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Terms in this set (150)
dietary management to a client who Fiber -a low-fiber diet to reduce diarrhea and
has Crohn's disease & enteroenteric inflammation.
fistula.
48 hr postop laryngectomy & Determine client's reading skills -- customized
unable to speak. techniques to practice & use after verbal skills are
lost.
teaching to guardians of a newborn "I will not allow anyone to smoke near my baby."
to prevent SIDS. -strong correlation between cigarette smoke &
occurrence of SIDS.
9 weeks of gestation nausea and Urine specific gravity 1.052 -elevated
vomiting for past 2 days. What 1.005 to 1.030 normal-
should nurse expect? dehydration from vomiting.
client has rheumatoid arthritis & Allow for frequent rest periods - balance rest
pain in multiple joints. Which action with exercise to maintain strength, joint function,
should nurse take? & range of motion.
,client who has hyperthyroidism. Tremors
Which findings should the nurse Tachycardia,
expect? Diaphoresis,
Weight loss,
Insomnia,
Exophthalmia.
A hospice nurse is consulting with "We can expect hospice nurse to provide
client & family about home services. support for us after our mother's death." -
Hospice care includes bereavement support
after a family member's death.
chlorpromazine. Decrease hallucinations -
an antipsychotic medication for hallucinations &
other manifestations of schizophrenia.
A charge nurse notices a nurse "I would like to talk to you about unit policies
frequently violates unit policies by regarding break time." - The charge nurse is
taking extended time for break. dealing with conflict in a cooperative, positive
Which statement should charge manner by using this statement to open
nurse make to address this conflict? conversation in a nonthreatening way. The focus
is on length of break time & not personal
A nurse is teaching a client who has "I will need to measure your weight daily." -- The
a new prescription for a total nurse should instruct the client that daily weight
parenteral nutrition through a measurement is a necessary part of administering
central line. Which of the following nutrition through a central line to avoid fluid
information should the nurse overload and monitor for adequate weight gain.
include in the teaching?
A nurse is assessing a client who Blurred vision -- The nurse should identify
has major depressive disorder and blurred vision as an adverse effect of
is taking amitriptyline. Which of the amitriptyline and notify the provider. Other
following findings should the nurse adverse effects include constipation, urinary
identify as an adverse effect of the retention, and dry mouth.
medication?
, A nurse is caring for a client who Turn off the CPM machine during mealtime -- The
has a prescription for a continuous nurse should turn off the CPM machine during
passive motion machine following a meals to promote client comfort and dietary
total knee arthroplasty. Which of intake.
the following actions should the
nurse take?
A nurse in outpatient mental health A client who channels their energy into a new
clinic is caring for four clients. The hobby following the loss of their job -- The nurse
nurse should recognize that which should identify that this client is using the defense
of the following clients is effectively mechanism of sublimation by channeling
using sublimation as a defense negative feelings over the loss of their job into a
mechanism? new hobby.
A nurse is talking with a client who "I told my doctor that I would like to start a
has stage IV breast cancer. The support group for other women who are sick in
nurse should recognize which of my community." -- This statement indicates that
the following statements by the the client is using the constructive defense
client as a constructive use of a mechanism sublimation by devising a socially
defense mechanism? acceptable alternative to facing a reality that she
does not wish to accept.
A nurse is providing education to "I will make sure my child receives a yearly
the parent of a school-age child influenza immunization." -- Children who have
who has asthma. Which of the asthma should be immunized and protected from
following statements by the parent infections.
indicates an understanding of the
teaching?
A nurse is caring for a client who is Check the client's oxygen saturation level --
postoperative after receiving Restlessness and lightheadedness are indications
moderate (conscious) sedation. The of hypoxia.
client suddenly becomes restless
and reports feeling lightheaded.
Which of the following actions
should the nurse take?