A nurse is caring for a client that has not voided for several hours. When
percussing the client's bladder to assess for distention, the nurse should
expect to hear......
→ Dullness
→ This indicates a full bladder
→ -Tympany means empty
→ -Hyperrenosance is an abnormal pulmonary sou...
-Encourage the client to ambulate as much as they want in order to maintain
activity level
Which of these measures should a nurse emphasize when feeding a client
with left side facial paralysis who has difficulty swallowing?
→ Placing the food on the unaffected side of the client's mouth
-prevents aspiration
Before assisting a patient who is on day postop OOB for the first time, a nurse
should take which action?
→ Assess pulse and blood pressure in order to assess the client for
orthostatic hypotension
Which of these objectives is most important to include in the care of a client
with multiple sclerosis?
→ Prevent contractures
-it will decrease the client's functional abilities
A client who is terminally ill with AIDS is admitted to the hospital. What
precaution should be included in the client's plan of care?
→ Standard Precautions
A nurse is caring for a client who had a right lower lobectomy and has a
closed water-sealed chest drainage system in place. Which action should the
nurse include as part of the plan of care?
Master01 | September, 2024/2025 | Latest update
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