1) A nurse is reinforcing teaching to a client who was recently prescribed a 2,000 mg
sodium restricted diet. Which of the following nutritional selections by the client indicates
a need for further teaching? - ¾ cup of canned tomato juice
The nurse would recognize that the client didn't understand because tomato juice has a
lot of sodium in it.
2)A nurse in a providers office is reinforcing teaching to the parents of a child who has
allergies and is prescribed Benadryl 25mg every six hours as needed. Available is
diphenhydramine 12.5/5mL. How many teaspoons of medicine does the nurse need to
instruct the parents to administer per dose? - 2 tsp
3) A nurse is caring for a client who has been prescribed a full liquid diet. Which of the
following is appropriate to include in the clients diet? - Grape Juice, Ice Cream
4)A nurse is examining a client's lymphatic system. Identify the site nurse should
palpate to assess the posterior cervical lymph nodes. - Toward the back of the neck
5) A nurse is preparing to administer a tap water enema to a client. In which of the
following positions should the nurse place the client? - Sims
6) A nurse in a provider's office is caring for a client who has depression and is taking
St. Johns Wort. The herbal supplement is thought to improve which of the following? -
Mood
St. John's Wort is widely used in the U.S. and other countries as an herbal supplement
for treating mild to moderate depression and to relieve depression-related anxiety.
7) A nurse is caring for a client who is immobile and has developed a pressure ulcer.
Which of the following characteristics is associated with a stage II pressure ulcer? -
partial thickness skin loss
Characteristics for a stage II ulcer include partial thickness skin loss. The nurse would
know this because she is familiar with the stages of pressure ulcers.
8) A nurse on a pediatric unit is caring for an infant who is diagnosed with
larynotrachebronchitis. While performing a respiratory examination the nurse hears
which sound? - STRIDOR
Stridor is a harsh high-pitched sound heard on inhalation or expiration. It is caused by
turbulent air flow secondary to a narrowing or blockage in the upper airway and is a
common clinical manifestation of acute laryngotracheobronchiti