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a nurse enters a client's room and observes the client having tonic-clonic seizures. which of the
following actions should the nurse take?
a. obtain VS
b. perform neurologic checks
c. turn the client on their side
d. notify the rapid response team - ✔✔c. turn the client on their side
a nurse is caring for a client who has cervical cancer and is receiving brachytherapy. which of
the following action should the nurse take?
a. discard the radiation device in the client's trashcan
b. limit the time for visitors 2 hr per day
c. instruct visitors to remain 2 ft from the client
d. keep soiled linens in the client's room - ✔✔d. keep soiled linens in the client's room
A nurse is caring for a client who has systemic lupus erythematous. during assessment, which of
the following should the nurse expect to find.
a. joint inflammation
b. bull's eye lesion
c. esophagitis
d. tophi - ✔✔a. joint inflammation
,a nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis.
which of the following instruction should the nurse include?
a. limit fluid to 1.5L per day
b. avoid extremely hot and cold temperatures
c. avoid getting a flu vaccine
d. limit alcohol intake to one drink per day - ✔✔b. avoid extremely hot and cold
temperatures
a nurse is assessing a client who has anorexia. which of the following findings should the nurse
identify as a manifestation of malnutrition?
a. oily skin
b. alopecia
c. increased salivation
d. diplopia - ✔✔b. alopecia
A nurse is working in an outpatient client is planning a community education program about
reproductive cancer. the nurse should identify which of the following manifestations as a
possible indication of cervical cancer?
a. painless vaginal bleeding
b. frequent diarrhea
c. urinary hesitancy
d. unexplained weight gain - ✔✔a. painless vaginal bleeding
,a nurse on an intensive care unit is planning care for a client who as increased intracranial
pressure following a head injury. which of the following IV medications should the nurse plan to
administer?
a. propranolol
b. dobutamine
c. mannitol
d. chlorpromazine - ✔✔c. mannitol
a nurse is planning care for an older adult who has a history of dementia and is admitted
following surgical repair of a hip fracture. which of the following actions should the nurse plan
to take?
a. encourage frequent visits from friends
b. apply restraints to the upper extremities
c. play serene, soothing songs
d. keep the over the bed light on - ✔✔d. keep the over the bed light on
a nurse is assessing a preoperative client for allergies. which of the following client statements
would the nurse identify as a risk for an allergy to latex?
a. i break out in a rash when i eat strawberries
b. i often have diarrhea after eating scrambled eggs
c. i have trouble urinating if i eat acidic food
d. i sometimes start to wheeze when i eat peanuts - ✔✔a. i break out in a rash when i eat
strawberries
A nurse is providing teaching to a client who is considering a total hip arthroplasty. the client
asks the nurse, "what happens if i need a blood transfusion during my surgery." which of the
following statements should the nurse make?
, a. you will need to choose a family member to donate, instead of a friend
b. this surgery has minimal blood loss, so you will not require a blood transfusion
c. you can donate your own blood a few weeks prior to the surgery
d. using screened donor blood during a transfusion makes it unlikely you would have an
infusion reaction - ✔✔b. this surgery has minimal blood loss, so you will not require a blood
transfusion
A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve
block. the client tells the nurse, "i am afraid to have this procedure." which of the following
responses should the nurse make?
a. are you afraid of needles that will be used during the procedure
b. after this procedure, you will feel much better
c. tell me why you are scared to have his procedure
d. let's discuss your concerns about the procedure - ✔✔d. let's discuss your concerns about
the procedure
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. which of the following statements made by the client indicates an understanding
of the teaching?
a. i can take another dose after 2 minutes
b. i can put the tablet against my cheek and gum
c. I should chew on the tablet before swallowing
d. i should take this medication as soon as the pain begins - ✔✔d. i should take this
medication as soon as the pain begins
a nurse is caring for an older adult client who reports vaginal dryness and itching. which of the
following responses should the nurse make?