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A nurse is providing discharge teaching to a client who has a new prescription
for sublingualnitroglycerin. Which of the following client statements indicates
an understanding of the teaching?
I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following
total hip arthroplasty. Which of the following instructions should the nurse
include in the teaching?Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. Which
of the followingactions should the nurse take?
Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a
prescription for crutches. Which of the following client statements indicates
that the client is adapting to theirrole change?
I will need to have my partner take over shopping for groceries and cooking
the meals for us
1
,A home health nurse is making an initial visit to a client who has multiple
sclerosis. Which ofthe following actions is the priority for the nurse to
take? Provide coping strategies for client and family
A nurse in the emergency department is assessing a client. which of the
following actions should the nurse take first? (click on the "exhibit" button for
additional information about theclient.)
Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for
colorectal cancer. Thenurse should identify which of the following findings as
increasing the client's risk?
History of Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client
tells the nurse, "I'm not sure I want to have a mastectomy." Which of the
following statements should thenurse make?
I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who
is anemic. Identifythe sequence of steps the nurse should follow.
1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate transfusion of the unit of packed RBCs
2
, 5. Remain with the client for the first 15 to 30 minutes
A nurse is providing discharge teaching to a client following a modified left
radical mastectomy with breast expander. Which of the following statements
by the client indicatesan understanding of the teaching?
I should expect less than 25 ml of secretions per day in the drainage devices
A critical care nurse is assessing a client who has a severe head injury. In
response to painfulstimuli, the client does not open her eyes, displays
decerebrate posturing and makes incomprehensible sounds. which of
the following Glasgow Coma scale scores should the nurse assign the
client? 5
3