A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the
... [Show More] operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - Correct Answer Discuss small, low fat, low sugar meal preparation techniques.
A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention should the nurse instruct the UAP to implement? - Correct Answer Orient the client to the location of the food on the plate.
A client is admitted for an exacerbation of heart failure (HF) and is being treated with diuretics for fluid volume excess. In planning nursing care, which interventions should the nurse include? (Select all that apply.) - Correct Answer • Observe for evidence of hypokalemia
• Teach the client how to restrict dietary sodium
• Weight the client daily, in the morning
While changing the dressing of a client who is immobile, the nurse observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Given there is a positive methicillin-resistant Staphylococcus aureus (MRSA), which is the most important action for the nurse to take? - Correct Answer Administer prescribed antibiotics.
A client who has asthma receives a new prescription for a corticosteroid inhaler. The client expresses concern about taking steroid medications. What information should the nurse provide the client about the use of this maintenance inhaler? - Correct Answer Systemic side effects are reduced when taken by inhalation
The healthcare provider prescribes a sedative for a client with severe hypothyroidism. The nurse plans to contact the provider to review the safety of the prescription for the client and consults first with the charge nurse. The charge nurse notes that the prescription is written legally and completely. How should the charge nurse respond? - Correct Answer Assume responsibility for discussing the concern with the provider.
In assessing a client twelve hours following transurethral resection of the prostate (TURP), the nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the continuous bladder irrigation is infusing slowly. Which action should the nurse implement? - Correct Answer Ensure that no dependent loops are present in the tubing. [Show Less]