1. a nurse in a clinical is caring for a middle age adult who states, "the doctor
says that since I am at an average risk for colon cancer, I should have
... [Show More] a routine
screening. what does that involve?" which of the following responses should
the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "beginning at age 60, you should have a colonoscopy."
C. "you should have a decal occult blood test every year."
D. "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. One
option for screening is a fecal occult blood test annually.
2. a nurse is caring for a client who is having difficulty breathing. the client is
laying in bed with a nasal cannula delivering oxygen. which of the following
intervention should the nurse take first?
A. suction the client's airway
B. administer a bronchodilator
C. increase the humidity in the client's room
D. assist the client to an upright position
assist the client to an upright position
When providing client care, the nurse should first use the least invasive
intervention. Therefore, the nurse should elevate the head of the client's bed
to the semi-Fowler's or high Fowler's position to facilitate maximal chest
expansion. Sitting upright improves gas exchange and prevents pressure on
the diaphragm from abdominal organs.
3. a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication
to a client. which of the following actions should the nurse take?
A. gently shake the container of medication prior to administration
B. transfer the medication to a medicine cup
C. place the client in a semi-fowlers position to medication administration
D. verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication is
mixed.
4. a nurse is planning care to improve self-feeding for a client who has vision
loss. which of the following interventions should the nurse include in the
plan of care?
A. tell the client which food she should eat first
B. provide small-handle utensils for the client
C. thicken liquids on the client's tray
D. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate.MY ANSWERDescribing
the location of the food on the plate by using a clock pattern allows the client to
have greater independence during meals.
5. a nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. which of the following types
of activity should the nurse recommend?
A. walking briskly
B. riding a bicycle
C. performing isometric exercises
D. engaging in high-impact aerobics
walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps
to prevent osteoporosis. Walking engages older adult clients in this preventive
and therapeutic strategy. [Show Less]