WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 – 2025 ALREADY GRADED A+
A nurse is contributing to the plan of care for a client who had a stroke and is
experiencing dysphasia. Which of the following intervention should the nurse
include in the plan? - ANSWERS-Keep the client's glasses of liquid at least two-
thirds full.
A nurse is collecting data from a client who has diabetic ketoacidosis (DKA). Which
of the following findings should the nurse expect? - ANSWERS-Fruity breath odor.
A nurse is reinforcing teaching with a client who has hypertension and a
prescription for lisinopril. Which of the following information should the nurse
include in the teaching? - ANSWERS-Report a persistent, dry cough
A nurse is contributing to the plan of care for a client who has dysphagia following
a stroke. Which of the following actions should the nurse include in the plan of
care to prevent aspiration? - ANSWERS-Keep the client upright for 30 min after a
meal.
, A nurse is reinforcing postoperative teaching with a client who is scheduled for
cataract surgery on his right eye. Which of the following instructions should the
nurse include? - ANSWERS-"Wear a protective eye shield while sleeping."
A nurse is collecting data from a client who was admitted with a Glasgow coma
scale (GCS) of 3. Which of the following findings should the nurse expect? -
ANSWERS-Nonresponsive to commands.
A nurse is caring for a client who has type 1 diabetes mellitus and has undergone
a below-the-knee amputation. Which of the following is the highest priority
finding? - ANSWERS-Skin flap of the residual limb is cool to the touch.
A nurse is collecting data from a client who has acute cholecystitis. Which of the
following manifestations should the nurse expect? - ANSWERS-Pain radiating to
the right shoulder.
A nurse is reinforcing teaching with a client who has a prescription for clopidogrel
following a thrombotic stroke. Which of the following information should the
nurse include in the teaching? - ANSWERS-"The medication prevents clot
formation."
A nurse is contributing to the plan of care for a client who is in skeletal traction.
Which of the following interventions should the nurse include? - ANSWERS-Keep
the client's body centered in the bed.