspected stroke. The nurse should place the
priority on which of the following findings?
- Dysphagia
9. A nurse is teaching a young adult client how to perform testicular self-examination.
Which of the following instructions should the nurse include?
- Roll each testicle between the thumb and fingers
10. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching?
- I should take this medication with a meal
11. A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching?
- “I will wear clean graduated compression stockings every day.”
12. A nurse is assessing a client who has acute cholecystitis. Which of the following findings
is the nurse’s priority?
- Tachycardia
13. A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings?
- Current medications
14. A nurse is caring for a group of clients. The nurse should plan to make a referral to
physical therapy for which of the following clients?
- A client who is receiving preoperative teaching for a right knee arthroplasty
15. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which for the following
laboratory findings should the nurse expect?
- BUN 32 mg/dL
16. A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching?
- “You should cut the opening of the skin barrier one-eight inch wider than the stoma”
17. A nurse is providing teaching for a female client who has recurrent urinary tract
infections. Which of the following information should the nurse include in the teaching?
- Void before and after intercourse.
18. A nurse and an assistive personnel (AP) are caring for a client who has bacterial
meningitis. The nurse should give the AP which of the following instructions?
- Wear a mask
19. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take?
- Place a pillow between the client’s legs.
20. A nurse in a provider’s office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should identify that which of the
following client medications interacts with feverfew?
- Naproxen [Show Less]