COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
▶ A nurse is preparing to administer furosemide to a client who has heart
failure. Which of the following findings should the nurse report before
administering the medication? Answer: Decrease potassium
▶ A nurse is contributing to the plan of care for a client who has
tuberculosis (TB). Which of the following interventions should the nurse
include? Answer: Place the client in a negative-pressure airflow room.
▶ A nurse is collecting data from a client who has hypothyroidism. Which of
the following manifestations should the nurse anticipate? Answer:
Bradycardia
▶ A nurse is assisting with the care for a client who has neutropenia.
Which of the following nursing interventions should the nurse implement?
Answer: Limit visitors to healthy adults.
▶ A nurse is contributing to the plan of care for a client who had a stroke.
For which of the following interprofessional team members should the
nurse recommend a referral prior to initiating oral intake for the client?
Answer: Speech-language pathologist
▶ A nurse is reinforcing teaching with a client who has asthma. Which of
the following client statements indicates an understanding of the use of
budesonide and albuterol inhalers? (Select all that apply.) Answer: "I never
forget to rinse my mouth after using my budesonide inhaler."
"Between office visits, I keep a record of how many times I use my albuterol
inhaler."
"I use my albuterol inhaler before I go swimming."
▶ A nurse is assisting with the care of a client who is receiving 0.9%
sodium chloride by continuous IV infusion. The client reports pain and
swelling at the IV site. In which order should the nurse perform he following
, steps? (Move the steps into the box on the right, placing them in the order
of performance. Use all the steps.) Answer: Check the IV site.
Stop the infusion.
Withdraw the IV catheter.
Elevate the affected arm.
Notify the charge nurse.
▶ 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