A nurse is caring for a client who have a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicate
... [Show More] that client is
adapting to the role of change?
-I will need my partner to take over shopping for groceries
2. A nurse is assessing a client who has a new diagnosis of colon cancer. Which of
the following findings should the nurse expect?
a) hematochezia (I think this is the answer (defined as bright red blood in the stool, the
colon or rectum)
b) weight gain
C) elevated hemoglobin (incorrect either because it should be decreased)
D) Steatorrhea don’t choose this answer it was wrong…
3. A nurse is caring for a client who is receiving TPN. The prime infusion is almost
complete and the new solution is not available. Which of the following actions should the
nurse take?
Infuse dextrose 10% in water
4. A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter.
Which of the following findings should the nurse expect?
A saw tooth pattern
5. A nurse is caring for a client admitted with a skull fracture. Which of the
following assessment findings should be the greatest concern to the nurse?
Glasgow coma scale score changes from 14 to 9
6. A nurse is completing an assessment of an older adult client and notes redness
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
7. A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes the client had bounding peripheral pulses, hypertension, and distended jugular
vein. The nurse should anticipate administering which of the following prescribed
medications?
Furosemide
8. A nurse is caring for a patient who has a sealed radiation implant. Which
of the following actions should the nurse take?
Limit family member visits to 30 mins/day
9. A nurse is providing discharge teaching for a client who is receiving treatment
for genital herpes. Which of the following statements by the client indicates
effectiveness of the teaching?
I should expect my lesions to heal in 6 weeks
10. A nurse is caring for a client who has a traumatic brain injury. The client,
who has been quiet and cooperative, becomes agitated and restless. Which of the
following assessments should the nurse perform first?
A. Blood glucose
B. Blood pressure
C. Urinary output
D. Motor responses *wrong answer*
11. A nurse is reviewing the medical record of a client who is to undergo open heart
surgery. Which of the following findings should the nurse report to the provider as a
contraindication for receiving heparin?
Thrombocytopenia
12.A charge nurse receives a call from the house supervisor requesting room assignments for
four new clients. Based on the admission diagnoses, which of the following clients
requires a private room?
A client who reports having fever, night sweats, and cough for 2 days
13. A nurse is planning to teach a client whose provider has prescribed a low purine
diet. The nurse should plan to instruct the client that he can include which of the
following foods in his diet. SATA
-sardines -apricots -nuts -liver -scallops [Show Less]