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A nurse is performing a Romberg's test during the physical assessment of a
client. Which of the following techniques should the nurse use?
ANS: Have the client stand with her arms at her side and her feet
together.
A nurse is planning an deduction session for an older adult client who has
just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client?
ANS: Allow extra time for the client to respond to questions
A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should the
nurse take?
ANS: Pad the client's wrist before applying the restraints.
A nurse is caring for a client who is postoperative following knee
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arthroplasty and requires the use of a thigh-length sequential compression
device. Which of the following actions should the nurse take?
ANS: Make sure two fingers can fit under the sleeves.
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should
the nurse plan for this client?
ANS: Make sure the client wears a mask when outside her
room if there is construction in the area
A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following
types of activity should the nurse recommend?
ANS: Walking briskly
A nurse is assessing an adult client who has been immobile for the past 3
weeks. The nurse should identify that which of the following findings
requires further intervention?
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ANS: Erythema on pressure points
A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. Which of the following actions should the nurse
take?
ANS: Gently shake the container of medication prior to administration.
A nurse is responding to a call light and finds a client lying on the bathroom
floor. Which of the following actions should the nurse take first?
ANS: Check the client for injuries
A nurse is educating a client who has a terminal illness about her request
to decline resuscitation in her living will. The client asks what would
happen if she arrived at the emergency department and had difficulty
breathing. Which of the following responses should the nurse provide?
ANS: "We will apply oxygen through a tube in your nose"
A nurse is reviewing evidence-based practice principles about
administration of oxygen therapy with a newly licensed nurse. Which of
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