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A nurse is planning to collect a stool specimen for ova and parasites from a
client who has diarrhea. Which of the following actions should the nurse take
when collecting the specimen?
A.Instruct the client to defecate into the toilet bowl
-incorrect: The nurse should have the client defecate into a bedpan or a
container for stool collection. The toilet water can dilute and contaminate the
liquid specimen.
B.Transfer the specimen to a sterile container
-incorrect: The nurse should place the stool specimen in a clean container
using a tongue depressor.
C.Refrigerate the collected specimen
-incorrect: The nurse should send the collected stool specimen immediately to the
laboratory after labeling the specimen properly to prevent contamination with
microorganisms and keep the specimen from getting cold.
D.Place the stool specimen collection container in a biohazard bag
-The nurse should place the specimen collection container in a biohazard bag
with the client label on the container and the bag for easy identification. This
will also prevent contamination with microorganisms.
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A nurse is providing discharge teaching to a client who is recovering from
lung cancer. The provider instructed the client that he could resume lower-
intensity activities of daily living. Which of the following activities should the
nurse recommend to the client?
A.Sweeping the floor
-incorrect: sweeping the floor is moderate-intensity activity
B.Shoveling snow
-incorrect: Shoveling snow is a high-intensity activity
C.Cleaning windows
-incorrect: Cleaning windows is a moderate-intensity activity
D.Washing dishes
-Washing dishes requires a low level of activity and is appropriate for this client.
A nurse is caring for a client who is receiving dextrose 5% in water IV at 150
mL/hr and has ingested 4 oz of water and ½ pint of milk. What is the total 8-hr
fluid intake in milliliters that the nurse should document for this client? (round to
nearest whole number)
-1560
A nurse is performing a physical examination of a client. The nurse should use
percussion to evaluate which of the following parts of the client’s body?
A.Heart
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-incorrect: The nurse uses inspection, palpation, and auscultation to evaluate the heart.
B.Lungs
-Percussion creates a vibration that helps the examiner determine the density of
the underlying tissue. The lungs are hollow organs that can produce sounds such
as resonance (a hollow sound over alveoli) or dullness (a dull sound over
consolidated areas of the lungs or diaphragm). The nurse also uses auscultation
and palpation when evaluating the lungs.
C.Thyroid gland
-incorrect: The nurse uses inspection and palpation to evaluate the thyroid gland.
D.Skin
-incorrect: The nurse uses inspection and palpation to evaluate the skin.
A nurse is caring for a client who was admitted to a long-term care facility for
rehabilitation after a total hip arthroplasty. At which of the following times
should the nurse begin discharge planning?
A.One week prior to the client’s discharge
-incorrect: Beginning to plan for the client’s discharge a week prior to the event
might not allow sufficient time for planning. The nurse should begin discharge
planning at the time of admission. B. Upon the client’s admission to the care
facility
-The nurse should begin discharge planning at the time that the client is admitted to
the facility.
C. Once the discharge date is identified
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