HESI Comprehensive Exit Exam Test Bank Answered A+ Solution Guide; Spring 2022

HESI Comprehensive Exit Exam Test Bank Answered A+ Solution Guide; Spring 2022 Question:-A nurse is contributing to the plan of care for a client who has bipolar disorder and is experiencing acute mania, which of the following interventions should the nurse include in the plan of care? .Provide the client with high calorie finger foods) Question:-A nurse is reinforcing with a new mother on facility security measures, which of the following statements by the mother indicates an understanding of the teaching? .I will have an identification band that matches the one my baby wears) Question:-A nurse is preparing to perform a 12 lead ECG for a client who reports palpitations, which of the following actions should the nurse take to insure an accurate capture of the client's heart rate and rhythm? SATA .Position the electrodes on the client's chest and extremities • Tell the client to expect sensations similar to static electricity during the test • Explain to the client that movement can alter the test results) Question:-A nurse is completing documentation in the medical record about a client who fell on the floor, which of the following statements should the nurse include in the documentation? .The client stated "I lost my balance and fell when I got out of bed to the bathroom") Question:-5. A nurse and a family practice office routinely review client's immunization status at their annual physical examination visit, for which of the following clients should the nurse recommend human papillaou virus immunization (HPV Virus)? .a teenage boy) Question:-A nurse is caring for a client who is 2 days post-operative following a surgical creation of an ileostomy and is tolerating oral intake, which of the following actions should the nurse take? .Empty the ileostomy pouch every 2-3 hours) Question:-Anurse is assisting for the plan of care for the client who has burns to his lower extremities, which of the following actions should the nurse include. in the plan? .Clean the most contaminated wound first) Question:-A nurse begins to bathe a newly admitted client who reports that she has not had anything to eat that day, the nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following? .Boundary crossing) Question:-A nurse enters the room of a school aged child and finds him on the floor experiencing a tonic colonic seizure, which of the following actions should the nurse take? .Place a pillow under the client's head) Question:-A nurse is collecting data from a client who has acute cholecystitis, which of the following findings should the nurse expect? .Pain in the right upper abdomen) Question:-A nurse is reinforcing teaching with the family of the client who is terminally ill about the grief process, which of the following information should the nurse include in the teaching? .Anticipatory grieving prolongs the grief process) Question:-A nurse is providing support to the family of a school aged child who has a new diagnosis of a terminal illness, which of the following actions should the nurse take? .Provide the family with time to talk openly) Question:-A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine, which of the following adverse effects should the nurse include on the teaching as indication of serotonin serum? .Diaphoresis) Question:-A nurse is reinforcing teaching with a client who is at 36 weeks of gestation and is about to undergo an amniocentesis, which of the following information should the nurse include in the instructions? .You will need to have an empty bladder for the test) Question:-A nurse is reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension, which of the following statements by the client indicates an understanding of the teaching? .I should decrease my salt intake to 2g per day) Question:-A nurse is checking for gastric residual volume on the client who is scheduled to receive an intermittent enteral feeding. The nurse finds that the client has a GRV greater than 250mLs on two consecutivemeasurements, which of the following actions should the nurse take? .Hold the feeding and recheck the GRV in one hour) Question:-A nurse is caring for a client who is one day post-operative following a total hip arthroplasty and is receiving Heparin subcutaneously, which of the following adverse effects of the medication should the nurse report to the provider? .Epistaxis) Question:-18. A nurse is collecting data during a muscle skeletal examination of a client who has spinal colon deformity and reports back pain, which of the following images should the nurse identify as an indication of the client has kyphosis? .Person with higher lump on back) Question:-A nurse in a clinic is reviewing the medical record of a toddler and notes that he previously had a severe allergic reaction to a gelatin, which of the following immunizations should the nurse identify as unsafe for this client to receive? .Measles Mumps and Rubella (MMR)) Question:-A nurse is caring for a 3yr old child immediately following a clinic tonic seizure, which of the following actions should the nurse take? .Check the child for oral injuries) Question:-A nurse is delegating client care assignments, which of the following tasks should the nurse assign to assistant personnel? .Apply an anti-embolic stocking for a client who is 2 days post-operative) Question:-A nurse is reviewing the health history of a middle adult client who is receiving chemotherapy for leukemia, which of the following immunizations should the nurse recommend that the client receives? .Inactive Influenza) Question:-A nurse is reinforcing discharge teaching with a client who has angina and a prescription for sublingual nitroglycerin tablet, which of the following statement by the client indicates an understanding of the teaching? .I should expect pain relief in 1-3 minutes) Question:-A nurse is monitoring a client for hyperkalemia, which of the following findings should the nurse report to the provider? .Irregular heartbeat) Question:-A nurse is reinforcing teaching with a client who has a prescription for antibiotic therapy. The client tells the nurse that he always experiences diarrhea when taking antibiotics, which of the following food choices should the nurse recommend to lessen the occurrence of diarrhea? .Yogurt) Question:-A nurse is caring for a client who has advanced colorectal cancer and reports that her daughter insists on caring for her at home without assistance. The client states that she prefers help for home health care and hospice, which of the following responses should the nurse make? .I can be with you while you explain your feelings about your care to your daughter) Question:-A nurse is collecting data from a client who is 12 hours postoperative following an intestinal surgery. which of the following findings should the nurse report to the charge nurse prior to client ambulation. .oxygen saturation 90%) Question:-A nurse is reinforcing teaching about home safety precautions with the parent of a 3- month-old infant which of the following should the nurse include in the teaching .remove bibs when the infant is going to sleep) Question:-A nurse is caring for a client who is to undergo a subtotal thyroidectomy which of the following items should the nurse place at the client's bedside .tracheostomy kit) Question:-A nurse is reinforcing teaching with a parent of a child who has ADHD and is taking methylphenidate which of the following statements by the parents indicated