CLIENT EDUCATION
●● Avoid UV and prolonged sun exposure. Use sunscreen when outside and exposed to sunlight. ●● Use mild protein
shampoo and
... [Show More] avoid harsh hair treatments.
●● Use steroid creams for skin rash.
●● Report peripheral and periorbital edema promptly.
●● Report evidence of infection related to immunosuppression.
●● Avoid crowds and individuals who are sick, because illness can precipitate an exacerbation.
●● Educate client of childbearing age regarding risks of pregnancy with lupus and treatment medications
29. A nurse is reviewing the laboratory results of a client who has COPD and severe dyspnea. Which of the
following ABG values should the nurse expect?
a. PaCO2 50 mmHg
b. pH 7.4
c. PaO2 95 mmHg
d. HCO3 20 mEq/L
30. A nurse is caring for a client who has atrial fibrillation. Which of the following should the nurse expect to
administer?
a. Dobutamine
b. Lidocaine
c. Atropine
d. Amiodarone – ACLS Class. Pg. 171
31. A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the
nurse’s priority?
a. Bladder distention
b. Weakness to lower extremities
c. Hypotension – pg. 626
d. Hypoactive bowel soundsA nurse is planning care for a client who has chest drainage system set to low suction following a
thoracotomy. Which of the following nursing actions is appropriate to include in the plan of care?
a. Check for bubbling in the water seal chamber – pg.104
b. Empty the collection
c. Keep the water seal chamber at chest level
d. Loop excess tubing below the chest wall
Continuous bubbling in the water seal chamber indicates an air leak in the system
33. A nurse is caring for an older adult client who is prescribed packed RBCs. Which of the following actions
is appropriate for the nurse to take?
a. Obtain vital signs every hour during transfusion
b. Administer the transfusion over a 4-hr period
c. Infuse lactated Ringer’s solution while transfusing the blood product
d. Use a 24-gauge needle for the transfusion
34. A nurse in the intensive care unit is caring for a client who has the following ABG results: pH 7.30; HCO3
19 mEq/L, PaCO2 with the expected reference range.
a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis
35. 68. A nurse is providing discharge 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? a. Change
the pet’s litter box daily
b. Change the water in your drinking glass every 4 hours
c. Wash your toothbrush in the dishwasher once each month
d. Wash your perineal area two times each day with antimicrobial soap – pg.90
36. A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the
following actions should the nurse take first?
a. Administer IV therapy
b. Insert a large bore IV catheter
c. Monitor urine output
d. Obtain a blood specimen for type and crossmatch [Show Less]