What instruction should the nurse include in the discharge teaching plan of a client who
had a cataract extraction today? - ANS-Light housekeeping is
... [Show More] permitted but avoid heavy
lifting.
A male adult comes to the urgent care clinic 5 days after being diagnosed with
influenza. He is short of breath, febrile, and coughing green colored sputum. Which
intervention should the nurse implement first? - ANS-Obtain a sputum sample for
culture.
An elder male client tells the nurse that he is loosing sleep because he has to get up
several times at night to go to the bathroom that he has trouble starting his urinary
stream and that he does not feel like his bladder is ever completely empty. Which
intervention should the nurse implement? - ANS-Palpate the bladder above the
symphysis pubis.
An adult client is admitted with diabetic keto acidosis (DKA) and a urinary tract infection
(UTI). Prescriptions for IV ABX and insulin infusion are initiated. Which serum laboratory
value warrants the most immediate intervention by the nurse? - ANS-Potassium of 2.5
mEq/L
A client with sickle cell anemia develops a fever during the last hour of administration of
a unit of packed RBC. When notifying the HCP what information should the nurse
provide first using the SBAR communication process? - ANS-explain specific reason for
urgent notification.
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to
AIDS. While hospitalized he receives IV pentamidine isethionate therapy. In preparing
this client for discharge, what important aspect regarding his medication therapy should
the nurse explain? - ANS-It will be necessary to continue prophylactic doses of IV or
aerosol pentane every month.
A client subjective data includes dysuria, urgency, and urinary frequency. Which action
should the nurse implement next? - ANS-Collect a clean catch specimen.
A client tells the nurse that her biopsy results indicate that the cancer cells are well
differentiated. How should the nurse respond? - ANS-ask the client if the HCP has given
her any information about the classification of her cancer.
A client with CKD is treated on hemodialysis. During the first treatment, clients blood
pressure drops form 150/90 to 80/30. Which action should the nurse take first? - ANSstop dialysis treatment [Show Less]