the medication is effective .our child is able to complete his homework on time) Question:-A nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new prescription for timolol eye drops. which of the following statements by the client indicates an understanding of the teaching .I I should check my heart rate while taking this medication) Question:-A home health nurse is caring for a client who has Alzheimer's disease. the client's son is concerned about his mother becoming frustrated. which of the following interventions should the nurse include? .make a schedule for daily tasks) Question:-A nurse is reinforcing teaching with a client who has coronary artery disease and a new prescription for warfarin which of the following should the nurse include in the teaching .take the medication at the same time everyday) Question:-A nurse is reinforcing teaching with a client who is at 12 weeks of gestation and has hyperemesis gravitation, which of the following client statements indicates and understanding of the nurse's instructions. .I will wait 1 hour before getting up in the morning before having breakfast) Question:-A nurse is contributing to the plan of care for a chest tube set to continue a suction to relieve a pneumothorax which of the following should the nurse include .ensure that the device is kept below the level of the clients chest) Question:-A nurse is caring for a client who is terminally ill and is comatose the client has a living will that has a DNR order. The client's son requests removal of the DNR order which of the following actions should the nurse take. .place a hold on the order until review of the ethics committee) Question:-A nurse is caring for a client who is recently diagnosed with depression the clients partner asks when he will get better which of the following is the appropriate response by the nurse .tell me what you know about depression) Question:-A nurse is reinforcing dietary teaching with a client who has Cushing's syndrome which of the following statements indicates an understanding of the client .I will limit my sodium intake) Question:-39. A nurse is reinforcing teaching with a group of AP about intimate partner violence the nurse should include that which of the following is a common characteristic of a predictor for intimate partner violence .possessiveness) Question:-A nurse is collecting data from a client who uses a continuous positive airway pressure çpap machine at night for sleep apnea. the nurse should identify which of the following indicates proper use .there is one finger width between he straps and the face) Question:-A nurse is assisting in the care of a client who is at 34 weeks of gestation and is experiencing lower back pain. which of the following recommendations should the nurse make? .perform pelvic rocking exercises several times per day) Question:-A nurse is collecting data from a client who diabetic ketoaçidosis, which of the following findings should the nurse expect? .Fruity breath) Question:-A nurse is reinforcing discharge teaching with the family of an older adult client about safety precautions when administering a hypotonic enema to the client, which of the following instructions should the nurse include in the teaching? .Instruct the client to inhale while inserting the rectal tube) Question:-A nurse is collecting data from an adolescent client who has experienced sexual abuse, which of the following statements by the client should the nurse recognize of the use of the defense mechanism of suppression? .I drink beer as often as I can, so I don't have to think about all of the times it happened) Question:-A nurse is reinforcing dietary teaching with a client who experienced a myocardial infarction. The nurse should instruct the client to limit which of the following in her diet? .Saturated fats) Question:-A nurse is administering an intermittent enteral feeding through the clients NG tube, during the installation the client reports abdominal cramping and nausea, which of the following actions should the nurse take? .Slow the rate of the formula instillation) Question:-A male nurse is assigned to care for an older adult female client, the client tells the nurse that she wants a female nurse to care for her, which of the following statements should the nurse make? .I will ask to have you assigned to a female nurse) Question:-A nurse is caring for an adolescent client who has bulimia nervosa, which of the following actions should the nurse take? .Observe the client during and after meals) Question:-A nurse is reinforcing discharge teaching with a client who has a prescription for a home oxygen therapy, which of the following statements by client indicates an understanding of the teaching? .I will check my oxygen equipment at least once daily) Question:-A nurse is reinforcing teaching about colostrum with a new mother who is breastfeeding, the mother asks why is colostrum so important for my baby, which of the following responses should the nurse make? .Colostrum provides many important antibodies the newborn lacks) Question:-A nurse is receiving change of shift report on four clients, which of the following clients should the nurse see first .a client who had a hernia repair 4 hours ago and is reporting nausea) Question:-A charge nurse in a long-term care facility is discussing ethical theories with a group of newly licensed nurses which of the following statements should the charge nurse identify that the newly licensed nurse understands utilitarianism? .I will respect the decision of a client who has a chronic illness and stops treatment) Question:-A nurse is positioning a client in preparation for a lumbar puncture which of the following positions should the nurse place the client .lateral recumbent) Question:-A nurse is reinforcing with a patient about home safety for the parents of a 6-week-old infant which of the following instructions should the nurse include .keep one hand on your baby's abdomen if you turn away while he is on the changing table) Question:-A nurse is reinforcing teaching with a client who is about to undergo electroconvulsive therapy the nurse should explain to the client that which of the following adverse reactions can occur following the procedure .temporary memory loss) Question:-A nurse is reviewing the medical records of 5 clients for which of the following events should the nurse write an incident report (select all that apply) .a client received the first dose of an antibiotic medication 1 hour before the collection of blood for a culture and sensitivity test, an approximate amount of urine was recorded after the urine leaked from the client's catheter bag, the client fell while ambulating to the bathroom alone) Question:-57. A nurse is reinforcing teaching with a client who has hypothyroidism and a new prescription for levothyroxine the nurse should instruct the client to notify the provider for which of the following manifestations of thyroid toxicity?.nervousness) Question:-A nurse is caring for a client who has anorexia nervosa and who has a behavioral management plan in place. which of the following findings should the nurse identify as an indication that the plan is sium 3.5/g dl) Question:-A nurse is contributing to the plan of care for a client who has chronic pancreatitis which of the following recommendations for the client's nutrition should the nurse ase the client's daily protein intake) Question:-A nurse is reinforcing teaching with a newly licensed nurse about client privacy which of the following