Rngrad

o Thoracentesis nursing interventions  After thoracentesis, client should deep breathe to re-expand lungs  Place client in upright position with arms resting on an overhead table to widen the intercostal space and spread ribs for tube insertion  Nurse should assist a client who cannot sit up into a side-lying position with the affected side up  Client should receive local anesthetic for the procedure and will not require NPO status after midnight  Instruct client to resume...

1. A nurse is helping a school-age child who has celiac disease select menu items for the next days meals and snacks. Which of the following foods should the nurse encourage the client to choose? a. Sliced chicken breast on whole wheat bread b. Beef, barley, and vegetable soup c. Graham crackers with peanut butter d. A cheese omelet with orange juice 2. A nurse is providing dietary teaching to a parent of a 10-month old infant who has phenylketonuria. Which of the following responses by th...

A nurse is planning care for a client who is to have a mechanically altered diet following a stroke which of the following foods should nurse recommend to include in the client’s diet? A. Mashed potatoes B. Ice cream C. Ground meat D. Strawberries E. Raw broccoli 4. A nurse is teaching a client who has hemoglobin of 10 g/dl about dietary interventions. Which of the following menu selections by the client indicates an understanding of the teaching? A. Apple slices B. Cottage cheese C. ...

1. A nurse is caring for a client who has a systemic infection. During the infusion of vancomycin, the client develops a rash and becomes flushed. Which of the following is an appropriate action for the nurse to take? a. Obtain a prescription for oral vancomycin b. Decrease the rate of administration c. Document a penicillin allergy in the client chart d. Administer naloxone 1 mg IV

A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect? a. decreased level of consciousness b. dry skin c. exophthalmos d. intolerance to cold

o Postoperative nursing interventions following mastectomy  Instruct client that the drain will remain in place for 1-3 weeks after surgery and will be removed when there is 25 mL of output or less in a 24-hour period  Instruct client to start exercising the arm on side of surgery 24 hours after surgery  Elevate arm on surgical side on a pillow to promote lymphatic fluid return  Nurse should elevate the head of the client’s bed to at least 30 degrees to promote drainage from ...

The nurse is treating a skin tear on an older client's lower leg. Which dietary selection contains ingredients that will be most favorable to wound healing for this client? Orange juice and eggs. Sprite and noodles. Milk and toast. Donuts and mils. The nurse is treating a skin tear on an older client's lower leg. Which vitamins will be most favorable to wound healing for this client? Vitamin K and A Vitamin B and folic acid Vitamin C, and zinc. Vitamin D and K

A nurse is assessing client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider? a. Blood glucose 110 mg/dL b. Deep tendon reflexes of 2+ c. Urine protein of 3+ d. Hemoglobin 13 g/dL

nurse is planning care for a client following a cardiac catherization. Which of the following actions should the nurse take? a. Limit the client’s fluid intake to 1 L per day. b. Change the client’s dressing every 8 hr. c. Keep the client on bed rest for 24 hr. d. Maintain he client’s affected extremity in extension.

A nurse is reviewing the ECG of a patient who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? - Tall, tented T-waves - Presence of U-waves o Manifestation of hypokalemia, an adverse effect - Widened QRS complex A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the patient has anxiety, hypotension, and dyspnea. Which of the following medications shou...