CMS NR341 (Complex Adult Health) – Questions And Answers
A nurse is caring for a client who had a total hip arthroplasty. Which of the following
... [Show More] actions should the nurse take to prevent hip dislocation? Correct Answer: Place two bed pillows between the legs when in bed.
A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy? Correct Answer: a. Controlling hypertension
A nurse in a long-term care facility is caring for a bedridden client. Which of the following findings should alert the nurse to a potential complication of the client's immobility? Correct Answer: Confusion
A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: "I will check my urine for ketones if my blood glucose is greater than 240 mg/dL."
1. A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?
I should withhold my metoprolol if my heart rate is above 100 bpm Correct Answer: I should lie down before taking dose of isosorbide dinitrate
1. A nurse is teaching a client who has Graves' disease about recognizing the manifestation of thyroid storm. Which of the following findings should the nurse include in the teaching? Correct Answer: Increased temperature
1. A nurse is caring for a client who is receiving total parenteral nutrition through central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take? Correct Answer: Switch the infusion to a 10% dextrose solution.
A nurse is providing instructions about foot care for a client who has peripheral disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? Correct Answer: I rest in my recliner with my feet elevated for about an hour every afternoon
1. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? Correct Answer: a. I will expect my stools to be loose
11. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Correct Answer: a. Lymphedema
1. A nurse is caring for a client who is 2 days postoperative following below the knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity.
Which of the following is an appropriate response by the nurse? Correct Answer: The elastic bandage will prevent a postoperative wound infection
1. 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? Correct Answer: Insert a large bore IV catheter
1. 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? Correct Answer: Wash your perineal area two times each day with antimicrobial soap
A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the nurse's priority? Correct Answer: Hypotension [Show Less]