UPDATE GRADED A+
A nurse is assisting with the care of a client who has a femur fracture and is in
skeletal traction. Which of the following actions should the nurse take?
1) Loosen the knots on the ropes if the client is
experiencing pain. 2) Ensure the client’s weights
are hanging freely from the bed.
3) Check the client’s bony prominences every 12 hr.
4) Cleanse the client’s pin sites with povidone-iodine.
A nurse in a provider’s office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which of the
following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A nurse in a provider’s office is reinforcing teaching with a client who has
anemia and has been taking ferrous gluconate for several weeks. Which of the
,following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?
1) Apply topical antifungal agents.
2) Apply fresh ice packs every 4 hr.
3) Wash daily with an antibacterial soap.
4) Keep draining lesions uncovered to air dry.
A nurse is reinforcing teaching with a client who is postoperative after having
an ileostomy established. Which of the following instructions should the nurse
include in the teaching?
1) Empty the pouch immediately after meals.
2) Change the entire appliance once a day.
3) Limit fluid intake.
4) Avoid medications in capsule or enteric form.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client
expresses fear about the procedure and asks the nurse if the biopsy will hurt.
,Which of the following responses should the nurse make?
1) "You must be very worried about what the biopsy will show."
2) "You'll be asleep for the whole biopsy procedure and won't
be aware of what’s happening."
3) "Your provider scheduled this, so she will want to know you still
have questions about the procedure."
4) "The biopsy can be uncomfortable, but we will try to keep
you as comfortable as possible."
A nurse is assisting with planning care for a client who is recovering from a
left-hemispheric stroke. Which of the following interventions should the nurse
include in the plan?
1) Control impulsive behavior.
2) Compensate for left visual field deficits.
3) Re-establish communication.
4) Improve left-side motor function.
A nurse is assisting with the care of a client who has diabetes insipidus. The
nurse should monitor the client for which of the following manifestations?
1) Hypotension
2) Polyphagia
3) Hyperglycemia
4) Bradycardia
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which
of the following instructions should the nurse include in the teaching?
, 1) Take temperature once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes while wearing gloves.
4) Wash dishes in warm water.
A nurse is caring for a client who is difficult to arouse and very sleepy for
several hours following a generalized tonic-clonic seizure. Which of the
following descriptions should the nurse use when documenting this finding in
the medical record?
1) Aura phase
2) Presence of automatisms
3) Postictal phase
4) Presence of absence seizures
A nurse is reinforcing teaching with a client who reports right shoulder pain
following a laparoscopic cholecystectomy. Which of the following statements
should the nurse make?
1) "The pain results from lying in one position too long during
surgery."
2) "The pain occurs as a residual pain from cholecystitis."
3) "The pain will dissipate if you ambulate frequently."
4) "The pain is caused from the nitrous dioxide injected into the
abdomen."
A nurse is checking the suction control chamber of a client's chest tube and
notes that there is no bubbling in the suction control chamber. Which of the
following actions should the nurse take?