NURS 6512 ATI Mental Health Final EXA

nursereadstheclient'spostoperativeprescriptions,whichinclude,"Clearliquids,advancedietastolerated." Whichofthe followingactionsshouldthenursetakefirst? 1)Offertheclientapplejuice. 2)Elevate the client’s head of bed. 3)Auscultate the client’sabdomen. 4)Orderalunchtrayfortheclient. 117.A nurse is collecting data on a client who has a surgical wound healing by secondaryintention. Whichofthefollowingfindingsshouldthenursereporttothechargenurse? 1)Thewoundistendertotouch. 2)Thewoundhaspink,shinytissuewithagranularappearance. 3)Thewoundhasserosanguineousdrainage. 4)Thewoundhasahalooferythemaonthesurroundingskin.→erythema=superficial reddeningof the skincausing dilation ofthe blood capillaries 118.Anurseisassistingwiththecareofaclient whohasmultipleinjuriesfolowingamotorvehice crash. The nurse should monitor for which of the following manifestations of apneumothorax? → Sharp/stabbing chest pain, SOB, cyanosis, fatigue, rapid breathing,dry/hacklingcough 1)Inspiratorystridor 2)Expiratorywheeze 3)Absenceofbreathsounds 4)Coarsecrackles 119.A nurse is collecting data from a client who has right-sided heart failure. Which of thefollowing findingsshouldthenurseexpect?RSHF→SOB(esp.Whenflat),cOughing,dizziness,fatigue,sudden weightgain,upsetGI,reducedappetite 1)Frothysputum 2)Dyspnea 3)Orthopnea 4)Peripheraledema→w/RSHFbloodbacksupintotheveins,causinglegs,ankles,andbellyto oftenswell Downloadedbytbosse4|tbosse4@gmalcom Dstributionof ths document s legal Stuviacom -TheMarketplacetoBuyandSelyourStudyMaterial 120.A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancerandexperiencing nausea.Whichofthe followingactionsshould thenursetake? 1)Advisetheclienttoliedownaftermeals. 2)Instructtheclienttorestrictfoodintakepriortotreatment. 3)Providetheclientwithanantiemetic2hrpriorto