congruence on the part of the nurse implies: - ANSusing communication tools in a genuine and
spontaneous manner
1 day pot-op abdominal surgery. what is the first action the nurse should take after discovering
that the client's wound has eviscerated? - ANScover the incision with a moist sterile dressing
admitted to the hospital after being on bed rest at home. the client has been incontinent and
smells strongly of urine. his spouse states that she is sorry and embarrassed about the
unpleasent smell: - ANSit must be difficult to care for someone who is confined to a bed
orders a cleansing enema for a client having bowel surgery. which nursing intervention is
appropriate: - ANSposition client on side
ambulating in hallway with bare feet. priority nursing action is: - ANSget the client's slippers and
have them put them on
mouth care to client with total care: - ANSturn the client on his side before begining
while preparing for discharge the nurse teaches proper position for postural drainage. the nurse
knows that to achieve success in his teaching program, the info about the client is most
important: - ANSclient's goal concerning his ability to be self-sufficient
taking several medications to treat congestive heart failure and RA arrives that the clinic
reporting fatigue, anorexia, and nausea. assessment a priority? - ANShave you been taking
your medication as prescribed
client who has type 1 diabetes is scheduled for an appendectomy. the client has been NPO
since midnight. there are no-preoperative orders for daily insulin dose. which intervention is
appropriate: - ANScall the provider to request an insulin
insert a NG tube. the nurse understands that an improper use of the NG tube would be for: -
ANSmaintaining NPO status
prescribed restraints for a client who is agitated. the nurse would put the client at risk for: -
ANStying the restraint with a knot that cannot be easily undone
reports SOB requests the help in changing positions. in addition to re-positioning the client, the
nurse's highest priority should be: - ANSobserve, rate, depth, and character of the client's
respirations