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A nurse is preparing to administer eye drops to a client. Which of the
following nursing actions is appropriate?
Have the client tilt her head slightly so that the medication enters the
nasolacrimal duct
A nurse is caring for a client who reports the use of chondroitin and
glucosamine. The health benefit of this supplement combination is to do which
of the following?
Improve joint functioning
A nurse is performing a nutritional assessment on a client who has a calcium
deficiency. The nurse should identify that the client is at risk for which of the
following?
Tetany
A nurse is assessing a client who has systemic lupus erythematous (SLE).
Which of the following is an expected finding?
Dry, raised facial rash
A nurse is assessing a client who is 8 hr postoperative following a right-
modified radical mastectomy. Which of the following should the nurse
recognized as the priority finding?
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Coughing frothy, pink secretions
A nurse in a provider’s office is caring or a client who has Parkinson’s
disease and has been taking levodopa for the past 5 weeks. The client reports
a new onset of muscle twitching. Which of the following statements by the
nurse is appropriate?
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“This is a manifestation of drug toxicity and may require a dosage reduction.”
A nurse in the labor and delivery unit is receiving medications for a group of
clients. Which of the following medications places the fetus at risk for
teratogenic effects?
Phenytoin for seizure disorder
A nurse is providing discharge teaching about disease prevention to a
client who has active tuberculosis. Which of the following should the
nurse include?
Educating the client how to cover nose and mouth with tissue when coughing
A nurse is planning care for a client who has neutropenia. Which of
the following nursing interventions is appropriate to include in the care
plan?
Remove fresh flowers from the client’s room.
A nurse is planning to change the dressing on a school age child who has
sustained multiple burns. Which of the following actions should the nurse plan
to take?
Apply the dressing in a proximal to distal pattern
An older adult client tells the nurse,” I thought immunizations were for kids.”
The nurse informs the client that older adults should receive which of the
following immunizations?
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Herpes zoster vaccine
a nurse is caring for a client who was involuntarily admitted to the psychiatric
unit following a failed suicide attempt. The provider prescribes a medication
that is part of an experimental treatment. Which of the following actions should
the nurse take?
Exclude the client from the study due to involuntary admission
A nurse analyzing the laboratory data on a client who has dehydration.
Which finding should the nurse anticipate in a client who has fluid volume
deficit?
Elevated blood urea nitrogen
a community health nurse is evaluating eligibility for home assistance for a
client who is quadriplegic. Which of the following actions should the nurse
perform first?
Determine the client’s living situation
a nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experiencing an
adverse effect of the medication?
Jugular vein distention
A nurse is assessing a client who is preparing for surgery. The client tells the
nurse, “If something happens to me from which I cannot recover don’t want to
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