A nurse in a provider’s office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which
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the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?
1) Apply topical antifungal agents.
2) Apply fresh ice packs every 4 hr.
3) Wash daily with an antibacterial soap.
4) Keep draining lesions uncovered to air dry.
A nurse is reinforcing teaching with a client who is postoperative after having
an ileostomy established. Which of the following instructions should the nurse
include in the teaching?
1) Empty the pouch immediately after meals.
2) Change the entire appliance once a day.
3) Limit fluid intake.
4) Avoid medications in capsule or enteric form.
A nurse is caring for a client with severe burns to both lower extremities. The
client is scheduled for an escharotomy and wants to know what the procedure
involves. Which of the following statements is appropriate for the nurse to
make?
1) "An escharotomy surgically removes dead tissue."
2) "A cannula will be inserted into the bone to infuse fluids and
antibiotics."
3) "A piece of skin will be removed and grafted over the burned
area."
4) "Large incisions will be made in the burned tissue to improve
circulation."
A nurse is collecting data from a client who has a possible
cataract. Which of the following manifestations should the nurse
expect the client to report?
1) Decreased color perception
2) Loss of peripheral vision
3) Bright flashes of light
4) Eyestrain
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A nurse is contributing to the plan of care for a client who has an intestinal
obstruction and is receiving continuous gastrointestinal decompression using
a nasogastric tube. Which of the following interventions should the nurse
include in the plan of care?
1) Measure abdominal girth daily.
2) Use sterile water to irrigate the nasogastric tube..
3) Maintain the client in Fowler’s position.
4) Moisten the client’s lips with lemon-glycerin swabs.
A nurse is caring for a client who has Cushing's syndrome. Which of the
following clinical manifestations should the nurse expect to observe? (Select all
that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
4) Tremors
5) Obese extremities
A nurse is caring for a client who is in the oliguric phase of acute kidney
injury. Which of the following actions should the nurse take?
1) Provide a diet high in protein.
2) Provide ibuprofen for retroperitoneal discomfort.
3) Monitor intake and output hourly
4) Encourage the client to consume at least 2 L of fluid daily.
A nurse is reinforcing teaching about an esophagogastroduodenoscopy
with a client who has upper gastric pain. Which of the following
statements should the nurse include in the teaching?
1) "A flexible tube is introduced through the nose during the
procedure."
2) "During the procedure you are in a sitting position."
3) "You will remain NPO for 8 hours before the procedure."
4) "You will be awake while the procedure is performed."
A nurse is caring for a client who is difficult to arouse and very sleepy for
several hours following a generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when documenting this finding
in the medical record?
1) Aura phase
2) Presence of automatisms
3) Postictal phase
4) Presence of absence seizures [Show Less]