QUESTIONS AND ANSWERS GUARANTEED
TO PASS PRACTICE SOLUTION
●● Which client change in status is best to assign to a practical nurse?
Answer: Viral meningitis whose temperature changed from 101°F to
102°F.
●● What is the most important intervention for a client with pneumonia
developing septic shock?
Answer: Maintain strict intake and output.
●● What is the best nursing intervention for a client who leaves a
treatment team meeting in tears?
Answer: Go to the client's room and ask what happened.
●● What are the three most important goals for a client with decreased
oxygen saturation?
Answer: The client will have quit smoking, be afebrile for 24 hours, and
report pain less than 3/10.
●● What should the nurse do regarding the facemask for a client
requiring oxygen?
,Answer: Clean the facemask once per shift.
●● What is the correct dosage for dalteparin for a client weighing 154
pounds?
Answer: 0.6 mL.
●● What should the nurse complete first for a client with flu-like
symptoms and difficulty breathing?
Answer: Start oxygen 3 L per minute via nasal cannula and place the
client on a cardio respiratory monitor.
●● What items should the nurse collect to start the client on oxygen?
Answer: Nasal cannula and flow meter.
●● What assessment findings indicate hypoxia in the cardiovascular
system?
Answer: Capillary refill for seconds and blood pressure 145/89.
●● What position should the nurse place a client with flu-like symptoms
to promote lung expansion?
Answer: Semi-Fowler position.
●● Which lunch choice indicates effective diet teaching for wound
healing?
, Answer: A tuna fish sandwich with chips and ice cream.
●● What nursing intervention should be included for a client with
suspected MRSA?
Answer: Institute contact precautions for staff and visitors, send wound
drainage for culture and sensitivity, and monitor the client's white blood
cell count.
●● What assessment finding is most important to report for a client with
bipolar disorder?
Answer: Serum lithium level of 1.6.
●● Which foods should the nurse encourage for a client on a post-
operative full liquid diet?
Answer: Clear beef broth, vanilla frozen yogurt, and vegetable juice.
●● What action should the nurse include in the plan of care for an infant
with esophageal atresia?
Answer: Offer a pacifier for non-nutritive sucking.
●● What instruction should the nurse include for parents about home
phototherapy for an infant?
Answer: Reposition the infant every two hours.