and Answers Latest 2021/2022
1) A nurse is collecting data from a client who was admitted with a Glasgow
Coma Scale of 3. Whichof the following findings should the nurse
expect?
- Nonresponsive Commands
2) A nurse is collecting data from a client who has coronary artery
disease. Which of the followingmanifestations should the nurse
identify as an indication that the client has angina
- Chest Discomfort Radiated
- Pain lasting less that 15mins
- Pain that is relieved with rest
3) A nurse is receiving change-of-shift report for a group of clients.
Which of the following clientsshould the nurse plan to see first?
- A client who has diabetes mellitus with diaphoretic
4) A nurse is reinforcing teaching with a young adult client about
testicular self-examination. Whichof the following instructions should
the nurse include?
- Examine your testicles after a warm shower
5) A nurse is collecting data from a client who has tuberculosis and
started combination therapy 2months ago. Which of the following
diagnostic results indicates that the client is adhering to themedication
regimen.
- A negative sputum culture
6) A nurse is collecting data from a client who has bacterial
meningitis. Which of the followingfindings should the nurse
expect?
- Severe Headache
7) A nurse is reinforcing with a client who has pernicious anemia. Which
of the following statementsby the client indicated an understanding of
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, the teaching
- I will be able to switch to a nasal form of cyanocobalamin when my
levels stabilize
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, 8) A nurse is reinforcing teaching with a male client who has right sided
hemiparesis about preforming ADL’s. Which of the following instructions
should the nurse include in the teaching
- Comb your hair with the unaffected arm
9) A nurse is reinforcing discharge teaching with a client who has COPD
and reports episodes ofdyspnea. Which of the following instructions
should the nurse include?
- Used the pursed lip breathing technique
10) A nurse is reinforcing teaching with a client who has varicose veins of
the right lower extremity.Which of the following instructions should the
nurse include in the teaching
- Apply elastic support hoes before getting out of bed in the morning
11) A nurse is preparing to transfer a client from a bed to chair following a total
knee arthroplasty. The client has a prescription for partial weight bearing.
Which of the following actions should the nursetake
- Flex at the hip and knees before transferring the client
This study source was downloaded by 100000802531269 from CourseHero.com on 05 -07-2022 18:06:44 GMT -05:00
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