A nurse is caring for a female client who is being treated for dehydration due to nausea and
vomiting. Which of the following findings should the nurse report to the provider? - ANS Heart
rate 120/min
A nurse is reinforcing teaching with a client about increasing dietary fiber. The nurse should
recommend which of the following foods has the best source of fiber? - ANS Half cup cooked
kidney beans
A nurse is reinforcing teaching about insulin injections with an adult client who weighs 45.4 kg.
which of the following statements by the client indicates an understanding of the teaching? -
ANS "I should give my shot in my belly tissue"
A Nurse is reviewing the plan of care for an older client who is one day post operative following
a total hip arthroplasty. Which of the following interventions should the nurse contribute to the
plan of care? - ANS Keep an abduction pillow between the clients legs
A nurse is caring for a client who has intestinal obstruction and reports a new onset of nausea.
The client had an NG tube set at low intermittent suction and is receiving continuous IV infusion
of 0.9% sodium chloride. which of the following actions should the nurse take first? - ANS Check
for links in the NG tube
A nurse in a clinic is assisting with the development of a pamphlet about STIs. which of the
following information should the nurse recommend to include in the pamphlet? - ANS Women
have a higher risk of contracting STIs than men
A nurse is changing the dressing for a client who has abdominal incision and a hemovac drain.
which of the following actions should the nurse take? - ANS cleanse the drainage plug with
alcohol Swabs
A nurse is monitoring a client who has a wrist cast and reports intense itching underneath the
cast. which of the following actions should the nurse take? - ANS blow cool air into the cast
using a blow dryer on a cool setting
A nurse is caring for a client who is 2 hour postoperative following an amputation of the foot.
which of the following actions should the nurse take first? - ANS check the incisional dressing
A nurse is assisting in the care of a client who has AIDS related pneumonia. The client is
receiving antibiotic therapy and albuterol nebulizer treatments daily. which of the following
, findings should indicate to the nurse that the clients therapeutic regimen is effective? - ANS
Decrease in exertional dyspnea
A nurse is assisting with the development of a plan of care to manage pain for a client who has
herpes zoster with lesions on the lower extremities. which of the following interventions should
the nurse include in the plan of care? - ANS Keep bed linens off of the affected areas
A nurse is reinforcing teaching with an older adult client who has osteoporosis. which of the
following instructions should the nurse include in the teaching? - ANS Take calcium
supplements with meals
A nurse is reinforcing teaching with a client who had osteoporosis and a new prescription for
Calcitonin. which of the following statements should the nurse make to describe the effect of
calcitonin in treating osteoporosis? - ANS calcitonin will slow the breakdown of bone in your
body.
A nurse is reinforcing teaching with a client who has coronary artery disease and is taking a
statin medication to lower cholesterol levels. which of the following instructions should the nurse
include in the teaching? - ANS Add oily fish to your diet twice weekly
A nurse is contributing to the plan of care for a client who has Tuberculosis. which of the
following interventions should the nurse include? - ANS place the client in a negative-pressure
airflow room
A nurse is caring for a client who had dementia due to Alzheimer's disease. which of the
following actions should the nurse take to reduce the clients confusion? - ANS Encourage
reminiscence of past experiences.
a nurse in a health clinic is reinforcing teaching with a client who has tuberculosis about
transmission of a disease. which of the following client statements indicate an understanding of
the teaching? - ANS "I inhaled the infected droplets that were in the air"
A nurse is reinforcing teaching with a client who has circulatory compromise in the lower
extremities due to peripheral vascular disease. which of the following actions should the nurse
take? - ANS Educate the client about choosing low-fat, low-cholesterol foods
A nurse is reinforcing teaching with a client who has chronic kidney disease about disease
management. which of the following statements by the client indicates an understanding of the
teaching? - ANS " I will limit my daily intake of protein"
A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM)
machine with a client who is scheduled for a total knee arthroplasty. which of the following
information should the nurse include in the teaching? (select all that apply) - ANS •your knee is
flexed and extended and prescribed by your provider.
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