A nurse is reinforcing teaching with a client. Which of the following instructions should the nurse
include? - ANS - Avoid drinking fluids with meals.
- Eat several small meals per day.
- Consume high-protein snacks
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - ANS "You are at risk for infertility with this infection,
regardless of treatment."
A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is
to begin taking methylprednisone orally. Which of the following statements should the nurse
include in the teaching? - ANS Limit contact with large groups of people.
A nurse is assisting with the care for a client who has a compound fracture of the femur and was
placed in balanced suspension skeletal traction 4 days ago. Which of the following actions
should the nurse take? - ANS Perform pin site care daily.
A nurse is reviewing the laboratory results of a client. The nurse should identify that which if the
following laboratory values indicates the client is at risk for delayed wound healing? - ANS
Decreased iron.
A nurse is assisting with the care for a client who has methicillin-resistant Staphylococcus
aureus (MRSA) infection in a surgical wound. Which of the following information should the
nurse plan to share with visitors? - ANS Visitors must don a gown and gloves prior to entering
the clients room.
A nurse observes a client who is having a tonic-clonic seizure. Which of the following actions
should the nurse take? - ANS Loosen clothing around the client's neck.
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction? - ANS Small liquid stools.
A nurse is assisting with the care for a client who is scheduled for surgery and is experiencing
anxiety. Which of the following interventions should the nurse identify as the priority? - ANS
Determine the client's understanding of the procedure.
, A nurse is reinforcing teaching about hospice with a client who has terminal cancer. Which of
the following statements should the nurse make? - ANS "Hospice care will provide support for
you and your loved ones during the dying process."
A nurse is assisting with the care of a client who has a newly inserted water-seal closed chest
tube. Which of the following findings should the nurse report to the provider? - ANS Chest
drainage is greater than 70 mL/hr.
A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic
response to the medication? - ANS "I have gained 3 pounds since my last appointment."
A home health nurse is assisting with the care for a client who has COPD. The client reports
shortness of breath while eating, despite the use of home oxygen. Which of the following
recommendations should the nurse make? - ANS "Use a bronchodilator 30 minutes before your
meal."
A nurse is assisting with the care for a client following a thyroidectomy. Which if the following
findings should alert the nurse to the possibility of a parathyroid gland injury? - ANS Muscle
twitching
A nurse is assisting with the care for client who reports stomatitis. Which of the following dietary
recommendations should the nurse make? - ANS "Eat soft foods."
A nurse is assisting with the care for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should
recognize that these findings indicate which of the following complications? - ANS Pulmonary
embolism
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take? - ANS Administer
oxygen via nasal cannula
A nurse is reinforcing discharge instructions with a client who is postoperative following a right
hip arthroplasty. Which of the following statements should the nurse make? - ANS "Avoid
bending your hips more than 90 degrees."
A nurse is reinforcing discharge teaching to a client who has leukemia and is receiving
chemotherapy. Which of the following statements should the nurse include in the teaching? -
ANS "You should place your toothbrush in hydrogen peroxide."
A nurse is assisting with the care of a client who is at risk for developing pressure injuries.
Which of the following actions should the nurse take? - ANS Position pillows between the bony
prominences.
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