1. A nurse is visiting a client who is receiving home health care, focusing on medication
and dietary instructions and management of heart failure. The
... [Show More] nurse should reinforce
which instruction?
A.) If you feel tired and short of breath, lie down flat and prop up your feet.
B.) Eating liver several times a week will help build up your strength.
C.) Your daily dose of furosemide should be taken first thing in the morning.
D.) The dose of enalapril will help prevent vasodilation from occurring. - ANS-Answer: C
2. A nurse planning care for a client who has undergone transurethral resection of the
prostate (TURP) remembers that the most common cause of postoperative pain is
which factor?
A.) Bladder spasms
B.) Bleeding within the bladder
C.) The location of the incision
D.) Tension on the Foley catheter - ANS-Answer: A
3. A nurse assessing the skin of a client who is immobile notes this change in
appearance of the skin in the sacral area:
The nurse documents this finding in which way?
A.) Stage I pressure ulcer
B.) Stage II pressure ulcer
C.) Stage III pressure ulcer
D.) Stage IV pressure ulcer - ANS-Answer: A
4. A nurse reinforces teaching given to a client with gastroesophageal reflux disease
(GERD) about measures to manage the disease. What does the nurse encourage the
client to do to obtain relief of the symptoms?
A.) Limit intake of coffee and tea.B.) Eat three large, well-balanced meals per day.
C.) Rest in a supine position for 30 minutes after each meal.
D.) Elevate the head of the bed at least 6 to 8 inches for sleep. - ANS-Answer: D
5. A nurse provides instructions to a client who is taking allopurinol for the treatment of
gout. Which statements by the client indicate an understanding of the medication?
A.) "I need to take the medication 1 hour before I eat."
B.) "I need to drink at least 8 glasses of fluid every day."
C. "I'll start taking a vitamin C supplement each morning." [Show Less]