EXAM. COMPLETE EXAM WITH ACTUAL QUESTIONS
AND CORRECT EXPERT VERIFIED ANSWERS.
GRADED A+. GUARANTEED EXAM EXCELLENCE.
A nurse is planning teaching for a client who has a bladder cancer
and is to undergo a cutaneous diversion procedure to establish a
ureterostomy. Which of the following statements should the nurse
include in the teaching? - ✔ ANSWER ✔ "You should cut the
opening of the skin barrier 1/8th inch wider than the stoma
The nurse is planning to irrigate and dressed a clean granulating
wound for a client who has a pressure injury. Which of the following
actions should the nurse take? - ✔ ANSWER ✔ Use a 30ml syringe
A nurse is teaching a young adult client how to perform testicular
self examination. Which of the following instruction should the nurse
include? - ✔ ANSWER ✔ Roll each testicle between the thumb and
fingers
A nurse is providing discharge instructions for a client following an
upper gastrointestinal series with barium contrast. Which of the
,following information to the nurse provide? - ✔ ANSWER ✔
Increase fluid intake
A nurse is caring for a client who is having a seizure. Which of the
following interventions is the nurses priority? - ✔ ANSWER ✔ Turn
the client to the side.
A nurse is caring for a client who has a closed head injury and has
intraventricular catheter placed. Which of the following findings
indicates that the client is experiencing increased intracranial
pressure? - ✔ ANSWER ✔ -sleepiness exhibited by the client
- widening pulse pressure
- decerebrate posturing
A nurse is caring for a client who is on bedrest and has a new
prescription for it enoxaparin subcutaneous. Which of the following
action should the nurse take? - ✔ ANSWER ✔ Inject the medication
into the anterolateral abdominal wall
A nurse is performing a dressing change for a client who is
recovering from a hemi colectomy. When removing the dressing, the
nurse knows that a large part of the bell is protruding through the
,abdomen. Which of the following action should the nurse take first? -
✔ ANSWER ✔ Call for help
a nurse and an assistive personnel are caring for a client who has
bacterial meningitis. the nurse should give the AP which of the
following instructions? - ✔ ANSWER ✔ wear a mask
A nurse is caring for a client who has portal hypertension. The client
is vomiting blood mixed with food after a meal. Which of the following
actions should the nurse take first? - ✔ ANSWER ✔ obtain vital
signs
A nurse has received change of shift report for a group of clients.
Which of the following clients should the nurse assess first? - ✔
ANSWER ✔ A client who had a myocardial infarction (MI) 4 days ago
and is asking for a PRN sublingual nitroglycerin tablet
A nurse is providing teaching to a client who has gastric ulcer and a
new prescription for omeprazole. The nurse should instruct the
client that the medication provides relief by which of the following
actions? - ✔ ANSWER ✔ Suppressing gastric acid production
, A nurse is assessing a client following the administration of
magnesium sulfate 1 g IV bolus. For which of the following adverse
effects of the nurse monitor? - ✔ ANSWER ✔ Respiratory paralysis
A nurse is caring for a client who is receiving morphine for daily
dressing changes. The client tells the nurse "I don't want any more
morphine because I don't want to get addicted." Which of the
following action should the nurse take? - ✔ ANSWER ✔ Instruct the
client on alternative therapies for pain reduction
A nurse is reviewing the laboratory results of a client who has
cirrhosis. Which of the following laboratory values should the nurse
expect? - ✔ ANSWER ✔ Elevated bilirubin level
A nurse is caring for a client who has a potassium level of 3 mEq/L.
Which of the following assessment findings should the nurse expect?
- ✔ ANSWER ✔ hypoactive bowel sounds
A nurse is caring for a client who has a new diagnosis of
hypothyroidism. Which of the following is the priority assessment
finding that the nurse should report to the provider? - ✔ ANSWER
✔ Blood pressure 170/80 mm Hg