information should the nurse include in the mation about a client's health can be emailed if encrypted) Question:-A nurse is reinforcing teaching with a client about footcare who has type2 diabetes which of the following statements indicates an understanding of the teaching.I will wear a clean pair of cotton socks each day) Question:-A nurse is providing change of shift report for a client which of the following should the nurse include in the report.The clients mother died 4 hours ago from breast cancer) Question:-A nurse is participating in a performance improvement program which of the following actions should the nurse take to evaluate the effectiveness of the rm chart audits) Question:-A nurse is talking to a client who refuses a blood transfusion for religious reasons. which of the following responses should the nurse make?.you have the right to change your mind) Question:-65. A nurse is caring for a client who is receiving a continuous iv infusion. the nurse notes that the skin around the catheter site is edematous and cool which of the following actions should the nurse take the infusion) Question:-A nurse is assisting with staff education about hand hygiene. which of the following should the nurse include in the teaching?.wash your hands with soap and water for 20 seconds) Question:-A nurse is assisting with parental examination of a client who is at 8 weeks of gestation the nurse notes that the client's vagina and uvula are purplish color. the nurse should document that this is the finding of which of the following.Chadwick's sign) Question:-A nurse is reinforcing teaching with a client who is postpartum about keeping her newborn safe while in the facility. which of the following should the nurse include in the teaching?.Alert the staff if any of your identification bands are missing) Question:-nurse is reinforcing dietary teaching with a client whose pregnancy's BMI was 30.5 the nurse knows that the client understands the teaching when she states that she should expect to gain how many Ibs. during pregnancy.32) Question:-70. A nurse is assisting with preparing a client who is to have a central venous catheter inserted for administration of TPN. which of the following should the nurse take?.verify the amount of TPN solution the client is receiving every 4 hours) Question:-A nurse is reinforcing teaching with a newly licensed nurse about strokes which of the following statements by the newly licensed nurse indicates an understanding of the teaching.a sudden severe headache is a warning sign of stroke) Question:-A nurse is assisting with a community health course for family members of clients who half Alzheimer's disease. which of the following should the nurse include?.limit the number of choices for the client) Question:-A nurse is collecting data from a group of clients who have major depressive disorder. the nurse should identify that which of the following clients is at the greatest risk for suicide.a client who exhibits an increase in energy) Question:-A nurse in a long-term care facility has just received change of shift report which of the following should the nurse attend to first?.a client who has a temperature of 38.4 101.1 and appears confused) Question:-A nurse is preparing a sterile field to perform a dressing change for a client's leg wound which of the following actions should the nurse sterile objects at least 2.5 cm/1 inch from the edge of the sterile field) Question:-A nurse is monitoring a client who has psychosis for adverse effects of clozapine. which of the following should the nurse identify as an indicationof agranulocytosis?.WBC 1000 mm) Question:-A home health nurse is collecting data from a client following a mild cardiac infarction MI which of the following statements by the client should the nurse address first.I am worried my body will never be the same as it was before) Question:-nurse in a provider's office is collecting data from an 18-month-old toddler which of the following should the nurse identify as a potential indication of child mal- treatment?.the toddler is overly affectionate towards the nurse) Question:-nurse is reinforcing discharge teaching with a client who is post-operative following cataract removal which of the following instructions should the nurse include in the laying on the effected side) Question:-A nurse is assisting in the care of an adult client who has COPD and is receiving albuterol treating with 20mg of progesterone twice daily. The clients asks why the nurse is checking his blood glucose level, which of the following responses should the nurse make?.prednisone can cause blood glucose levels to increase) Question:-81. A nurse is preparing a health promotion program for high school students which of the following facts about cigarette smoking is likely to be most effective in changing the adolescents attitude towards ng causes unattractive staining on the teeth and hands) Question:-A nurse assisting with the development program of a group of older adults. which of the following action should the nurse take?.determine the literacy level of the participants) Question:-A nurse is caring for a client who has moderate anxiety which of the following actions should the nurse ain eye contact when talking with the client) Question:-A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy which of the following statements by the client indicated an understanding of the teaching..I will call the provider if I have increased flatulence after the examination) Question:-A nurse is reinforcing food safety with a group of older adult clients. which of the following information should the nurse include?.refrigerate leftover foods within 3 hours) Question:-nurse is contributing to the plan of care for a client who has ascites due to chromosols, which of the following should the nurse recommend including in the plan?.measure the clients abdominal girth) Question:-87. a nurse is reinforcing teaching about a low sodium diet with a client who has hypertension. which of the following indicates an understanding of the instructions?.I will use frozen vegetables instead of canned) Question:-A nurse in a providers office is collecting data from a client who was just diagnosed with TB, which of the following actions should the nurse take first?.contact those who live with the client) Question:-A nurse is caring for a client who is experiencing alcohol withdrawal the nurse should prepare to administer which of the following pam) Question:-charge nurse is reviewing communications skills with a group of newly licensed nurses. which of the following should the nurse include as an example of assertive communication?.if you don't come in to cover an extra shift tomorrow we won't offer you overtime anymore) Question:-A nurse is collecting data from a client who has placenta preyia. Which of the following findings should the nurse expect?.bright red vaginal bleeding) Question:-nurse is preparing to administer a medication to a client. to help verify a client's identity which of the following questions should the nurse ask the client..what is your telephone number?) Question:-A nurse is reinforcing teaching about how to collect fecal occult blood sample, which of the following statements by the client indicates an understanding of the teaching?.I should repeat the process three times) Question:-94. A nurse is contributing to the plan of care of a client who has HIV, which of the following interventions should the nurse recommend?.Remove all fruits and raw vegetables