What instruction should the nurse include in the discharge teaching plan of a client who had a cataract
extraction today? - ✔✔Light housekeeping is
... [Show More] permitted but avoid heavy lifting
A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first? - ✔✔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? - ✔✔palpate the
bladder above the symphysis pubis
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value
warrants the most immediate intervention by the nurse? - ✔✔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 red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process? - ✔✔explain specific reason for urgent notification
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse explain? - ✔✔It will be necessary to
continue prophylactic doses of IV or aerosol pentamine every month
A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse
implement next? - ✔✔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? - ✔✔ask the client in the healthcare provider has giving her any information
about the classification of her cancerA client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood
pressure drops from 150/90 to 80/30 Which action should the nurse take first? - ✔✔stop dialysis
treatment
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000 unit
in 5% dextrose injection 250ml. The prescription indicates the dosage should be increase 900 units/hr.
The nurse should program the infusion pump to deliver how many ml/hr? - ✔✔9
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD).
Which subjective data reported by the client supports this diagnosis? - ✔✔upper mid abdominal
gnawing and burning pain
The nurse is providing preoperative education for a jewish client schedule to receive a xenograft graft to
promote burn healing. Which information should the nurse provide this client? - ✔✔the xenograft is
taken from nonhuman sources [Show Less]