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? - ✔✔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? - ✔✔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.) - ✔✔
• 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? - ✔✔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? - ✔✔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? - ✔✔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 thecontinuous bladder irrigation is infusing slowly. Which action should the nurse implement? - ✔✔Ensure
that no dependent loops are present in the tubing.
Which information should the nurse include in the discharge teaching plan of a client with low back pain
who is taking cyclobenzaprine to control muscle spasms? - ✔✔Use cold and allergy medications only as
directed by a healthcare provider.
A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The
client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse
implement? (Select all that apply) - ✔✔
• Monitor stools for presence of blood
• Auscultate bowel sounds in all quadrants
• Review last partial thromboplastin time results.
Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease
(ESRD)? - ✔✔• Serum potassium, calcium, and phosphorus. [Show Less]