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A nurse is preparing to assist with discharge planning for a client with a new colostomy who has
low health literacy. When reinforcing teaching about changing the appliance, which of the
following guidelines should the nurse follow?
Connect new instructions with what the client already knows
A nurse is caring for a client who has terminal pancreatic cancer. When the client states, "It's
devastating that I will not be here to see my child graduate," the nurse should identify that the
client is in which of the following stages of grief as defined by Kübler-Ross?
Depression
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at
the bedside. Which of the following actions should the nurse take first?
Lower the client to the floor
A nurse is preparing to instill a vaginal medication in suppository form to a client. Which of the
following actions should the nurse take during this procedure?
Use the index finger to insert the suppository
A nurse is administering an IM injection to a 5-month-old infant. Which of the following
injection sites should the nurse use?
, Vastus lateralis
A nurse in a provider's office is reinforcing teaching with a client about foods that are high in
fiber. Which of the following food choices made by the client indicate an understanding of the
teaching? (Select all that apply.)
- Black beans
- Whole-grain bread
A nurse is assisting with the screening of a client who has an S-shaped spinal column with
unequal shoulder heights. The nurse should identify these findings as manifestations of which
of the following abnormalities?
Scoliosis
A nurse discovers that a client received the wrong medication. Which of the following actions
should the nurse take first?
Collect data from the client
A nurse is assisting with the admission of a client to the medical unit and asks if he has advance
directives. The client states, "I have a document with me that names someone who can make
health care decisions for me if I am not able." The nurse should identify that the client is
referring to which of the following documents?
Durable power of attorney document