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 that client is adapting to the role of change?
-I will need my partner to take over shopping for groceries
A nurse is assessing a client who has a...
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 that client is adapting to the role of change?
-I will need my partner to take over shopping for groceries
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
b) weight gain
C) elevated hemoglobin
D) Steatorrhea
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
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
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
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
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
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
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
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?
Blood glucose
Blood pressure I think?
Urinary output
Motor responses *wrong answer*
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
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
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
A nurse is assessing a client following the insertion of a central venous catheter. Which of the
following findings indicates a pneumothorax?
Diminished breath sounds
A nurse is caring for a client who has pancreatitis and has been receiving total parenteral
nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional
status?
Prealbumin
A nurse is caring for a client in diabetic ketoacidosis. Which of the following is the priority
intervention by the nurse?
Check potassium levels
A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of
the following laboratory results should the nurse identify as a contraindication for receiving the
medication?
Potassium 3.2
A nurse in the emergency department is preparing a client for emergency surgery. The client’s
alcohol level is 180. Which of the following action is the nurse priority?
Insert an NG Tube
,A nurse is caring for a client who has bladder cancer and a WBC of 900. Which of the following
action should the nurse take?
Use Contact isolation while providing care
A nurse is teaching a client who has asthma about the use of a peak flow meter. After setting the
meter to the zero baseline, what is the sequence of steps the nurse should instruct the client to
take? (Use all steps) *this is the correct steps… I found
the correct sequence. *
“Stand upright.”1
“Fill your lungs with a deep breath.”3
“Seal your lips around the mouthpiece.”2
“Exhale forcefully and quickly.”4
“Record the highest of three consecutive readings.”5
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?
Collect information about the irritant that caused injury *I think this is correct*
Administer proparacaine eyedrop into the infected eye
Place a strip of ph paper onto the colder sac of the infected eye
Instill 0.9% sodium chloride into the affected eye *do not choose this*
A nurse is providing instructions about foot care for a client who has peripheral arterial disease.
The nurse should identify that which of the following statements by the client indicates an
understanding of the teaching?
I rest in my recliner with my feet elevated for about an hour every afternoon
A nurse is caring for older client with dementia, which of the following finding questions should
the nurse ask to assess the clients abstract thinking?
Can you tell me the state where you were born?
Can you count backwards? Do not choose this answer… got it wrong
“what do a dog and cat have in common” ask what two traits are similar but not identical
A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should
plan to take which of the following actions?
Ask client to empty his bladder prior to the procedure
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia,
and tachypnea. In which of the following positions should the nurse place the client?
Reverse Trendelenburg *
Side Lying
High Fowlers
Feet elevated
, A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse
should recognize that the client is at risk for an allergic cross reactivity to which of the following
substance?
latex
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan
for 3 months. Which of the following laboratory result should the nurse monitor to determine
long term diabetes?
A1C glycated hemoglobin
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following
instructions should the nurse include?
“Wear cotton rather than nylon sock”
A nurse is assessing a client who has pericarditis, in which of the following areas of the client’s
chest should the nurse place the stethoscope to pleural friction rub? This will be an image…..
choose Erb’s Point (3rd Intercostal, Central)
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at
home. When discussing peritonitis, which of the following manifestations should the nurse
identify as the earliest indication of this complication?
Generalized abdominal pain
Cloudy effluent
Fever
Increased heart rate
A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus.
Which of the following medication places the client at an increased risk for developing diabetes
insipidus? (according to google… drugs include lithium, amphotericin, cidofovir, demeclocycline,
didanosine, foscarnet, ofloxacin, orlistat)
Ranitidine
Atorvastatin do not choose… got it wrong
??didn’t give the answer choice
??didn’t give the answer choice
A nurse is planning a staff education session about hepatitis A. Which of the following
information should the nurse include?
Immunization for hep A is recommended prior to travel
A nurse is administering potassium chloride via IV infusion to a client who has sever
hypokalemia. Which of the following actions should the nurse take?
Monitor the client for adequate urine output
A nurse is assessing a client who has a new diagnosis of diverticulitis and report that he uses
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