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The nurse is examining an 18-year old who is complaining of pain, frequency and
urgency. Which question should the nurse ask first.
A. Have you noticed any change in color?
B. When was your last menstrual cycle?
C. Are you sexually active?
D. What have you taken for the pain?
C
Which information indicates to the nurse the client teaching about treatment of
urinary incontinence has been effective?
A. client prepares a scheduled voiding plan
B. client verbalizes the need to increase fluid intake
C. client explains how to perform pelvic floor exercises
D. client attempts to retain vaginal cone in entire day
A
The nurse is caring for an elderly client who has an indwelling catheter. Which
data warrants further investigation?
A. Clients temp 98
, B. client becomes confused and irritable
C. clients urine clear/light yellow
D. client feels need to urinate
B
Which nursing intervention should be included in the care plan for the 84 y/o
diagnosed with gastroenteritis? Select All
A. Assess skin turgor on back of hand
B. monitor for ortho hypo
C. record frequency and characteristics of sputum
D. Use standard precautions when caring for client
E. institute safety precautions when ambulating client
BDE
Which nursing problem is priority for the 76-year-old client diagnosed with
gastroenteritis from staphylococcal food poisoning?
1. Fluid volume deficit.
2. Nausea.
3. Risk for aspiration.
4. Impaired urinary elimination.
A
Which problem is most appropriate for the nurse to identify for the client with
diarrhea