Preview 8 out of 10 Flashcards
A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue 
drainage. Which of the following types of transmission precautions should the nurse initiate?
A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue 
drain...
Contact precaution
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which 
of the following actions should the nurse take?
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Whi...
-Reassure the client that this is an expected response to grief
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following 
examples should the nurse include in the teaching? (Select all that apply.
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following 
e...
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers
A, B, D
A nurse is teaching a client with lower extremity weakness to use a 4 point crutch gait. Which of the 
following instructions should the nurse include in the teaching?
A nurse is teaching a client with lower extremity weakness to use a 4 point crutch gait. Which of th...
a. support the weight on your axillae
b. keep your elbows extended
c. bear weight on both of your legs
d. move both crutches forward at the same time
Answer:
C b/c need 3 points of contact with ground at all times
A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which action should 
nurse take?
a. maintain suction while removing NG tube
b. instill 100mL of air into NG tube before removal
c. pinch NG tube while removing tube
d. instruct client to breath in and out during removin
A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which action sho...
Answer: C
A nurse is assessing a client who has been on bed rest for the past month. Which of the following 
findings should the nurse identify as an indication that the client has developed thrombophlebitis?
A nurse is assessing a client who has been on bed rest for the past month. Which of the following 
f...
Calf swelling
A nurse is reinforcing information with a client who wishes to complete their advance
directives. Which of the following statements should the nurse make?
A nurse is reinforcing information with a client who wishes to complete their advance
directives. Wh...
You can decline to have certain medical procedures performed in your living will.
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following 
statements should the nurse identify as an indication that the client understands the preoperative 
teaching she received about pain management?
-"I think I should take my pain medication more often since it is not controlling my pain."
-"Breathing faster will help keep my mind off of the pain."
-"It might help me to listen to music while I'm lying in bed."
-"I don't want to walk today because I have some pain."
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the fo...
"It might help me to listen to music while I'm lying in bed."