A nurse is caring for a client who is receiving chemotherapy and requests information about
acupuncture to relieve some of the side effects. which of the following findings should the
nurse identify as a contraindication to receiving this alternative therapy?
- CORRECT ANSWER Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The
IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump
to administer?
- CORRECT ANSWER 33
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
- CORRECT ANSWER I should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip arthroplasty.
Which of the following instructions should the nurse include in the teaching.
- CORRECT ANSWER Install a raised toilet seat in your bathroom
A nurse is planning care for a client following a cardiac catheterization. which of the following
actions should the nurse take.
- CORRECT ANSWER Maintain the client's affected extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches.
which of the following client statements indicates that the client is adapting to their role
change?
- CORRECT ANSWER I will need to have my partner take over shopping for groceries and
cooking the meals for us
A nurse is providing teaching to a client who has an impaired immune system due to
chemotherapy. which of the following information should the nurse include in the teaching?
- CORRECT ANSWER Change your pet's litter box daily
a nurse is caring for a client who has a contusion and reports thirst. The client's urinary output
was 4,000 ml over past 24 hr. the nurse should anticipate a prescription for which of the
following IV medications?
- CORRECT ANSWER Desmopressin
A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE
inhibitor and reports nagging dry cough. Which of the following responses by the
nurse is appropriate?
, - CORRECT ANSWER Sucking on a lozenge may reduce the frequency of your cough
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of
the following assessment findings should the nurse identify as a parenteral trigger for
exacerbation of Raynaud's?
- CORRECT ANSWER Using nicotine transdermal patch
A nurse is caring for a client who has a central venous device and notes the tubing has become
disconnected. the client develops dyspnea and tachycardia. Which of the following actions
should the nurse take first?
- CORRECT ANSWER
A nurse is completing an assessment of an older client and notes reddened areas over the bony
prominences, but the client's skin is intact. which of the following interventions should the
nurse include in the plan of care?
- CORRECT ANSWER Support bony prominences with pillows
A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the
following actions is the priority for the nurse to take?
- CORRECT ANSWER
A nurse in the emergency department is assessing a client. which of the following actions
should the nurse take first? (click on rhe "exhibit" button for additional information about the
client
- CORRECT ANSWER Initiate airborne precautions
A nurse is reviewing the medical record of a client to identify factors for colorectal cancer. The
nurse should identify which of the following findings as increasing the client's risk?
- CORRECT ANSWER Historyof Crohn's disease
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm
not sure I want to have a mastectomy." Which of the following statements should the nurse
make?
- CORRECT ANSWER I can give you additional information about the procedure
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic. Identify the
sequence of steps the nurse should follow.
- CORRECT ANSWER 1. obtain venous access using a 19-gauge needle
2. Obtain the unit of a packed RBCs from blood bank
3. verify blood compatibility with another nurse
4. Initiate traensfuntion of the unit of packed RBCs
5. Remain with the client for the first 15 to 30 minutes