WITH ANSWERS GRADED A+
▶ 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
▶ 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