from client's diet) Question:-A charge nurse is monitoring a group of assistant personnel regarding the use of gloves in contact isolation, which of the following actions by the AP should the charge nurse intervene?.Take gloves off inside when tasks are complete) Question:-A nurse is collecting data from an older adult client who has been taking furosemide for the past week, if the client has developed dehydration as an adverse effect of the medication, which of the following finding should the nurse expect?.Postural hypotension) Question:-A nurse is planning care for 4 clients, which of the following task should the nurse ask the charge nurse to reassign to the RN?.Provide discharge teaching about home IV medication therapy) Question:-A nurse at a long-term care facility is reviewing the plan of care for a client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to assistive personnel?.Assist the client in range of motion exercises of hands) Question:-A nurse in a mental health facility is caring for a client who expresses anxiety about exercising in the outdoor courtyard. The nurse promises to walk with the client in the courtyard each day. Which of the following ethical principles is the nurse demonstrating?.Nonmaleficence) Question:-A nurse is preparing to delegate care to assistive personnel. Which of the following information should the nurse verify prior to delegation?.The AP's job description) Question:-A nurse is reviewing the laboratory values of a client who has COPD. Which of the following findings should the nurse report to the provider?.Hemoglobin 20g/dL) Question:-A nurse on the medical surgical unit is caring for a client immediately following a bronchoscopy. Which of the following actions should the nurse take?.Inform the client that he might experience a flushed feeling) Question:-A nurse is caring for a client who has paranoid schizophrenia and believes that she is being followed by the FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?.What makes you think the staff is following you?) Question:-A nurse is reinforcing discharge teaching with a client following a gastrectomy. Which of the following foods should the nurse instruct the client to avoid to prevent dumping syndrome?.Ice cream) Question:-A nurse in a community health clinic is discussing informed consent with a group of newly licensed nurses. which of the following statements should the nurse include?.A pregnant adolescent can provide informed consent for herself) Question:-A nurse is caring for a client who has a chlamydia infection, a new prescription for doxycycline. The client reports nausea and vomiting after starting the medication. Which of the following recommendations should the nurse make?.Take the medication with crackers) Question:-A nurse on a medical surgical unit receives a change of shift report for a group of adult clients. Which of the following clients should the nurse attend to first?.A client who has a blood pressure of 186/120) Question:-A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is priority?.Diminished pulse on the effected extremity) Question:-A nurse is reinforcing teaching with a client who has gerd and a prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?.I should take this medication in the morning and at bedtime) Question:-A nurse caring for an older adult client who had a stroke 3 weeks ago and has left sided facial paralysis. Which of the following actions should the nurse take to prevent aspiration?.Place food on the stronger side of the client's mouth) Question:-111. A nurse is reinforcing teaching with a client who has stomatitis. Which of the following instructions should the nurse include in the teaching?.Consume soft bland foods) Question:-A charge nurse asks a staff nurse to recommend a client for discharge in response to a mass casualty disaster. Which of the following clients should the staff nurse recommend?.A client who is 3 days post-operative following knee arthroplasty and requires rehabilitation) Question:-A nurse is collecting data from an older adult client who has hypertension and is taking amlodipine. The nurse should identify which of the following manifestations as an adverse effect of the medication?.Dizziness) Question:-A nurse is caring for a client who is 12 hours postpartum and has an episiotomy and reports perennial pain. Which of the following actions should the nurse take?.Encourage the client to use a șitz bath twice daily for 20 minutes) Question:-A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements by the prurient indicates an understanding of the teaching?.I will change my baby's diaper every 4 hours) Question:-A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?.Position the car seat at 90-degree angle) Question:-A nurse is collection data from a client who is 1-daypost-operative following a cesarean birth. Which of the following findings is the nurses priority? Click on the exhibit button for addition information about the client. There are 3 tabs that contain separate categories of data..hemoglobin 9, hematocrit 30%) Question:-118. A nurse is reinforcing discharge teaching with a client who has angina and a new prescription for sublingual nitroglycerin. Which of information should the nurse include in the teaching?.You should carry 1 nitroglycerin tablet in a small plastic bag at all times) Question:-A nurse is caring for an older adult client who as acute delirium. Which of the following actions should the nurse take first?.Determine the clients level of conscientiousness) Question:-A nurse is collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the intra-professional team?.Case manager) Question:-A nurse is providing pre-operative care for a client who reports he has no one at home tohelp him out after his out-patient surgery. Which of the following actions should the nurse take?.call the provider about admitting the client to a facility over night) Question:-A community health center is assisting in the development of a brochure about hypertension. Which of the following action should the nurse take?.explain medical terminology using basic one syllable words) Question:-A nurse is collecting data from a client who reposts recently using cocaine. Which of thefollowing manifestation should the nurse expect?.Hyperthermia) Question:-A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who ison isolation precautions. Which of the following instructions should the nurse include in theteaching?.roll used gowns inside out for disposal) Question:-A nurse is administering hydromorphone to a client who is experiencing postoperative pain. Which of the following findings is an adverse effect of this medication?.urinary retention) Question:-A nurse is reinforcing teaching about home management with their partner of a client whohas dementia. Which of the following instructions should the nurse include in the teaching?.label the door to the bathroom with a symbol) Question:-A nurse is collecting data from a client who has heart failure and edema of the lower extremities. Which of the following actions should the nurse take to monitor for pitting edema?.press firmly with the finger tip on the edematous areas) Question:-128. A nurse is caring for a school aged child who has scoliosis and reports skin discomfort under his brace. Which of the following actions should the nurse suggest managing the discomfort?.wear a t-shirt under the brace) Question:-A nurse is caring for a group of clients. Which of the following clients should the