WITH ANSWERS GRADED A+
▶ A nurse is assisting with the care for a client who has age-related
macular degeneration. Which of the following findings should the nurse
expect? Answer: Distorted central vision of the eyes.
▶ A nurse is contributing to the plan of care for ac client who has a head
injury and is at risk for increased intracranial pressure (ICP). Which of the
following actions should the nurse include in the plan? Answer: Use a turn
sheet to reposition the client.
▶ A nurse is reinforcing discharge teaching with a client who has cirrhosis.
Which of the following instructions should the nurse include? Answer:
"Consume foods that are low in sodium."
▶ A nurse is reinforcing teaching with a client who has a new diagnosis of
genital herpes. Which of the following information should the nurse
include? Answer: "The virus can be transmitted without lesions being
present."
▶ A nurse is assisting with the care for a client who has a history of breast
cancer. The client asks the nurse about birth control. Which of the following
methods of birth control is contraindicated for this client? Answer:
Combination oral contraceptives
▶ A nurse is reinforcing teaching with the caregiver of a client who has a
cervical injury and has a halo vest in place. Which of the following safety
precautions should the nurse include in the teaching? Answer: Change the
sheepskin liner weekly.
▶ A nurse is reinforcing dietary teaching with a client about increasing the
intake of foods containing vitamin C to enhance absorption of oral iron
supplements. Which of the following food choices should the nurse include
in the teaching? Answer: 1 cup of boiled broccoli
▶ A nurse is assisting in monitoring a client who is receiving dialysis
treatment. For each potential nursing intervention, click to specify if the
, intervention is indicated or not indicated. Answer: Indicated- Place the
client in reverse Trendelenburg position. Assist with administering a 0.9%
sodium chloride 200 mL IV bolus. Apply oxygen at 2 L/min via nasal
cannula. Notify the charge nurse immediately.\
Not Indicated- Request a chest x-ray. Obtain the client's blood glucose
level.
▶ A nurse is assisting with the care of a client. Complete the diagram by
dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's
progress. Answer: Administer morphine IV, Ensure the client is NPO.
Cholecystitis
Rectal Bleeding, Mucus in stools
▶ A nurse is assisting with the care of a client who was admitted from the
emergency department with a burn injury. Drag words from the choices
below to fill in each blank in the following sentence. Answer: During the
emergent phase of burn care, the client is at risk for developing
hypovolemia and respiratory failure.
▶A nurse is assisting with the care of a client who is postoperative
following abdominal surgery. Answer: Apply oxygen to the client via a face
mask
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
▶ A nurse is reviewing the laboratory reports of a client who reports chest
pain. Which of the following laboratory results indicates the client is
experiencing a myocardial infarction? Answer: Elevated Troponin
▶ For each finding, click to specify if the finding is consistent with
emphysema, asthma, or pneumonia. Each finding may support more than 1
disease process. Answer: Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia