COMPLETE VERIFIED ANSWERS
The nurse encounters resistance when inserting the tubing Ask the client to relax and run a small amount of fluid into the rectum.
into a client's rectum for a tap water enema. What action 3 multiple choice options
should the nurse implement?
The nurse is discussing dietary preferences with a client Vitamin B12.
who adheres to a vegan diet. Which dietary supplement 3 multiple choice options
should the nurse encourage the client to include in the
dietary plan?
An older client who is able to stand but not to ambulate Place a transfer belt around the client, assist to stand, and pivot to a chair that is placed
receives a prescription to be mobilized into a chair as at a right angle to the bed.
tolerated during each day.What is the best action for the 3 multiple choice options
nurse to implement when assisting the client from the bed
to the chair?
A male client with an infected wound tells the nurse that he Combination of plant proteins to provide essential amino acids.
follows a macrobiotic diet. Which type of foods should the 3 multiple choice options
nurse recommend that the client select from the hospital
menu?
A 4-year-old boy who is scheduled for a tonsillectomy and "It may hurt but we'll give you medicine to help you feel better."
adenoidectomy asks the nurse, "Will it hurt to have my 3 multiple choice options
tonsils and adenoids taken out?" Which response is best for
the nurse to provide?
When the nurse enters a client's room to do an initial "What is concerning you this morning?"
assessment, the client shouts, "Get out of my room! I'm tired 3 multiple choice options
of being bothered!" How should the nurse respond?
Which statement correctly identifies a written learning Upon discharge, the client will list three ways to protect the feet from injury.
objective for a client with peripheral vascular disease? 3 multiple choice options
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, The nurse is providing passive range of motion (ROM) Cradle the client's heel.
exercises to the hip and knee for a client who is 3 multiple choice options
unconscious.
After supporting the client's knee with one hand, what action
should the nurse take next?
While preparing to insert a rectal suppository in a male Instruct the client to take slow deep breaths and stop bearing down.
adult client, the nurse observes that the client is holding his 3 multiple choice options
breath while bearing down. What action should the nurse
implement?
What action should the nurse implement when adding Consider the sterile field contaminated if it becomes wet during the procedure.
sterile liquids to a sterile field? 3 multiple choice options
When assessing a client with a nursing diagnosis of fluid Continue the planned nursing interventions to restore the client's fluid volume.
volume deficit, the nurse notes that the client's skin over the 3 multiple choice options
sternum "tents" when gently pinched. Which action should
the nurse implement?
A client is admitted to the hospital with intractable pain. Take measures to promote as much comfort as possible.
What instruction should the nurse provide the unlicensed 3 multiple choice options
assistive personnel (UAP) who is preparing to assist this
client with a bed bath?
The nurse is preparing to irrigate a client's indwelling Draw up the irrigating solution into the syringe.
urinary catheter using an open technique. What action 3 multiple choice options
should the nurse take after applying gloves?
The nurse is administering an intermittent infusion of an Reposition the client's arm.
antibiotic to a client whose intravenous (IV) access is an 3 multiple choice options
antecubital saline lock. After the nurse opens the roller
clamp on the IV tubing, the alarm on the infusion pump
indicates an obstruction. What action should the nurse take
first?
What intervention should the nurse include in the plan of Check capillary refill of toes on lower extremity with Unna's paste boot.
care for a client who is being treated with an Unna’s paste 3 multiple choice options
boot for leg ulcers due to chronic venous insufficiency?
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