nurserecognize is experiencing fluid volume excess?.a client who has heart failure and has had grthopnea for 2 days) Question:-A community health nurse is assisting with the development of a pamphlet regarding choking hazard for toddlers. Which of the following foods should the nurse include?.grapes) Question:-A nurse is caring for a who has a new diagnosis of diabetes mellitus and is refusing to learnhow to self-administer insulin. Which of the following responses should the nurse make?."I'd like to hear your thoughts about giving yourself this medication") Question:-A nurse is reinforcing teaching with a client about measures to reduce the manifestationsof irritable bowel syndrome. Which of the following statements should the nurse make?."you should chew sugarless gum to reduce bloating") Question:-A nurse is a provider's office is collecting data from a client who has candidiasis Which of thefollowing should the nurse expect?.thick white vaginal discharge) Question:-A nurse is reinforcing teaching discharge teaching with a family of a client who has dependent personality disorder. Which of the following instructions should the nurse include inthe teaching?.encourage the client to be assertive) Question:-A nurse is implementing a bladder training program for a client who had a stroke. Which ofthe following interventions should the nurse make?.check for residual after voiding) Question:-The nurse is collecting data for an adolescent client. The client reports a fever, abdominalpain and vomiting. Which of the following areas should the nurse should identify as McBurneypoint. (image of the stomach with hot spots on the client's abdomen).LowerRightQuandrant- choose the lower right quadrant on the image. Make sure you choose the clients right, not your right) Question:-A nurse at a provider's office is caring for a pregnant client who is in her third trimester ofher pregnancy. Which of the following findings should the nurse report to the provider?.blurry vision) Question:-A nurse is caring for a 2-year-old child who has clostridium difficile. Which of the followingactions should the nurse take?.initiate contact precautions) Question:-A nurse is preparing a capillary blood specimen to measure a client's blood glucose. Whichof the following action should the nurse take?.allow the antiseptic to dry before puncturing) Question:-140. A nurse is assisting in the care of a client who is in active labor and is to undergo amniotomy. Which of the following actions should the nurse take? ** this is a drag and drop question **.obtain a base reading for the FHR and contraction pattern1 check the fluid for color, odor and consistency4 pass the sterile hook to the provider3 document the procedure in the electronic medical record5 position the client with a rolled towel under her hips2) Question:-A nurse is reinforcing teaching with a client who has a new diagnosis of hypertension and anew prescription for çaptopril. Which of the following interactions should the nurse include?.rise slowly when moving from a sitting position to a standing position) Question:-A nurse is preparing change of shift report on a client who is 2 days postoperative followinga total knee arthroscopy (or arthroplasty). Which of the following information about the clientshould the nurse include in the report?.time of last pain medication) Question:-A nurse is reinforcing teaching with a client who has a new prescription for spironolactone.Which of the following findings should the nurse instruct the client to avoid?.dried apricots) Question:-Xanthelasma Palpebrarum.In xanthelasma, there are yellowish-brown elevated lesions on the skin of the eyelids.) Question:-.) Question:-Patassium.3.5-5) Question:-Chloride.95-105) Question:-Hemoglobin.M 1B-18 F 12-16) Question:-Magnesium.1.5-2.5) Question:-BUN.10-20) Question:-Calcum.9- 11) Question:-Phosphate.2.5-4.5) Question:-Creatinine.0.5-1.5) Question:-WBC.4-1IK) Question:-Sodium.135-145) Question:-Critical labs remember 6s.PH in the 6s, potassium in the 6s, CO260, O2 60, plateletes 40,000) Question:-PPE Application.On: gown mask goggle gloves off: gloves goggles gown mask) Question:-Hyperkalemia.Everything elevated except HR/urine output) Question:-Hypokalemia.Everything low except HR/ urine output) Question:-Hypercalcemia.Everything is low (HR, BP, RR)) Question:-Hypocalcemia.Everything elevated) Question:-Hypernatremia.Dehydration) Question:-Hyponatremia.Overload of fluid) Question:-Toxic Drug levels.Lithium toxic over 2 Digoxin toxic over 2 Theophylline toxic over 20 Phenytoin toxic over 20) Question:-Lithium toxicity.Tremors metalic taste diarrhea) Question:-Antidote for warfarin.Vit k) Question:-Antidote for acetaminophen.Acetylysteine) Question:-Antidote for opiods.Naloxone) Question:-Antidote for aspirin.Sodium bicarbonate) Question:-Magnesium antidote.Calcium gluconate) Question:-Heparin antidote.Protamine sulfate) Question:-HCO3.Vomiting suctioning hyperventilation) Question:-PACO2.Diarrhea shock diabetic ketoacidosis) Question:-ABG.Normal Range-- pH: 7.35-7.45, CO2: 45-35, HCO3: 22-26) Question:-Standard precautions.Hand hygiene gloves gown mask) Question:-Droplet precautions.Pertussis pneumonia flu rubella mumps Surgical mask private room if available can be roomed with same precautions if needed) Question:-Airborne precautions.Measles TB varicella N95 mask negative pressure room private room if available) Question:-Contact precautions.MRSA VRE herpes CDif Hand hygiene gloves gown) Question:-Baby's room-.cool mist vaporizer) Question:-Dependent more assertive) Question:-Indwelling catheter for a urinary drainage-.Coil tube on bed above bag) Question:-Timolol.-heart rate (bradycardia)) Question:-Fruity breath-.ketoacidosis) Question:-Chadwicks-.purple vagina) Question:-Baby-.wash cloth no soap) Question:-e abdomen?) Question:-Elixir ferrous with water) Question:-Promises to walk client ity) Question:-Intracranial ability) Question:-Math.125) Question:-Pt identification-.phone number) Question:-Hinduism.Cremation) Question:-Warfarin lab results- INR 5.5-.It is too high) Question:-w under head) Question:-Nitroglycerin, hairless skin?.I will place the patch on a hairless area of skin) Question:-Chemo in throat?-.loss of taste?diarrhea constipation) Question:-Equipment malfunction-.Discontinue and tag) Question:-Palliative care-.improves the quality of life of clients) Question:-A 6 month old going for a check up and then different t.) Question:-Assessing client with restraints-.i think i put 1 finger for space but i read on ATI that its two fingers or another could have been to remove the restraints once the pt is calm..on ATI restraint or seclusion must be discontinued when the client is exhibiting behavior that is safer and quieter.) Question:-Change of shift report-.When the pain med was given was wrong.) Question:-Prevent dental caries in a 3 year old-.soft toothbrush) Question:-A nurse is caring for four clients. Which of the following client statements should the nurse attend to first?."My heartburn pain is going into my jaw now.") Question:-A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?.Perform oral care every 2 hr.) Question:-A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory values should the nurse check prior to administering the medication?.