Answer Test bank Graded A+ Latest Update
A nurse in an emergency department is preparing to perform an ocular irrigation
for a
client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation -
100% correct answer as D. Perform the irrigation with sterile water for
irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at
200
ml/hr. The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the
nurse set the IV pump to administer? Round to near whole number.
A. 10
B. 22
C. 33
D. 4- 100% correct answer as C. 33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
,d. I can take up to five tablets in 15 minutes before seeking medical attention -
100% correct answer as b. I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total
hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
d. Install a raised toilet seat in your bathroom - 100% correct answer as d.
Install a raised toilet seat in your bathroom
D. Sodium 132 mEq/L - 100% correct answer as A nurse is caring for a client
who is taking lithium
and reports persistent nausea and vomiting for 2 days. Which of the following
laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L - 100% correct answer as A nurse is caring for a client
who is taking lithium
and reports persistent nausea and vomiting for 2 days. Which of the following
laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
,d) Sodium 132 mEq/L
A. Cleanse the client's toothbrush with hydrogen
peroxide. - 100% correct answer as A nurse is caring for a client who has cancer
and has
a WBC count of 4,000/mm3. Which of the following actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
A. Cleanse the client's toothbrush with hydrogen
peroxide. - 100% correct answer as A nurse is caring for a client who has cancer
and has
a WBC count of 4,000/mm3. Which of the following actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
C. Assist the client to a nearby common area. - 100% correct answer as A
nurse enters a client's room and sees smoke coming from the bathroom. Which of
the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the bathroom.
, C. Assist the client to a nearby common area. - 100% correct answer as A
nurse enters a client's room and sees smoke coming from the bathroom. Which of
the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the bathroom.
A. Apply foam handles to the client's eating utensils. - 100% correct answer as
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
A. Apply foam handles to the client's eating utensils. - 100% correct answer as
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
C. Sildenafil - 100% correct answer as A nurse is obtaining a medication
history from a client who is to start taking nitroglycerin for chest discomfort with
activity. Which of the following medications should the nurse instruct the client to
avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin