• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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
• 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 [Show Less]