- PT - INR) Question:-A nurse is collecting data from a client who is at 9 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse expect?.Weight loss) Question:-A nurse is reinforcing teaching with a client about the importance of a low sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low sodium diet?.2 tbsp of peanut butter) Question:-A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the following findings should the nurse report to the provider?.The toddler can say four words.) Question:-A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client might be experiencing diabetic ketoacidosis?.Kussmaul respirations) Question:-A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching?."I need to record my pulse rate daily.") Question:-A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take?.Document in the clients medical record every 15 min.) Question:-A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops?.Supine) Question:-A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following laboratory results should the nurse review prior to administering the medication?.Potassium) Question:-A nurse is caring for a client who has methicillin-resistant staphylococcus aureus (MRSA) infection. Which of the following actions should the nurse plan to take?.Don a gown and gloves when providing perineal care) Question:-A nurse is assisting with the plan of care for a client who has dementia and often wanders in the halls at night. Which of the following interventions should the nurse recommend including in the plan of care?.Labeling the clients bathroom door) Question:-A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practice. Which of the following responsibilities should the nurse include in the teaching?.Providing direct client care) Question:-A nurse is working on a mental health unit is meeting with a client who has been in the unit for 2 days. The nurse greets the client and asks, "What has been happening with you today?" Which of the following therapeutic techniques is the nurse using?.Reflecting) Question:-A nurse us reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching?."I will secure the seat belt across my newborns lap.") Question:-A nurse from a medical surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept?.A client who underwent removal of a retained placenta) Question:-A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse recommend to include in the plan of care?.Reinforce teaching about healthy eating during meals) Question:-A nurse is admitting a client who is scheduled for an elective surgery. Which of he following actions should the nurse take to verify the status of the clients advance directives?.Ask the client whether they have advance directives) Question:-A nurse is collecting data from a client who is receiving a continuous IV infusion of 0.9% sodium chloride. The nurse discovers the IV infusion pump was set incorrectly and the client received 200 ml more than prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not considered malpractice for which of the following reasons?.The client was not harmed as a result of the incident) Question:-A nurse is caring for a client who has COPD. The nurse should identify that which of the following findings is the priority to report?.Productive cough with green sputum) Question:-A nurse is caring for a newborn who just had a circumcision. Which of the following findings should the nurse identify as a nonverbal sign of pain?.The newborn continues to cry despite efforts to console) Question:-A nurse is reinforcing teaching with a parent about appropriate snacks for a toddler. Which of the following foods should the nurse include?.Graham crackers) Question:-A nurse is caring for a client who is breastfeeding their 5-day old newborn. Which of the following should the nurse identify as an indication that the newborn is breastfeeding effectively?.Makes audible swallowing sounds) Question:-A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia gravis (MG) and a prescription for neostigmine. Which of the following information should the nurse include about the action of the medication?.Improves muscle strength) Question:-A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching?."I will apply petroleum jelly to the penis with each diaper change.") Question:-A nurse is collecting data from a 3 month old infant who is 6 hr postoperative following a cleft palate repair. Which of the following pain rating tools should the nurse use?.FLACC scale) Question:-A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication?.Pinpoint pupils) Question:-A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?.The dining room table has low chairs with no armrests) Question:-A nurse is preparing to administer medication to a newborn. Which of the following information should the nurse use to identify the newborn?.Name and medical record number Footprints and identification number) Question:-A nurse is reinforcing teaching with a client who has a prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?."Start the first patch on the seventh day of the menstrual cycle.") Question:-A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take?.Assign the client to a private room.) Question:-A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA privacy rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?."A client has the right to view their medical record.") Question:-A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?.Report the possible abuse to adult protective services) Question:-A nurse us reinforcing with a client who is 12 hr postpartum and has an episiotomy. Which of the following instructions should the nurse include?.Change the perineal pad with each void.) Question:-A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For which of the following results should the nurse notify the provider?.Ketones positive) Question:-A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation. For which of the following results should the nurse notify the provider?.Platelet count 90,000/mm3) Question:-A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following actions should the nurse plan to perform first?.Document the client's risk in the medical record Check the clients ability to use the call light) Question:-A nurse is collecting data from a newly admitted client. Which of the following questions should the nurse ask to assess the client's abstract thinking ability?."What does the phrase 'butterflies in my stomach' mean?) Question:-A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?.Insert the rectal tube in the direction of the clients umbilicus) Question:-A nurse is preparing to transfer a client who has left sided weakness from the bed to a wheelchair. Which of the following actions should the nurse take first..Lock the wheels on the bed) Question:-A nurse is caring for a client who has a new prescription for furosemide and asks the nurse about the purpose of the medication. The nurse states, "This medication is a diuretic that removes excess fluid from your body." Which of the following ethical concepts is the nurse exhibiting?.Veracity) Question:-A nurse is reinforcing teaching with a client who plants to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions?."I will feed my baby six to eight times a day.") Question:-A nurse is caring for a client who is asking about the techniques of effleurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this techique?."It is a light stroking of the skin during a uterine contraction?) Question:-A nurse is contributing to the plan of a care for a 12 month old infant following cleft palate repair. Which of the following actions should the nurse include?.Maintain elbow restraints on the infant) Question:-A nurse is preparing to assist with the insertion of a nasogastric tube for a client who has a small bowel obstruction. which of the following supplies should the nurse gather?.pH test strips) Question:-A nurse is reinforcing teaching with a school-age child who has hemophilia about participating in school sports. Which of the following sports should the nurse recommend for the child?.