A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements
... [Show More] indicates an understanding of the
teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the following
actions should the nurse take?
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to their
role change?
I will need to have my partner take over shopping for groceries and cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. Which of the following information should the nurse include in the teaching?
Change your pet’s litter box daily
A nurse is caring for a client who has a contusion and reports thirst. The client's urinary
output was 4,000 ml over past 24 hr. the nurse should anticipate a prescription for which of
the following IV medications?
Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE
inhibitor and reports nagging dry cough. Which of the following responses by the nurse is
appropriate?
Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of
the following assessment findings should the nurse identify as a parenteral trigger for
exacerbation of Raynaud's?
Using nicotine transdermal patch
A nurse is caring for a client who has a central venous device and notes the tubing has
become disconnected. the client develops dyspnea and tachycardia. Which of the following
actions should the nurse take first?
Clamp the catheter
A nurse is completing an assessment of an older client and notes reddened areas over the
bony prominences, but the client's skin is intact. which of the following interventions should
the nurse include in the plan of care?
Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of
the following actions is the priority for the nurse to take?
Provide coping strategiesfor client and family
A nurse in the emergency department is assessing a client. which of the following actions
should the nurse take first? (click on the "exhibit" button for additional information about the
client.)
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The
nurse should identify which of the following findings as increasing the client's risk?
History of Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which of the following statements should the
nurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify
the sequence of steps the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes
A nurse is providing discharge teaching to a client following a modified left radical
mastectomy with breast expander. Which of the following statements by the client indicates
an understanding of the teaching?
I should expect less than 25 ml of secretions per day in the drainage devices
A critical care nurse is assessing a client who has a severe head injury. In response to painful
stimuli, the client does not open her eyes, displays decerebrate posturing and makes
incomprehensible sounds. which of the following Glasgow Coma scale scores should the
nurse assign the client?
5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to
limit sodium intake to 2 g per day. Which of the following statements by the client indicates
an understanding of the teaching?
I can have a frozen fruit juice bar for dessert
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the
eye. Which of the following actions should the nurse plan to take first?
Instill 0.9% sodium chloride solution into the affected eye
A nurse is assessing a client following extubation from a ventilator. For which of the following
findings should the nurse intervene immediately?
Stridor
A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of
the following findings should the nurse expect?
Elevated blood glucose
A nurse is reviewing the medical record of a client who has diabetes insipidus. Which of the
following findings should the nurse expect?
Urine specific gravity 1.001
A nurse is planning care for a client who has a pulmonary embolism. Which of the following
interventions should the nurse include?
Initiate a continuous IV heparin infusion
A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis.
which of the following instructions should the nurse include?
Avoid extremely hot or cold temperatures
A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which
of the following actions should the nurse take first?
Insert a large-bore IV catheter
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings
indicates adequate circulation on of the graft?
Palpable thrill
A nurse is assessing a client who has heart failure and is receiving a loop diuretic. Which of the
following finding indicates hypokalemia?
Muscle weakness
A nurse is caring for a client in diabetic ketoacidosis (DKA) Which of the following is the
priority intervention by the nurse?
Infuse 0.9% normal saline [Show Less]