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A nurse is providing teaching to a client who has come to the family
planning clinic requesting an IUD. Which of the following information
should the nurse provide the client? - ANSWER ✔✔"Your risk for
ectopic pregnancy increases with an IUD."
A nurse is assessing a preschooler who has recurrent and persistent
otitis media. When obtaining the child's history from her parent, which of
the following questions should the nurse ask? - ANSWER ✔✔"Does
anyone smoke around or in the same house as your child?"
,A nurse is teaching the parent of a child who has severe reactive airway
disease about glucocorticoid therapy. The parent asks why her child has
to inhale the medication instead of taking it orally. Which of the following
information should the nurse provide the parent? - ANSWER ✔✔Oral
glucocorticoids are hazardous during times of stress.
A nurse is providing teaching to a client who has a new prescription for
sertraline. The client asks the nurse if he should continue to take St.
John's wort for depression. Which of the following instructions should the
nurse give the client? - ANSWER ✔✔Stop taking the herbal
supplement while taking the medications.
A nurse is caring for a client who is receiving bleomycin IV to treat
lymphoma. Which of the following assessments is the nurses priority? -
ANSWER ✔✔Pulmonary function
A nurse is teaching a client how to use an albuterol metered dose
inhaler. After removing the cap from the inhaler and shaking the canister,
identify the sequence of instructions the nurse should give the client. -
ANSWER ✔✔1. Remove the cap
2. Shake the canister
3. Hold the mouthpiece 2 to 4 cm or 1 to 2 inches from the mouth
4. Tilt your head back slightly and open your mouth wide
,5. Depress the medication canister I'll taking a slow deep breath to
facilitate delivery of the medication through the airway
6. Hold your breath for 10 seconds, then resume usual breathing pattern
A nurse is reviewing the laboratory report for a client who has CDK. The
nurse finds the following laboratory test results: potassium 6.8, calcium
7.4, hemoglobin 10.2, and phosphate 4.8. Which of the following findings
is the priority for the nurse to report to the provider? - ANSWER
✔✔Hyperkalemia
A nurse is facilitating a group discussion with preschool teachers about
child abuse. Which of the following data should the nurse use as a
common example of a suggestive finding? - ANSWER ✔✔Arm cast
for a spiral fracture of the forearm
Due to staffing shortages, a nurse manager floats a medical-surgical
nurse to the pediatric unit. The nurse has limited experience with
children. Which of the following actions should the nurse manager take?
- ANSWER ✔✔Assign a unit nurse to act as a resource for the
medical-surgical nurse.
A nurse is assisting with developing a plan of care for a client who has
GERD. The nurses should suggest monitoring the client for which of the
following complications? - ANSWER ✔✔Aspiration
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, A client at a routine prenatal care visit asks the nurse if it is common to
develop vaginal yeast infections during pregnancy. Which of the
following responses should the nurse make? - ANSWER ✔✔"The
hormonal changes of pregnancy change the acidity of the vagina,
making yeast infections more common."
A community health nurse is preforming client triage while participating
in a disaster drill. The nurse should recommend that which of the
following clients receives treatment first? - ANSWER ✔✔Hemothorax
A nurse is reinforcing teaching with the school-age child has just had a
fiberglass cast application follow a lower extremity fracture. Which of the
following instructions should the nurse reinforced with the child and his
parents about care during the first 48 hours? - ANSWER ✔✔Keep
the cast above the level of your heart
A nurse is collecting data from a toddler who has aids. The nurse should
identify which of the following findings as an indication infection? -
ANSWER ✔✔Candidiasis
A nurse is collecting data from a client who has an abdominal aortic
aneurysm. Which of the following findings should indicate to the nurse
that the AAA is expanding? - ANSWER ✔✔Report of sudden severe
back pain