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The nurse is discussing dietary preferences with a client who adheres to a vegan diet.
Which dietary supplement should the nurse encourage the client to include in the
dietary plan?
Vitamin B12.
3 multiple choice options
An older client who is able to stand but not to ambulate receives a prescription to be
mobilized into a chair as tolerated during each day.What is the best action for the
nurse to implement when assisting the client from the bed to the chair?
Place a transfer belt around the client, assist to stand, and pivot to a chair that is
placed at a right angle to the bed.
3 multiple choice options
A male client with an infected wound tells the nurse that he follows a macrobiotic diet.
Which type of foods should the nurse recommend that the client select from the
hospital menu?
Combination of plant proteins to provide essential amino acids.
3 multiple choice options
,A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the
nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which response is
best for the nurse to provide?
"It may hurt but we'll give you medicine to help you feel better."
3 multiple choice options
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond?
"What is concerning you this morning?"
3 multiple choice options
Which statement correctly identifies a written learning objective for a client with
peripheral vascular disease?
Upon discharge, the client will list three ways to protect the feet from injury.
3 multiple choice options
The nurse is providing passive range of motion (ROM) exercises to the hip and knee
for a client who is unconscious.
After supporting the client's knee with one hand, what action should the nurse take
next?
Cradle the client's heel.
3 multiple choice options
, While preparing to insert a rectal suppository in a male adult client, the nurse
observes that the client is holding his breath while bearing down. What action should
the nurse implement?
Instruct the client to take slow deep breaths and stop bearing down.
3 multiple choice options
What action should the nurse implement when adding sterile liquids to a sterile field?
Consider the sterile field contaminated if it becomes wet during the procedure.
3 multiple choice options
At the time of the first dressing change, the client refuses to look at her mastectomy
incision. The nurse tells the client that the incision is healing well, but the client
refuses to talk about it. Which is the best response to this client's silence?
"It is OK if you don't want to talk about your surgery. I will be available when you
are ready."
3 multiple choice options
A nurse is preparing to give medications through a nasogastric feeding tube. Which
nursing action should prevent complications during administration?
Mix each medication individually.
3 multiple choice options