Questions and Answers | Verified | A+
• Respiratory Alkalosis S/S -✓✓lethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
• A nurse is contributing to the plan of care for an older adult client who is at risk
for Osteoporosis. Which intervention should the nurse include to prevent bone
loss? -✓✓Encourage weight bearing exercises (such as walking because it can help
maintain bone mass by reducing bone demineralization, thus helping to prevent
osteoporosis.)
• A nurse is caring for a client who has meningococal pneumonia. Which of the
following personal protective equipment should the nurse use? -✓✓Mask (this
disease requires droplet precautions)
• A nurse is reinforcing teaching with a client who is taking insulin Glargine. What
information should the nurse include in the teaching? -✓✓This type of insulin
should be given at the same time everyday. (It is released over a 24hr period)
• A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. What statement by the client
indicates that they are adhering to the nurse's instructions? -✓✓"I don't cross my
legs anymore".
• A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus
(MRSA) infections in a surgical wound. What information should the nurse plan to
share with visitors? -✓✓Visitors must don a gown & gloves prior to entering the
client's room.
, • A nurse is reinforcing teaching with a client who has heart failure and a new
prescription for hydrochlorothiazide. What should the client report to the provider?
-✓✓Onset of nausea
• A nurse is reinforcing discharge teaching with a client who has hearing loss.
What action should the nurse take when communicating with the client? -
✓✓Rephrase client instructions when not understood.
• A nurse is caring for a client who is 1 day post operative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, & tacky-nearly. The
nurse should recognize these findings as what complication? -✓✓Pulmonary
Embolism
• A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture. What finding should the nurse recognize as
abnormal? -✓✓Lack of sensation between the first and second toes
• A nurse reinforcing teaching with a client who has systemic lupus erythematosus
(SLE) and is to begin taking methylprednisolone orally. What should the nurse
include in the teaching? -✓✓Limit contact with large groups of people
• A nurse is caring for a client who is 24hr postoperative following abdominal
surgery & has an NG tube. What action should the nurse plan to take to decrease
the risk of postoperative complications? -✓✓Encourage the client to use an
incentive spirometer every hour while awake
• A nurse is collecting data from a client who has chronic kidney disease with
hyperkalemia. What finding should the nurse expect related to hyperkalemia? -
✓✓Bradycardia
• A nurse is assisting in the care of a client who has manifestations of sepsis. What
provider prescriptions should the nurse implement first? -✓✓Initiate oxygen at 4
L/min via nasal cannula
• A nurse is caring for a client who has terminal pancreatic cancer. The client
states, "I don't think I can go on any longer." What response should the nurse
make? -✓✓"Tell me more about the way you are feeling."