.
A nurse is following a plan of care for an older client who is being admitted to a long-term care
facility. Which intervention should the nurse expect to be included in the plan of care to help
maintain an appropriate bowel elimination pattern? - ✔✔✔-Providing cooked fruits such as
prunes or apricots
A cleansing enema is prescribed for an adult client. The nurse understands that which is the
maximal volume of fluid that can be administered? - ✔✔✔-1000 ml
A clear liquid diet has been prescribed for client who has just undergone surgery. Which foods
should the nurse offer to the client? - ✔✔✔-Apple juice
Chicken broth
Orange gelatin
A client about to undergo surgery is instructed in postoperative pain relief measures is asked
whether he would like to use a patient-controlled analgesia (PCA) pump. The client asks the
nurse to describe the pump. The nurse should provide the client with which information? -
✔✔✔-The client administers his own medication by pressing a control button
A client arrives at the urgent care center after sustaining an ankle injury, and the health care
provider prescribes the application of a cold compress to the ankle. The nurse, preparing to
apply the compress, examines the ankle and notes that it is extremely edematous. The nurse
should take which action? - ✔✔✔-Consult with the HCP before applying the cold compress
Cold is usually contraindicated if the site of injury is extremely edematous because it further
retards circulation to the area and prevents absorption of the interstitial fluid. For this reason,
applying the cold compress to the ankle and elevating the ankle and placing a cold compress
under and on top of the ankle are both incorrect. The nurse would not place heat on an injury
,Module 7 Exam Study Guide with Questions and Answers – 100% Solved
without a prescription to do so. The nurse would consult with the HCP about the prescription
for cold application.
A client asks a nurse about complementary and alternative measures to promote sleep. What
does the nurse suggest? - ✔✔✔-Muscle relaxation techniques
A client has a serum sodium level of 151 mEq/L, and the nurse provides instruction regarding
foods to avoid. Which menu choice by the client indicates to the nurse that the client needs
further instruction? - ✔✔✔-American cheese
A client has been found to have a bladder infection. When planning care, which area of
dysfunction would cause the nurse to monitor the client most closely for signs of a kidney
infection? - ✔✔✔-The ureterovesical junction
The ureterovesical junction is the point where the ureters enter the bladder. At this junction,
the ureter runs obliquely for 1.5 to 2 cm through the bladder wall before opening into the
bladder. This pathway prevents the reflux of urine back into the ureter, in essence acting as a
valve to prevent urine from traveling back into the ureter and up to the kidney. The urethra
extends from the bladder to the opening of the body where urine is excreted. The nephrons and
glomeruli are located in the kidneys.
A client has been placed in Buck's extension traction. The nurse can provide counter traction to
reduce shear and friction by implementing which measure? - ✔✔✔-Slightly elevating the foot
of the bed
In Buck's extension traction, the counter traction is typically applied with the use of the client's
body and may be augmented through elevation of the foot of the bed. Usually the foot of the
bed is elevated on blocks or the bed is put in the Trendelenburg position. For counter traction to
be maintained, it is essential that the client not slide down in the bed. Therefore the use of the
high Fowler position is discouraged. A footboard is not used for the purpose of counter traction.
, Module 7 Exam Study Guide with Questions and Answers – 100% Solved
A client has been told to apply cold packs to a knee injury, and the client asks the nurse how this
will help the injury. The nurse explains that a cold pack has which action? - ✔✔✔-Reduces
blood flow to the extremity
A client is found to have ulcerative colitis, and the nurse provides instructions to the client
about the diet that should be followed while the disease is in remission. Which menu selection
by the client indicates to the nurse that the client best understands the instructions? - ✔✔✔-
Boiled Potatoes
During remission, the client must avoid intestinal stimulants such as alcohol, caffeinated
beverages, high-fat foods, gas-forming foods, milk products, and foods such as raw fruits and
some vegetables, that are very high in fiber. Vitamins and iron supplements may be prescribed.
A client is receiving intravenous meperidine hydrochloride as prescribed. For which
side/adverse effects does the nurse assess the client while the clientis receiving this
medication? - ✔✔✔-Tachycardia
Hypotension
Mental clouding
Side/adverse effects of meperidine hydrochloride include respiratory depression, orthostatic
hypotension, tachycardia, drowsiness and mental clouding, constipation, and urine retention.
A client is resuming eating after undergoing partial gastrectomy. What measures should the
nurse tell the client to take to minimize the risk of complications? - ✔✔✔-Drinking liquids with
meals
A client recovering from acute renal failure is being discharged home. The nurse knows that the
client understands the therapeutic dietary regimen when the client states that he will plan to
eat foods that are low in which nutrient? - ✔✔✔-potassium