Questions with Certified Verified Correct
Solutions Graded A+ Newest latest update
2025
a nurse is caring for a client who is admitted for observation and has
full range of motion. which is the best manner to encourage the client
to void? --- correct answer ---client bathroom
(promotes independence and ADLs)
a nurse is caring for a client with encephalopathy secondary to liver
failure, the client has been prescribed a high calorie, low protein diet.
which of the following meals are appropriate? --- correct answer ---
chicken breast, mashed potatoes, spinach
a client with hearing loss has been fitted for a hearing aid. which of
the following teaching points are important for the nurse to discuss
with the client? --- correct answer ---use mild soap and water to clean
the ear mold
,what is the name of a legal document that instructs hcp's and family
members about what, if any life-sustaining treatment and individual
wants if at some time the individual is unable to make decisions? ---
correct answer ---living will
a nurse is caring for a client with celiac disease, which food should be
removed? --- correct answer ---tortillas
(contain gluten)
a nurse is assisting a client with his meal that is at risk for aspiration
d/t stroke, what interventions should the nurse take to prevent
aspiration? --- correct answer ---position upright
upper back and head are supported
tuck chin when swallowing
a nurse is assessing four clients for fluid balance, the nurse should
identify what as dehydration? --- correct answer ---a client that has a
temperature of 39C or 102F
a nurse is preparing to administer TPN, what indicates a need to
obtain a new bag? --- correct answer ---the TPN solution has an oily
appearance and a layer of fat on top of the solution
, ("cracking")
which can cause a low pulse ox reading? --- correct answer ---
inadequate peripheral circulation
a nurse is admitting a client who has TB and a productive cough. what
types of isolation precautions should the nurse initiate for the client? -
-- correct answer ---airborne
(measles, chicken pox, herpes zoster, TB)
TB requires negative pressure room, and staff need to wear N95
a nurse manager is providing staff education on the correct use of
restraints. what should be included in this education? --- correct
answer ---restraints are a last resort
NV and NS status should be assessed every 2h
use the least restrictive intervention possible and never let it interfere
with treatment
thorough and timely documentation need to be completed when
restraints are applied