A nurse is caring for a client who has a double-lumen NG
tube set to low continuous suction as a treatment for small
bowel obstruction. The client
... [Show More] reports nausea. Which of the
following actions should the nurse take?
a.) Place the client in the lateral Sims' position.
b.) Set the pressure gauge on the suction apparatus at 140
mmHg.
c.) Verify the patency of the tube.
d.) Clamp the anti reflux valve of the tube. -
...ANSWER...Answer: c. Verify the patency of the tube.
A nurse is reinforcing teaching with a female client about
expected body changes during menopause. Which of the
following statements by the client indicates an
understanding of the teaching?
a.) The use of herbal supplements will decrease vaginal
bleeding.
b.) "I should expect to have an increased risk for breast
cancer".
c.) "I will need hormone replacement therapy for the rest of
my life".
d.) "I should use a vaginal douche to prevent dryness". -
...ANSWER...Answer: b. "I should expect to have an
increased risk for breast cancer".
A nurse is caring for a client who has diabetes mellitus.
Which of the following laboratory results should the nurse
report to the provider?
a.) Urine negative for bilirubin.
b.) Fasting blood glucose 70 mg/dL.
c.) Urine positive for ketones.
d.) Glycosylated hemoglobin 5.2%. - ...ANSWER...Answer:
c. Urine positive for ketones.
A nurse is reinforcing teaching with a client who is taking
enoxaparin. Which of the following statements by the client
indicates an understanding of the teaching?
a.) "I will use an electric razor for shaving".
b.) "I will use ibuprofen when I have a headache".
c.) "I will massage the site after each injection".
d.) "I will avoid the use of stool softeners". -
...ANSWER...Answer: a. "I will avoid the use of an electric
razor for shaving".
A nurse is reinforcing teaching with a client who has
diabetes mellitus about reducing the risk for stroke. Which
of the following statements by the client indicates an
understanding of the teaching?
a.) "My risk for a stroke increases if my HbA1c level is 6
percent or less".
b.) "My provider might prescribe a glucocorticoid regimen
to decrease my risk for stroke".
c.) "Having a total cholesterol level below 200 mg/dL
increases my risk for stroke".
d.) "I can decrease my risk for stroke by losing excess
weight". - ...ANSWER...Answer: d. "I can decrease my risk
for stroke by losing excess weight".
A nurse is preparing to transfer a client form a bed to a
stretcher. Which of the following actions should the nurse
take?
a.) Shift weight to the front foot when pulling the client onto
the stretcher.
b.) Position the bed slightly lower than the stretcher.
c.) Instruct the client to cross his arms over his chest.
d.) Ensure the wheels of the bed are unlocked before moving
the client. - ...ANSWER...Answer: c. Instruct the client to
cross his arms over his chest.
A nurse is caring for a client who has leukemia. Which of
the following findings of the highest priority?
a.) Dysuria.
b.) Weight loss.
c.) Fatigue.
d.) Elevated temperature. - ...ANSWER...Answer: d.
Elevated temperature.
A nurse is reinforcing discharge teaching about dietary
changes with a client who has a new colostomy. Which of
the following foods should the nurse recommend?
a.) Broccoli.
b.) Bannanas.
c.) Fatigue.
d.) Elevated temperature. - ...ANSWER...Answer: b.
Bananas.
A nurse is reviewing the laboratory data of a client who is 1
day postoperative following and abdominal hysterectomy.
Which of the following findings should the nurse report to
the provider?
a.) Hematocrit.
b.) Creatinine 2.3 mg/dL.
c.) BUN 20 mg/dL.
d.) WBC count 10,000//mm3. - ...ANSWER...Answer:
Creatinine 2.3 mg/dL.
A nurse is reinforcing teaching with a client who has a new
prescription for finasteride to treat benign hyperplasia.
Which of the following information should the nurse
include?
a.) Take the medication for at least 6 mo.
b.) Expect the medication effects within 2 to 4 wks.
c.) Avoid foods high in carbohydrates. - ...ANSWER...?-
Report breast enlargement to provider; the medication must
be taken on a longterm basis (it can take as long as one year
before the effects of the medication are evident); impotence
& decreased libido are possible adverse effects; pregnant
women should not be in contact with tablets (teratogenic).
A nurse is reinforcing dietary teaching about reduced
sodium intake with a client who has chronic kidney disease.
Which of the following foods should the nurse recommend?
a.) 8 oz. cottage cheese.
b.) 1 cup of canned carrots.
c.) 1 medium baked potato.
d.) 2 oz. of cheddar cheese with crackers. -
...ANSWER...Answer: c. 1 medium baked potato.
A nurse in a n urgent care facility is obtaining information
from a client who was stung by a wasp. Which of the
following findings indicates the client is experiencing
anaphylaxis?
a.) Difficulty swallowing.
b.) Extensive swelling of the limb.
c.) Bilateral tinnitus.
d.) Petechial rash on the abdomen. - ...ANSWER...Answer:
a. Difficulty swallowing.
A nurse is assisting with the care plan for a client who has
osteoarthritis. The client reports knee stiffness upon
ambulation. Which of the following interventions should the
nurse include in the plan of care? [Show Less]