A nurse is providing information regarding transmission-based precautions for a client who has
clostridium difficile to an assistive personnel. Which of the following instructions should the
nurse include? (SATA)
-Provide the client with disposable utensils and dishes for meals.
-Leave BP equipment in the clients room
-Clean contaminated surfaces with a bleach solution
A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the
following instructions should the nurse include in the teaching?
Add oily fish to your diet twice weekly.
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A nurse in an oncology clinic is reinforcing teaching about mohs surgery with a client who has
skin cancer. which of the following information should the nurse include in the teaching?
Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is collecting data from an older adult client who has several concerns. Which of the
following concerns should the nurse recognize as an expected change associated with aging?
"My food tastes bland even after I add seasoning."
, A nurse is reinforcing dietary teaching with a client about increasing the intake of foods
containing vitamin C to enhance absorption of oral iron supplements. Which of the following
foos choices should the nurse include in the teaching?
1 cup of boiled broccoli
A nurse is caring for a client who is 2hr postoperative following the amputation of a foot. Which
of the following actions should the nurse take first?
Check the incisional dressing
A nurse is assisting with the care of a client who is postoperative following abdominal surgery.
Which of the following actions should the nurse take?
-Instruct client to splint
-Plan to ambulate client
-Report clients urinary output
-Monitor clients pain
A nurse is assisting with monitoring a client who is receiving dialysis treatment. For each
potential nursing intervention, click to specify if the intervention is indicated or not indicated.
Request a chest x-ray- not indicated
Trendelenburg position- indicated
IV bolus - indicated
Apply oxygen - indicated
Notify charge nurse - indicated
Blood glucose - not indicated
A nurse is contributing to the plan of care for a client who has a new prescription for nystatin
suspension for oral candidiasis. Which of the following interventions should the nurse include in
the plan?
Remind the client to swish the medication in their mouth.
A nurse is reinforcing teaching with the caregiver of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in the
teaching?
Change the sheepskin liner weekly
A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60
mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr?
864 cal
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