A
A nurse is reinforcing discharge teaching about wound care with a family member of a client who is
postoperative. Which of the following should the nurse include in the teaching? Correct Answer:-
Report purulent drainage to the provider
A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the
following findings should the nurse expect? Correct Answer:- Red macular rash
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent the bone loss? Correct Answer:-
Encourage weight-bearing exercises
A nurse is collecting data from a client and notices several skin lesions. Which of the following findings
should the nurse report as possible melanoma? Correct Answer:- Irregular borders
A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial
gastrectomy for ulcers. Which of the following information should the nurse include in the teaching?
Correct Answer:- Avoid liquids at mealtimes
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure? Correct Answer:- BUN
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicated that the client understands the teaching?
Correct Answer:- "I will have my HbA1c checked twice per year."
A nurse is examining a client's IV site and notes a red line up his arm. The client reports a throbbing,
burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of
the following complications of IV therapy? Correct Answer:- Thrombophlebitis
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following should the nurse include in the teaching? Correct Answer:-
Increase intake of fiber-rich foods
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following
actions should the nurse take? Correct Answer:- Position pillows between the bony prominences
A nurse is contributing to the plan of care for a client who has peripheral arterial disease (PAD) of the
lower extremities. Which of the following interventions should the nurse include? Correct Answer:-
Dangle the extremities off the side of the bed
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? Correct Answer:- Mask
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, A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral
artery. Which of the following actions should the nurse take to prevent post procedure complications?
Correct Answer:- Monitor the insertion site for bleeding
Maintain the pressure dressing
Check the client's peripheral pulses
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following
findings should the nurse recognize as the priority? Correct Answer:- Dyspnea
A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a client. Which of
the following statements by the client indicates an understanding of the teaching? Correct Answer:- "I
should wait at least 2 hours after eating before going to bed"
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following
information should the nurse include in the teaching? Correct Answer:- "This type of insulin be given
at the same time every day"
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadine 10mg/mL. How many mL should the nurse administer? Correct Answer:-
0.7mL
A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of
the following statements by the client demonstrates an understanding of the teaching? Correct
Answer:- "I understand that testicular cancer is painless"
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the
following interventions should the nurse identify as the priority? Correct Answer:- Determine the
client's understanding of the procedure?
A nurse is reinforcing teaching about home care with a client who has a knee arthroplasty. Which of the
following factors should the nurse identify as an indication that a barrier to learning might be present?
Correct Answer:- The client stop the nurse and asks for pain medication
A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip
arthroplasty. Which of the following statements should the nurse make? Correct Answer:- "Avoid
bending your hips more than 90 degrees."
A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced
suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? Correct
Answer:- Perform pin site care daily
A nurse is assisting the charge nurse with developing an in-service about caring for clients who have
internal sealed radiation implants. Which of the following information should the nurse include? Correct
Answer:- Dispose of radiation implants in a lead container
A nurse in a long-term care facility is collecting data from a client who reports fullness in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client might
have a fecal impaction? Correct Answer:- Small liquid stools
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