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1. After the client's cardiac catheterization where the femoral artery is used as
the access vessel, the nurse should:
Check pedal pulse in operative leg
Tell client to refrain from drinking liquids
Explain the need to flex and extend the leg
Check for allergies to iodine
2. If the assessment reveals diminished pulses in the left foot of the client with
diabetes, what should be the nurse's next step?
Apply a dressing to the ulcer and monitor it.
Notify the healthcare provider for further evaluation.
Increase the client's insulin dosage.
Encourage the client to walk to improve circulation.
3. What is one key intervention to control the transmission of tuberculosis (TB)
that nurses should teach clients?
Avoiding contact with other patients
Wearing a surgical mask at all times
Proper disposal of tissues when coughing
Taking antibiotics for one week
4. What is the most common early sign of pregnancy that a client might report
at 6 weeks gestation?
, Breast tenderness
Missed menstrual period
Nausea and vomiting
Fatigue
5. A nurse is developing a care plan for a patient with a history of recurrent
UTIs. Which intervention should the nurse prioritize to reduce the risk of
future infections?
Schedule regular follow-up appointments.
Limit the patient's fluid intake.
Prescribe a long-term antibiotic regimen.
Educate the patient on proper hygiene practices.
6. Why is it important for a nurse to understand a patient's reasons for refusing
activities?
The nurse should only document the refusal without further inquiry.
Understanding the patient's reasons can help address their
concerns and promote cooperation.
Patients should never refuse activities; the nurse must insist.
It is not important; the nurse should proceed with the activities
regardless.
7. Describe the rationale behind implementing seizure precautions for a client
with Meningitis in a coma.
Seizure precautions are only needed if the patient has a history of
seizures.
, Seizure precautions are necessary to protect the patient from injury
due to potential seizure activity.
Seizure precautions help in diagnosing the type of Meningitis.
Seizure precautions are used to enhance medication absorption.
8. What is the primary purpose of using an incentive spirometer after surgery?
To measure blood pressure and heart rate.
To assist with wound healing and tissue repair.
To promote lung expansion and prevent complications such as
pneumonia.
To monitor fluid intake and output.
9. If the nurse finds the elderly client attempting to leave the unit, what
intervention should the nurse implement to ensure the client's safety while
respecting their dignity?
Restrict the client to their room without explanation.
Redirect the client to a safe area and engage them in a calming
activity.
Call for additional staff to physically restrain the client.
Ignore the behavior as it is a normal part of the disease.
10. A nurse is caring for a client who is a resident in a facility for clients who have
Alzheimer's disease. The client has been oriented to name and place and is
usually cooperative and able to perform ADLs with minimal supervision.
Which of the following nursing actions is appropriate if the client refuses to
take morning medications?
Ask the client to express the reasons for refusing the morning
medications and document the event.
, Crush the pills, if not contraindicated, and hide them in the client's
applesauce.
Notify the provider of the need for further evaluation of the client's
level of competence.
Try to talk the client into adherence by telling her the possible
implications of missing a dose.
11. A nurse on an oncology unit receives report at the beginning of her shift
about four clients who are postoperative. Which of the following clients
should the nurse see first?
pt 4- 1 day post lobectomy with chest tube ith 35 ml bright red
drainage= normal
pt 2- 2 days post op with wound suction with 20ml serosang drainage
= normal
pt1-A client who is 2 days postoperative following a colectomy d/t
colorectal cancer and has an ostomy bag full of bright red, bloody
drainage.
pt 3- 1 day post op with bladder tumor and a continues bladder
irrigation w 300ml red pink urine= normal
12. If a client is prescribed lorazepam (Ativan) 1 mg but only has access to 0.25
mg tablets, how many tablets should the client take?
4 tablets
1 tablet
2 tablets
8 tablets