2. A client who is admitted to the care unit with syndrome of inappropriate antidiuretic
hormone (SIADH) has developed osmotic demyelination. Which
... [Show More] intervention should the
nurse implement first?
A) Patch one eye.
B) Evaluate swallow.
C) Reorient often.
D) Range of motion.
3. The nurse is preparing a client who had a below-the-knee (BKA) amputation for
discharge to home. Which recommendations should the nurse provide this client?
(Select all that apply)
A) Wash the stump with soap and water.
B) Avoid range of motion exercise.
C) Apply alcohol to the stump after bathing.
D) Inspect skin for redness.
E) Use a residual limb shrinker.
4. After 2 days treatment for dehydration, a child continues to vomit and have diarrhea.
Normal saline is infusing and the child’s urine output is 50ml/hour. During morning
assessment, the nurse determines that the child is lethargic and difficult to arouse.
Which should the nurse implemented?
A) Increase the IV fluid flow rate.
B) Review 24 hour intake and output.
C) Obtain arterial blood gases.
D) Perform a finger stick glucose test.
6. A male client with an antisocial personality disorder is admitted to an in patient mental
health unit for multiple substance dependency. When providing a history, the client
justifies to the nurse his use of illicit drugs. Based on this pattern of behavior, this
client’s history is most likely to include which finding?
A) Multiple convictions for misdemeanors and Class B felonies
B) Delusions of grandiosity and persecution.
C) Suicidal ideations and multiple attempts.
D) Photos and panic attacks when confronted by authority figures.
7. An older client is admitted for repair of a broken hip. To reduce the risk for infection
postoperative period., which nursing care intervention should the nurse include the
client’s plan of care? (Select all that apply)
A) Administer low molecular weight heparin as prescribed.
B) Teach client to use incentive spirometer every 2 hours while awake.
C) Remove urinary catheter as soon as possible and encourage voiding.
D) Maintain sequential compression devices while in bed.
E) Assess pain level and medicate PRN as prescribed. [Show Less]