-swimming -golf -gymnastics) Question:-A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?."I will be sure to wear cotton socks.") Question:-A nurse is collecting data from a guardian of a toddler during a well child visit. The guardian expresses concern to the nurse because his child has a poor appetite, but drinks a quart of milk each day. The nurse should identify that this practice places the toddler at risk for which of the following conditions ?.Iron-deficiency anemia) Question:-A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching?."I will store my current bottle of insulin in the refrigerator.") Question:-A nurse is caring for a client who has urolithiasis. Which of the following actions should the nurse take?.Strain the clients urine) Question:-A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of the following instructions should the nurse include in the teaching?.Refrain from using deodorant on the morning of the test) Question:-A nurse is caring for a school age child whose family adheres to a vegan diet in the home. The nurse should recognize he child is at risk for a deficiency of which of the following?.Vitamin D) Question:-A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. Which of the following statements by the client indicates an understanding of the information?."I will have general anesthesia during the procedure.") Question:-A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?.Periorbital edema) Question:-A nurse is assisting with he discharge planning for a client following a myocardial infarction. Which of the following is appropriate referral for this client?.Physical therapist for range-of-motion exercises) Question:-A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?.Elevate the clients legs before applying the stockings) Question:-A nurse is contributing to the plan of care for a client with bulimia nervosa. Which of the following interventions should the nurse recommend?.Observe client for 1 hour after meals) Question:-A nurse in a newborn nursery is collecting data about a newborns Moro reflex. Which of the following actions should the nurse take to elicit the reflex?.clap hands after laying the newborn on a flat surface) Question:-A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?.lists sweating, shaking and palpitations as signs of hyperglycemia) Question:-A nurse has received a report for a group of clients. Which of the following clients should the nurse ask the charge nurse to reassign?.A client who has a new prescription for two units of packed RBC's.) Question:-A nurse is preparing to insert a nasogastric tube for a client . In which order should complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.).***************** -Position the client with pillows behind their head in high-fowlers position -instruct the client to place their head against a pillow while inserting the tube into one nostril -check the patency of the clients nares -measure the tube from the tip of the clients nose, to the earlobe, then the xiphoid process -lubricate the end of the tube with water soluble lubricant) Question:-A nurse is preparing to administer amikacin 5 mg/kg IM every 8 hr to a client. The client weighs 70.8 kg. How many mg should the nurse administer per dose?.354 mg) Question:-A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?.Diaphoresis Lip smacking) Question:-A nurse in a providers office is collecting data from a client who has deep vein thrombosis?.The client takes ibuprofen daily to treat musculoskeletal pain Has difficulty applying heir compression stockings) Question:-A nurse is contributing to the discharge plan of an older adult client who had a total hip arthroplasty. unable to walk independently and lives alone.Skilled nursing facility) Question:-A nurse on a mental health unit is discussing client rights with a group of coworkers.'A client must withdraw consent for treatment in writing if he is competent to do so) Question:-reinforcing teaching with a client who is 35 weeks gestation and has a presciption for lecithin/sphingomyelin test will determine fetal lung maturity) Question:-prenatal clniic is reinforcing teaching with a client about a nonstress a button every time you feel the baby move) Question:-a client who is taking heparin to prevent deep vein thrombosis and has bloody stools. which laboratory values should the nurse report to the provider?.INR 5.2) Question:-A nurse is reinforcing teaching with a client who has a new prescription for alprzolam. The client should avoid which of the following while taking this medication?.Alcohol) Question:-client who has bipolar disorder. The nurse should identify that which of the following findings places the client at an increased risk for injury due to mania?.The client is easily distracted by external stimuli) Question:-collecting data from a client who has asthma with exacerbation.*******administer an short acting bronchodialator encourae the client to take slow, deep breaths) Question:-nurse is caring for a client diagnosed with hyperemesis gravidarum. which of the findings should the nurse anticipate?.poor skin turgor) Question:-female new diagnosis of breast cancer. concerned about potential changes to her body ate a client referal to reach to recovery) Question:-teaching about allergies with the guradian of a newborn. findings indicate that the nurse has a milk . mucousy stools) Question:-collecting data from a client who has heart failure and is receiving 2 liters of oxygen via nasal cannula. oxygen saturation of 93%.compare the result with the baseline reading) Question:-a nurse working at a crisis hotline call center receives a call stating "i cannot take it. my life is over.".are you thinking of harming yourself?) Question:-providing preoperative teaching for an adolescent who is scheduled for a cardiac catheterization..*******you can return to school 1 week after your procedure you can shower 1 day after your procedure) Question:-reinforcing teaching about infection control with the guardian of a school age child who has varicella. no longer contagious..all vesicles have crusted over) Question:-preschooler who is about to undergo an incision and drainage for cellulitus on the left arm..help the child put a dressing on a doll) Question:-recovering from electroconvulsive therapy. adverse effect of the sion) Question:-asks a client who has shizophrenia "how are you?" the nurse should identify as are you?) Question:-client who has bipolar disoder and is experiencing mania. which of he following actions should the nurse the client to pick her own choice of clothing) Question:-providing postmortem care for a client prior to the family viewing the body..raise the head of the clients bed 30 degrees) Question:-difficulty finishing client care tasks during their shift..****perform quick tasks before time consuming tasks) Question:-administer an opthalmic medication. minimize systemic light pressure to the inner canthus) Question:-assisting with planing care for a group of clients. which should the nurse delegate to an assistive personnel.