100% Correct
A client who is 7 day postpartum calls the providers office and reports pain, swelling,
and redness of her left calf. Besides the client seeing the provider, which of the
followings interventions should the nurse suggest? - ANSWER Elevate the leg
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25mg
daily. The client refuses breakfast and reports nausea. Which of the following actions
should the nurse take first? - ANSWER Check the client's vital signs
A nurse is assisting with the plan of care for a client who has thrombocytopenia. Which
of the following interventions should the nurse include in the plan of care? - ANSWER
Monitor level of consciousness every 4hr
A nurse is reviewing the laboratory values for a client who takes spironolactone and
notes that the clients serum potassium level is 6.8 mEq/L. The nurse notifies the
provider and anticipates that the provider will provide which of the following
instructions? - ANSWER Obtain a 12-lead ECG
A nurse is reinforcing teaching with a client who has iron deficiency anemia and is to
start taking ferrous sulfate twice a day. Which of the following statements by the client
indicate an understanding of the teaching? - ANSWER "I will take the medication with
orange juice"
A nurse is caring for a client who is postoperative following vascular surgery. Which of
the following manifestations should indicate to the nurse that the client has developed a
thrombus? - ANSWER Dull, aching calf pain
A nurse assisting in the collection of data for a client who is in the early compensatory
stage of hypovolemic shock. Which of the following findings should the nurse expect? -
ANSWER Tachycardia
A nurse in a providers office is reinforcing teaching with a client who has anemia and
has been taking ferrous gluconate for several weeks. Which of the following instructions
should the nurse include? - ANSWER Take this medication between meals
While admitting a client for a cardiac catheterization, the nurse asks the client about
allergies. Which of the following client food allergies should the nurse report to the
provider prior to the procedure? - ANSWER Shellfish
,A nurse is reinforcing teaching with a client about how to prevent the onset of
manifestations of Raynaud's phenomenon. Which of the following statements should the
nurse identify as an indication that the client needs further teaching? - ANSWER "I will
keep my house at a cool temperature"
A nurse is reinforcing teaching with a female client about preventing urinary tract
infections (UTIs). Which of the following instructions should the nurse include? -
ANSWER Drink 16oz of cranberry juice each day
A nurse in an outpatient clinic is collecting data from a client who tells the nurse. "I have
pain in my legs when I begin to walk, but the pain stops when I stop walking." Which of
the following conditions should the nurse suspect? - ANSWER Peripheral vascular
problems in both legs
A nurse is reinforcing discharge teaching with an older adult client who has peripheral
artery disease (PAD). Which of the following instructions should the nurse include in the
teaching? - ANSWER Adjust the thermostat so that the environment is warm
A nurse is reinforcing discharge teaching with a client prescribed verapamil to treat
angina. Which of the following instructions should the nurse include? - ANSWER
Monitor for increased heart rate while taking his medication
A nurse is reviewing the laboratory report of a client who is receiving treatment for a
high fever and a viral infection. Which of the following findings should the nurse expect?
- ANSWER Elevated T-cell count
A nurse is caring for a client who has a hemoglobin of 10.8 g/dL and a hematocrit of
30%. The nurse should expect the client is at risk for which of the following conditions? -
ANSWER Cellular hypoxia
A nurse is reinforcing teaching with a client who takes furosemide and has a serum
potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the
client to include in his daily diet? - ANSWER Bananas
A nurse is caring for a client who is experiencing hypovolemic shock. Which of the
following of the following findings should the nurse expect? - ANSWER Oliguria
A nurse is caring for a client who has multiple myeloma and has a WBC count of
2,200/mm3. Which of the following food items brought by the family should the nurse
prohibit from being given to the client? - ANSWER fresh fruit baskets
A nurse notes a small section of bowel protruding from the abdominal incision of a client
who is postoperative. After calling for assistance, which of the following actions should
the nurse take first? - ANSWER Cover the clients wound with a moist, sterile dressing
, A nurse is caring for a client immediately following a cardiac catheterization with a
femoral artery approach. Which of the following actions should the nurse take? -
ANSWER Check peal pulses every 15 min.
A nurse is assisting with the care of a client who infective endocarditis. Which of the
following manifestations should the nurse identify as a complication of this disorder? -
ANSWER Dyspnea
A nurse is assisting with the care of a client who is hypovolemic due to blood loss
following a motor-vehicle crash and needs a blood transfusion immediately. The nurse
should anticipate a prescription for which of the following IV solutions while awaiting
blood from a type and cross-match? - ANSWER Lactated Ringer's
A nurse is reinforcing teaching about pernicious anemia with a client following a total
gastrectomy. Which of the following dietary supplements should the nurse include in the
teaching as the treatment for pernicious anemia? - ANSWER Vitamin B12
A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect ? - ANSWER Peripheral edema
A nurse is teaching an assistive personnel about attaching a footboard to the bed of a
client who is immobile. Which of the following information should the nurse include in
the teaching? - ANSWER "The footboard will help to prevent plantar flexion"
A nurse is checking for paradoxical blood pressure on a client who has constructive
pericarditis. Which of the following findings should the nurse expect? - ANSWER Drop
in systolic BP more than 10mm Hg on inspiration
A nurse is caring for a client who has heart failure and respiratory arrest. Which of the
following actions should the nurse take first? - ANSWER Feel for a carotid pulse
A nurse is reinforcing discharge teaching to a client following a arthroscopic surgery. To
prevent postoperative complications which of the following actions should be reinforced
during the teaching? - ANSWER Administer an opioid analgesic to the client 30min prior
to initiating CPM exercise
A nurse is caring for a client who is scheduled for a blood sampling for a serum
creatinine level. The client asks the nurse, "What is the purpose for this test?" Which of
the following responses should the nurse give? - ANSWER "this test will inform your
provider how your kidneys are functioning"
A nurse is collecting data from a client who has heart failure and takes chlorothiazide
sodium. Which of the following findings should the nurse identify as indicating