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After receiving IV fluids in the emergency department, an elderly client
is admittedto the acute care unit with a medical diagnosis of
dehydration. The client is receiving 0.9% normal saline at 125ml/hr.
via a saline lock and has a bounding pulse, tachycardia, and pedal
edema. When contacting the healthcare provider, the nurse anticipates a
prescription for what intervention?
a. Decrease the rate of the normal saline infusion
b. Increase the rate of the normal saline solution
c. Change the IV solution to 0.45 saline solution
d. Remove the saline lock from the client’s arm
a nurse is verifying a record of informed consent for a client who is
scheduled for surgery.Which of the following actions should the nurse take?
a. explain the procedure to the client before verifying informed consent
b. inform the client about the condition that requires treatment
c. provide information on the informed consent form about the benefits of
the surgeryd. confirm the clients signature is authentic
Fundamentals/Medical Surgical-Basic Nursing
Skills/Elimination-Acute abdominal pain
Lower abdominal pain (Order):
, 1. POSITION BENT KNEES
2. Ask for last food that eat
3. DETERMINE BOWEL MOVEMENT
4. INSPECT ABDOMINAL
5. AUSCULTATE 4 QUADRANTS
A nurse is teaching a client about foods that are high in calcium to decrease
the risk for developing osteoporosis. Which of the following foods should the
nurse recommend as the bestsource of calcium?
a. One large, hard-boiled
eggb. 1 cup cooked kale
c. 1 cup raspberries
d. One large, raw carrot
(PICTURE) a nurse is administering an intradermal injection for allergy
testing to a client.Into which of the following sites should the nurse inject the
medication?
- I think its “A” (the upper back)
a nurse is teaching a client who had a left below the knee amputation 3 days ago. The nurse
should identify that which of the following statements by the client indicates an understanding
ofthe teaching?
a. “I can elevate my left leg on a pillow while lying in bed”
b. “I might still experience the feeling of numbness and tingling in my left foot”
c. “I should avoid moving the joints in my leg left”
d. “I will change the wrapping on my left leg once a day at home”
A charge nurse is assigning care tasks for the upcoming shift. Which of the following
,tasksshould the charge nurse assign to an? (not sure what it says)
a. inserting an epidural catheter
b. obtaining blood cultures from a central catheter
c. inserting an endotracheal tube
d. performing a thoracentesis
A nurse is performing a safety assessment for a client who has Parkinson’s disease. Which
ofthe following statements by the client indicates the need for a referral to physical therapy?
a. “I noticed that I am having a harder time holding on to my toothbrush”
b. “I have been experiencing more tremors in my left arm than before”
c. “lately, I feel like my feet are freezing up, as if they are stuck to the ground”
d. “sometimes, I feel like I am making a chewing motion when I am not eating”
27. Fundamentals/Medical Surgical-Basic Nursing Skills/Nutrition-
Parkinson’s-meals
, Answer: Provide privacy and give extra time to eat meals and snack
OJO
The spouse of a client with Parkinson’s wants to know how to best assist her
husband during feeding as he is having "increasing problems with drooling and
swallowing." What instruction should the nurse provide to the family member?
A) "Use thickened liquids along with upright positioning during feeding."
B) "It might be time to switch to enteral feedings if you are afraid that your
husband may choke."
C) "Increase the amount of fluids he receives to decrease saliva formation and
improve swallowing."
D) "Use a straw during feedings to facilitate swallowing."
28. Fundamentals/Medical Surgical-Basic Nursing Skills/Nutrition-Visually
impaired-feeding-UAP
Reloj posisiones manecillas
A patient with chemicals in the eyes and is in the hospital. What the nurse
tells to the UAP to do to help the patient with the food?
A- Give food to the patient in the mouth
B- Indicate to the patient where is the tray ( reorient )
C- Look how the patient eat