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1 of 139
Term
A client with multiple sclerosis has urinary retention related to
sensorimotor deficits. Which action should the nurse include in the
client's plan of care?
, Instruct the client to drink more fluids Advise the client to use a bedpan for
to increase urine output all urination needs
list
Teach the client techniques for Suggest the client perform pelvic
performing intermittent floor exercises to strengthen bladder
catheterization control
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2 of 139
Term
A client with pheochromocytoma reports the onset of a severe
headache. The nurse observes that the client is very diaphoretic. Which
assessment data should the nurse obtain next?
Temperature Systolic pressure
Blood pressure Daily weight
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3 of 139
, Term
An older client arrives at the outpatient eye surgery clinic for a right
list cataract extraction and lens implant. During the immediate
postoperative period, which intervention should the nurse implement?
Schedule a follow-up appointment Instruct the client to keep the eye
for vision assessment uncovered for better healing
Provide an eye shield to be Administer eye drops to reduce
worn while sleeping inflammation
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4 of 139
Term
An adult client is admitted with flank pain and is diagnosed with acute
pyelonephritis. What is the priority nursing action?
Auscultate for presence of bowel
Pain Related to joint inflammation
sounds
, Administer IV antibiotics as
Monitor hemoglobin and hematocrit
prescribed
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list
5 of 139
Term
A male client with bilateral carpal tunnel syndrome reports to the nurse
that the pain and tingling he is experiencing worsens at night. What
client teaching should the nurse provide?
Avoid using hands for any activities Wear braces as both writs
during the day during the night
Perform wrist exercises every hour to Use heat pads on the wrists to relieve
strengthen them pain
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6 of 139
Term
A male client with a history of asthma reports having episodes of
bronchoconstriction and increased mucous production while
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