and CORRECT DETAILED ANSWERS
ALREADY GRADED A+
When developing a teaching plan for a client with newly diagnosed Type 1
diabetes, the nurse should explain that an increased thirst is an early sign of
diabetic ketoacidosis (DKA). Which action should the nurse instruct the client to
implement if this sign of DKA occurs? - CORRECT ANSWER-Give a dose of
regular insulin as prescribed
Which information is most important to include in the teaching plan for a client
who is discharged after a thyroidectomy for Grave's disease? - CORRECT
ANSWER-Daily hormone replacement will be needed for the rest of the client's
life.
The nurse is planning discharge instructions for a client with type 2 diabetes who
will be starting exenatide. Which information should be included in the discharge
instructions? - CORRECT ANSWER-Notify your healthcare provider if you start
having abdominal pain.
Which breakfast selection should he nurse recommend for a 16-year-old with
diarrhea? - CORRECT ANSWER-Oatmeal, banana, and herbal tea.
,The nurse is preparing to administer 1.6 mL of medication intramuscularly to a 4-
month-old infant. Which action should the nurse include? - CORRECT
ANSWER-Divide the medication into two injections with volumes under 1 mL.
A school-aged child with chronic renal failure receives a prescription from the
healthcare provider for losartan. Which action should the nurse implement prior
to administering the medication? - CORRECT ANSWER-Evaluate the ability to
swallow medication.
An adolescent client on a drug treatment unit becomes angry and pulls the
refrigerator from the wall and then throws the microwave. After the client fails to
respond to the redirection, the healthcare provider prescribes restraints. Which
assessment should the nurse include in the client's record while the client is in
restraints? - CORRECT ANSWER-• Range-of-motion and circulation.
The nurse brings an oral medication prescribed to be given daily to a male client
who tells the nurse that he will take his medication later. Which action should the
nurse implement? - CORRECT ANSWER-Agree upon a time to return to the
client's room with the medication.
,When conducting diet teaching for a client who was diagnosed with hypertension,
which foods should the nurse encourage the client to eat? (Select all that apply) -
CORRECT ANSWER-• Fresh or frozen vegetables without sauce
• Fruits without sauce
The charge nurse observes a new nurse preparing to insert an intravenous (IV)
catheter. The new nurse gathers equipment, including an intravenous catheter
and insertion kit, and a 4x4 gauze dressing to apply over the insertion site. Which
action should the charge nurse take? - CORRECT ANSWER-• Remind the nurse
to use a transparent dressing over the site.
A morbidly obese client is scheduled for gastric bypass surgery. The client
completes the required preoperative nutritional counseling and signs the
operative permit. To promote effective discharge planning, which intervention is
most important for the nurse to implement? - CORRECT ANSWER-Discuss
small, low fat, low sugar meal preparation techniques.
A client who was splashed with a chemical has both eyes covered with bandages.
When assisting the client with eating, which intervention should the nurse
instruct the UAP to implement? - CORRECT ANSWER-Orient the client to the
location of the food on the plate.
, A client is admitted for an exacerbation of heart failure (HF) and is being treated
with diuretics for fluid volume excess. In planning nursing care, which
interventions should the nurse include? (Select all that apply.) - CORRECT
ANSWER-• Observe for evidence of hypokalemia
• Teach the client how to restrict dietary sodium
• Weight the client daily, in the morning
While changing the dressing of a client who is immobile, the nurse observes a red
and swollen wound with a moderate amount of yellow and green drainage and a
foul odor. Given there is a positive methicillin-resistant Staphylococcus aureus
(MRSA), which is the most important action for the nurse to take? - CORRECT
ANSWER-Administer prescribed antibiotics.
A client who has asthma receives a new prescription for a corticosteroid inhaler.
The client expresses concern about taking steroid medications. What information
should the nurse provide the client about the use of this maintenance inhaler? -
CORRECT ANSWER-Systemic side effects are reduced when taken by
inhalation
The healthcare provider prescribes a sedative for a client with severe
hypothyroidism. The nurse plans to contact the provider to review the safety of
the prescription for the client and consults first with the charge nurse. The charge
nurse notes that the prescription is written legally and completely. How should