***evaluate clients risk changing the dressing on a clients iv site) Question:-removing a female clients indwelling urinary raw the fluid from the balloon) Question:-teaching about colostomy care with a client. undrstanding of how to care for colostomy.*** empty bag cut a wafer opening 1 inch bigger than my stoma) Question:-new prescription for digoxin to treat heart failure..increased cardiac output) Question:-standard precuations with an assistive personnel who is new to the newborn nursery. which of the following should the nurse remind the ap to wear clean ing wet gloves) Question:-providing change of shift report for a client who has COPD. which of the following information should the nurse include.**** output of 400 ml over the past 8 hours new onset of restlessnes) Question:-deep vein thrombosis. findings should the nurse expect in the affected aching pain) Question:-vitamin c deficiency. highest vitamin c concent.1 cup raw broccoli) Question:-identify that massage therapy is indicated for the treatment of the flowing mental health ssion) Question:-preschool age child who has a new diagnosis of celiac tortillas with black beans) Question:-a client who is experiencing alcohol withdrawal. administer prn dose of rs) Question:-decrease the rate of health care associated infections within the t data indicates a decreased rate of infection) Question:-transmission precautions with a client who has hep sharing razors with other family members) Question:-participating in a therapy session for anger management. recent behavior is due to the loss of their nlization) Question:-the nurse states that he has more work to do than anyone take a look at the assignments together) Question:-reviewing the medication record of a client who has a presciption for fluoxetine 2 weeks before.***** levothyroxine pheneizine) Question:-condom catheter to a male client who is space between the tip of the penis an the end) Question:-collecting health history data from a client who has ic constipation) Question:-discussing informed consent with a client prior to their surgical e the client gives voluntary consent for the surgery) Question:-colostomy; the client tells the nurse "i dont want anyone to see me with this it help to speak with someone else has a colostomy) Question:-following a vaginal delivery; the client has a second degree perineal cold packs) Question:-instill otic suspension into an adult clients upward and backward) Question:-collecting data from a client who has hepatitis inal pain) Question:-he is not coming out of his room anymore because other clients on the unit make fun of feel upset by the response of others) Question:-contraindication for oral ry of renal calculi) Question:-open heart surgery; i am confident i will be able to go home a few hours after the l) Question:-client who is receiving IV fluids. the nurse realizes that the incorrect IV solution is ete an incident report) Question:-take to demonstrate sensitivity to age related paper tape for securing the new dressing) Question:-long term care facility has received change of shift and agitated during the night shift) Question:-huardian of a preschooler who has a new dagnosis of one who lives in the home will need medication) Question:-change of shift nd hallucinations) Question:-in service for a group of unit nurses about ethical principles; s her time fairly among clients) Question:-postpartum client about bathing her newborn.Clean head under running water) Question:-A nurse is collecting data from a client who received 50 mg dose of metoprolol instead of the prescribed 25 ased heart rate) Question:-recently has a stroke and states, "I am having trouble swallowing my food." which should the nurse initiate a h language pathologist) Question:-newborn who is experiencing heroin withdrawal. should expect a prescription for which of the following done) Question:-reinforcing teaching about a safety plan for a client who reports partner rse your escape route) Question:-in which phase of the therapeutic relationship should the nurse help the client develop problem-solving ng phase) Question:-preparing for a papanicolaou smear. client will b placed in which of the following tomy) Question:-collecting data on a client who has swelling of the lower leg. identify which of the followings is a manifestation of compartment tion of +1 dorsal pedal pulse) Question:-a nurse receives a call from a clients partner to inquire about their condition. which of the following y the client has authorized release of their information to their partner) Question:-client who has a client on their lower leg. which of the following actions should the nurse take..massage areas around the edge of the clients cast with lotion) Question:-client who is experiencing a postpartum hemorrhage; which of the following medications should the nurse plan to lergonovine) Question:-postoperative and received hydromorphone 4 mg PQ 15 min ago.**** revaluate the clients response teach the client relaxation techniques) Question:-collecting a sputum specimen for a client for culture and gerate the specimen until the time of transport) Question:-observes a client having a panic uct the client to use abdominal breathing) Question:-postoperative following laser surgery for open angle glaucoma.i will stool softener to prevent constipation) Question:-dietary teaching with an adolescent who is at 10 weeks of gestation.You should consume 1,300 milligrams of calcium each day) Question:-caring for an infant who has a nasogastric feeding rm placement by flushing with air prior to feeding) Question:-full thickness burns and is in the emergent phase of the burn.Hyperkalemia) Question:-bipolar order and is experiencing mania.Decrease the level of environmental stimuli) Question:-stat dose of meperidine but instead got phenytoin.Check clients vital signs) Question:-Safety with the parent of a newborn.Take the newborn to the nursery before showering) Question:-admission interview with a client who has schizophrenia.Hallucinations) Question:-new prescription for lithium carbonate.I will notify my provider if I develop a hand tremor) Question:-assisting with plan of care for a client who has Alzheimer's disease.Give directions using simple phrases) Question:-Sterile field prior to performing a dressing change.***Pour liquids from 4-6 inches) Question:-charge nurse in a long term care facility;which of the following should the nurse delegate to an assistive personnel.Measuring the output every 2 hr) Question:-Clinet who has mononucleosis.Contact) Question:-How many baby aspirin should I give toddler.You should avoid giving aspirin to your child) Question:-Epidural pca.This machine is programmed to prevent you from administering more than a safe dose) Question:-A nurse is caring for a child who has terminal cancer.The school age sister is concerned about the impact of her siblings death on herself) Question:-An infant postoperative. Evaluate the infants pain level.FLACC) Question:-Schizophrenia; government agents are out to get me.It must be frightening to believe that someone is after you) Question:-New prescription for phenelzine.The pt is taking St. John's wort) Question:-Patient has active tuberculosis.Wear a gown prior when delivering a patients food tray) Question:-nurse is caring requesting assistance with smoking cassation. The nurse should anticipoce presoription for which of the following.Bupropion Naltrexone Methadone Disulfiram) Question:-Anurse is collecting data from a client who has diabetic ketoacdosis. Which of the following findings should expect.Frutiy breath) Question:-A