A nurse is providing teaching to a client who has a new prescription for psyllium. Which
of the following information should the nurse include in the
... [Show More] teaching? - CORRECT
ANSWER Drink 240 mL (8 oz) of water after administration
A nurse is caring for a client who has DKA. Which of the following findings should
indicate to the nurse that the client's condition is improving? - CORRECT ANSWER
Glucose 272 mg/dL
A nurse is admitting a client who has active TB. Which of the following types of
transmission precautions should the nurse initiate? - CORRECT ANSWER Airborne
A nurse is providing teaching to a client who has asthma about the use of a metereddose inhaler. The nurse should identify that which of the following client actions
indicates an understanding of the teaching? - CORRECT ANSWER Holding breath for
10 secs after inhaling
A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia? - CORRECT ANSWER image of a smooth red tongue
A nurse on a medsurg unit is reviewing the medical record of an older adult client who is
receiving IV fluid therapy. Which of the following client information should indicate to the
nurse that the client requires re-evaluation of the IV therapy prescription? - CORRECT
ANSWER BUN
A nurse is assessing a client following the completion of hemodialysis. Which of the
following findings is the nurse's priority to report to the provider? - CORRECT ANSWER
Restlessness
A nurse is receiving report on a client who is postop following an open repair of Zenker's
diverticulum. The nurse should anticipate the surgical incision to be in which of the
following locations? - CORRECT ANSWER A
A nurse is teaching a group of newly licensed nurses about pain management for older
adult clients. Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching? - CORRECT ANSWER Ibuprofen can cause
gastrointestinal bleeding in older adult clients
A nurse is planning a health promotional presentation for a group of African American
clients at a community center. Which of the following disorders presents the greatest
risk to this group? - CORRECT ANSWER Hypertension
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5mL. how many mL should the nurse administer? -
CORRECT ANSWER 24 mL
A nurse is checking the ECG rhythm strip for a client who has temporary pacemaker.
The nurse notes a pacemaker artifact followed by a QRS complex. Which of the
following actions should the nurse take? - CORRECT ANSWER Document that
depolarization has occurred
A nurse is providing discharge instructions to a client who has active TB. Which of the
following information should the nurse include in the instructions? - CORRECT
ANSWER Sputum specimens are necessary every 2 to 4 weeks until there are 3
negative cultures
A nurse is providing preop teaching for a client who is scheduled for a mastectomy.
Which of the following statements should the nurse make? - CORRECT ANSWER I will
refer you to community resources that can provide support
A nurse is assessing a client who is postop following a TURP and notes clots in the
clients indwelling urinary catheter and a decrease in urinary output. Which of the
following actions should the nurse take? - CORRECT ANSWER Irrigate the indwelling
urinary catheter
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - CORRECT ANSWER Hair loss on the lower legs
A nurse is planning discharge teaching for a client who has an external fixation device
for a fracture of the lower extremity. Which of the following instructions should the nurse
include in the plan of care? - CORRECT ANSWER Use crutches with rubber tips
A nurse is reviewing the lab results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication? - CORRECT ANSWER WBC
count 2,000/mm
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? - CORRECT ANSWER constipation
A nurse is caring for a client who is receiving TPN and is NPO. When reviewing the
chart, the nurse notes the following prescription: capillary blood glucose AC and HS.
Which of the following acions should the nurse take? - CORRECT ANSWER Contact
the provider to clarify the prescription
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the
following nonpharmacological interventions should the nurse suggest to the client to
reduce pain? - CORRECT ANSWER Alternate application of heat and cold to the
affected joints
A nurse is caring for a client who is 8 hr postop following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the following actions should the nurse
take first? - CORRECT ANSWER Scan the bladder with a portable ultrasound
A nurse is providing postop teaching for a client who had a total knee arthroplasty.
Which if the following instruction should the nurse include? - CORRECT ANSWER Flex
the foot every hour when awake
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct
the client that which of the following medications can increase their risk for developing
osteoporosis? - CORRECT ANSWER Prednisone
A nurse is planning care for a client who is having a modified radical mastectomy of the
right breast. Which of the following interventions should the nurse include in the plan of
care? - CORRECT ANSWER Instruct the client that the drain will be removed when
there is 25 mL of output or less over a 24-hour period
A nurse is assessing a client's hydration status. Which of the following findings indicates
fluid volume overload? - CORRECT ANSWER distended neck veins
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.
To reduce the risk of falls when ambulating, the nurse should provide which of the
following instructions to the client? - CORRECT ANSWER Scan the environment by
turning your head from side to side
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following lab values is a manifestation of osteomyelitis and should be reported to the
provider? - CORRECT ANSWER Sedimentation rate
A nurse is caring for a client who has a positive culture for MRSA. Which of the
following actions should the nurse take? - CORRECT ANSWER Bathe the client using
chlorhexidine solution
A nurse is assessing a client who has diabetes insipidus. Which of the following findings
should the nurse expect? - CORRECT ANSWER Low urine specific gravity
A nurse is assessing a client who has advanced lung cancer and is receiving palliative
care. The client has just undergone thoracentesis. The nurse should expect a reduction
in which of the following common manifestations of advanced cancer? - CORRECT
ANSWER dyspnea [Show Less]