Following discharge c. Review with the client the need
teaching, a male client to avoid foods that are rich in milk
with duodenal ulcer tells and cream.
the nurse the he will drink
plenty of dairy products,
such as milk, to help coat
and protect his ulcer.
What is the best follow-
up action by the nurse?
a. Remind the client that
it is also important to
switch to decaffeinated
coffee and tea.
b. Suggest that the client
also plan to eat frequent
small meals to reduce
discomfort
c. Review with the client
the need to avoid foods
that are rich in milk and
cream.
d. Reinforce this teaching
by asking the client to list
a dairy food that he might
select.
The nurse observes an b. Instruct the UAP to obtain soft
unlicensed assistive blankets to secure to the side rails
personnel (UAP) instead of pillows.
positioning a newly
admitted client who has a
seizure disorder. The
client is supine and the
UAP is placing soft
pillows along the side
rails. What action should
the nurse implement?
a. Ensure that the UAP
has placed the pillows
,effectively to protect the
client.
b. Instruct the UAP to
obtain soft blankets to
secure to the side rails
instead of pillows.
c. Assume responsibility
for placing the pillows
while the UAP completes
another task.
d. Ask the UAP to use
some of the pillows to
prop the client in a side
lying position.
A male client with c. Stroke secondary to
hypertension, who hemorrhage
received new
antihypertensive
prescriptions at his last
visit returns to the clinic
two weeks later to
evaluate his blood
pressure (BP). His BP is
158/106 and he admits
that he has not been
taking the prescribed
medication because the
drugs make him "feel
bad". In explaining the
need for hypertension
control, the nurse should
stress that an elevated
BP places the client at
risk for which
pathophysiological
condition?
,a. Blindness secondary
to cataracts
b. Acute kidney injury due
to glomerular damage
c. Stroke secondary to
hemorrhage
d. Heart block due to
myocardial damage
An adolescent with major a. Describes life without purpose
depressive disorder has
been taking duloxetine
(Cymbalta) for the past
12 days. Which
assessment finding
requires immediate
follow-up
a. Describes life without
purpose
b. Complains of nausea
and loss of appetite
c. States is often fatigued
and drowsy
d. Exhibits an increase in
sweating.
A 60-year-old female a. Further evaluation involving
client with a positive surgery may be needed
family history of ovarian
cancer has developed an
abdominal mass and is
being evaluated for
possible ovarian cancer.
Her Papanicolau (Pap)
smear results are
negative. What
information should the
nurse include in the
, client's teaching plan
a. Further evaluation
involving surgery may be
needed
b. A pelvic exam is also
needed before cancer is
ruled out
c. Pap smear evaluation
should be continued
every six month
d. One additional
negative pap smear in six
months is needed.
A client who recently b. Teach tracheal suctioning
underwent a techniques
tracheostomy is being
prepared for discharge to
home. Which instructions
is most important for the
nurse to include in the
discharge plan?
a. Explain how to use
communication tools.
b. Teach tracheal
suctioning techniques
c. Encourage self-care
and independence.
d. Demonstrate how to
clean tracheostomy site.
In assessing an adult d. Document the assessment
client with a partial data
rebreather mask, the
nurse notes that the
oxygen reservoir bag
does not deflate
completely during
teaching, a male client to avoid foods that are rich in milk
with duodenal ulcer tells and cream.
the nurse the he will drink
plenty of dairy products,
such as milk, to help coat
and protect his ulcer.
What is the best follow-
up action by the nurse?
a. Remind the client that
it is also important to
switch to decaffeinated
coffee and tea.
b. Suggest that the client
also plan to eat frequent
small meals to reduce
discomfort
c. Review with the client
the need to avoid foods
that are rich in milk and
cream.
d. Reinforce this teaching
by asking the client to list
a dairy food that he might
select.
The nurse observes an b. Instruct the UAP to obtain soft
unlicensed assistive blankets to secure to the side rails
personnel (UAP) instead of pillows.
positioning a newly
admitted client who has a
seizure disorder. The
client is supine and the
UAP is placing soft
pillows along the side
rails. What action should
the nurse implement?
a. Ensure that the UAP
has placed the pillows
,effectively to protect the
client.
b. Instruct the UAP to
obtain soft blankets to
secure to the side rails
instead of pillows.
c. Assume responsibility
for placing the pillows
while the UAP completes
another task.
d. Ask the UAP to use
some of the pillows to
prop the client in a side
lying position.
A male client with c. Stroke secondary to
hypertension, who hemorrhage
received new
antihypertensive
prescriptions at his last
visit returns to the clinic
two weeks later to
evaluate his blood
pressure (BP). His BP is
158/106 and he admits
that he has not been
taking the prescribed
medication because the
drugs make him "feel
bad". In explaining the
need for hypertension
control, the nurse should
stress that an elevated
BP places the client at
risk for which
pathophysiological
condition?
,a. Blindness secondary
to cataracts
b. Acute kidney injury due
to glomerular damage
c. Stroke secondary to
hemorrhage
d. Heart block due to
myocardial damage
An adolescent with major a. Describes life without purpose
depressive disorder has
been taking duloxetine
(Cymbalta) for the past
12 days. Which
assessment finding
requires immediate
follow-up
a. Describes life without
purpose
b. Complains of nausea
and loss of appetite
c. States is often fatigued
and drowsy
d. Exhibits an increase in
sweating.
A 60-year-old female a. Further evaluation involving
client with a positive surgery may be needed
family history of ovarian
cancer has developed an
abdominal mass and is
being evaluated for
possible ovarian cancer.
Her Papanicolau (Pap)
smear results are
negative. What
information should the
nurse include in the
, client's teaching plan
a. Further evaluation
involving surgery may be
needed
b. A pelvic exam is also
needed before cancer is
ruled out
c. Pap smear evaluation
should be continued
every six month
d. One additional
negative pap smear in six
months is needed.
A client who recently b. Teach tracheal suctioning
underwent a techniques
tracheostomy is being
prepared for discharge to
home. Which instructions
is most important for the
nurse to include in the
discharge plan?
a. Explain how to use
communication tools.
b. Teach tracheal
suctioning techniques
c. Encourage self-care
and independence.
d. Demonstrate how to
clean tracheostomy site.
In assessing an adult d. Document the assessment
client with a partial data
rebreather mask, the
nurse notes that the
oxygen reservoir bag
does not deflate
completely during
