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?
LYMPHEDEMA
A nurse is preparing to administer lactated RInger’s via continuous IV infusion at 200
mL/hr. The IV tubing has a drop factor of 10 gtts/mL. How many gtt/min should the
nurse set the IV pump to administer?
33
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicated an
understanding of the teaching?
I SHOULD LIE DOWN TO 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?
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?
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?
I WILL NEED TO HAVE MY PARTNER TAKE OVER SHOPPING FOR GROCERIES AND THE
COOKING
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?
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 cc over the past 24 hr. The nurse should anticipate a
prescription for which IV medication?
DESMOPRESSIN
A nurse in a clinic receives a phone call from a client who recently started therapy with
an ACE Inhibitor and reports a nagging, dry cough. Which of the following responses by
the nurse is appropriate?
SUCKING ON A LOZENGE MAY REDUCE THE FREQUENCY OF YOUR COUGH.
A nurse us 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 the disease?
USING A NICOTINE TRANSDERMAL PATCH.
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the
nurse “I’m not sure I want a mastectomy.” What statement should the nurse make?
I CAN GIVE YOU ADDITIONAL INFO ABOUT THE PROCEDURE.
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, A nurse is reviewing the medical record of a client to identify factors for colorectal
cancer. The nurse should identify which as a factor?
HISTORY OF CROHN’S DISEASE
A nurse in the ED is assessing a client. Which of the following actions should the nurse take
first? (Click on “exhibit”)
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