2. A client who was splashed with a chemical has both eyes covered with bandages. When
assisting the client with eating, which intervention should the nurse instruct the UAP to
implement?: Orient the client to the location of thefood on the plate.
3. A client is admitted for an exacerbation of heart failure (HF) and is being treated with
diuretics for fluid volume excess. In planning nursing care, whichinterventions should the nurse
include? (Select all that apply.): • Observe for evidence of hypokalemia
• Teach the client how to restrict dietary sodium
• Weight the client daily, in the morning
4. While changing the dressing of a client who is immobile, the nurse ob- serves a red and
swollen wound with a moderate amount of yellow and green drainage and a foul odor. Given
there is a positive methicillin-resistantStaphylococcus aureus (MRSA), which is the most
important action for the nurse to take?: Administer prescribed antibiotics.
5. A client who has asthma receives a new prescription for a corticosteroid inhaler. The client
expresses concern about taking steroid medications. Whatinformation should the nurse provide
the client about the use of this mainte-nance inhaler?: Systemic side effects are reduced when taken
by inhalation
6. The healthcare provider prescribes a sedative for a client with severe hy- pothyroidism. The
nurse plans to contact the provider to review the safety ofthe prescription for the client and
, consults first with the charge nurse. The charge nurse notes that the prescription is written
legally and completely. How should the charge nurse respond?: Assume responsibility for discussing
theconcern with the provider.
7. In assessing a client twelve hours following transurethral resection of the prostate (TURP), the
nurse observes that the urinary drainage tubing containsa large amount of clear pale pink urine
and the continuous bladder irrigationis infusing slowly. Which action should the nurse
implement?: Ensure that nodependent loops are present in the tubing.
8. Which information should the nurse include in the discharge teaching planof a client with low
back pain who is taking cyclobenzaprine to control musclespasms?: Use cold and allergy
medications only as directed by a healthcare provider.
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