WITH SOLUTIONS GRADED A+
▶ The nurse is assisting with the care of the client. Complete the following
sentence by using the lists of options. Answer: The client is most likely
experiencing a hemothorax as evidenced by the client's respiratory
findings.
▶ The nurse is assisting with the care of the client. Drag words from the
choices below to fill in each blank in the following sentence. Answer: The
nurse should first address the client's blood pressure, followed by the
client's oxygenation.
▶ For each potential provider prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client. Answer:
Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube
insertion. Initiate NPO status.
Contraindicated- Place the client in Trendelenburg position. Cover the
client with a cooling blanket.
▶ The nurse is assisting with the care of the client following the placement
of a chest tube for a hemothorax. Which of the following actions should the
nurse take? Select all that apply Answer: Place the client in high-Fowler's
position
Place two rubber-tipped hemostats in the client's room
Palpate the chest tube insertion site for subcutaneous emphysema
Ensure that all chest tube connections are securely attached
▶ The nurse is assisting with the care of the client 1 hr following chest tube
insertion. Click to highlight the findings that indicate the client's condition is
improving. To deselect a finding, click on the finding again. Answer: Client
reports pain as a 3 on a scale of 0 to 10.
Client reports shortness of breath has decreased.
Wound dressing is dry and intact.
Respiratory rate 24/min.
Blood pressure 108/74 mm Hg
Oxygen saturation 95% on oxygen 2 L/min via nasal cannula.
, ▶ A nurse is collecting data from an older adult client who has several
concerns. Which of the following concerns should the nurse recognize as
an expected change associated with aging? Answer: "My food tastes bland
even after I add seasoning."
▶ A nurse is reinforcing teaching with a client who has a new diagnosis of
tuberculosis (TB) and a prescription for isoniazid and rifampin. Which of the
following information should the nurse include in the teaching? Answer:
Household family members should be tested for TB
▶ A nurse is reinforcing discharge teaching about wound care with the
caregiver of a client who is postoperative. Which of the following
instructions should the nurse include in the teaching? Answer: Report
purulent drainage to the provider.
▶ A nurse is reinforcing teaching with a client about preventing
osteoporosis. Which of the following client statements indicates an
understanding of the teaching? Answer: "I will limit my coffee intake."
▶ A home health nurse is reinforcing teaching with a client about
preventing complications of peripheral vascular disease. Which of the
following statements indicates that the client is adhering to the nurse's
instructions? Answer: "I don't cross my legs anymore."
▶ A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan? Answer: Obtain
a raised toilet seat.
▶ A nurse is assisting with the care for a client who is undergoing testing
for multiple sclerosis. Which of the following findings should the nurse
expect? Answer: Muscle Spasticity
▶ A nurse is assisting with the care for a client who is postoperative and
has a portable wound bulb suction device. Which of the following actions
should the nurse take? Answer: Compress the bulbs reservoir and then
close the drainage valve.