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1. A nurse is caring for a client who is receiv- Lymphedema
ing chemotherapy and requests information about
acupuncture to relieve some of the side effects.
which of the following findings should the nurse
identify as a contraindication to receiving this alter-
native therapy?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores
2. A nurse is preparing to administer lactated Ringer's 33
via continuos IV infusion at 200 ml/hr. The IV tubing
has a drop factor of 10 drops/mL. How many gtt/min
should the nurse set the IV ump to administer?
3. A nurse is providing discharge teaching to a client I should lie down when I take
who has a new prescription for sublingual nitroglyc- this medication
erin. Which of the following client statements indi-
cates an understanding of the teaching?
a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before re-
placing it."
c. "I should discontinue this medication if I develop
a headache."
d. "I can take up to five tablets in 15 minutes before
seeking medical attention."
4. A nurse is providing discharge teaching to an older Install a raised toilet seat in
adult client following total hip arthroplasty. Which of your bathroom
the following instructions should the nurse include
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in the teaching.
a. "You should use an incentive spirometer every 8
hours."
b. "You can cross your legs at the ankles when sitting
down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom."
5. A nurse is planning care for a client following a car- Maintain the client's affected
diac catheterization. which of the following actions extremity in extension
should the nurse take.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in exten-
sion.
6. A nurse is caring for a client who has a lower extrem- I will need to have my part-
ity fracture and a prescription for crutches. which ner take over shopping for
of the following client statements indicates that the groceries and cooking the
client is adapting to their role change? meals for us
a. "I will need to have my partner take over shopping
for groceries and cooking the meals for us."
b. "I feel bad that I have to ask my partner to keep
the house clean."
c. "These crutches will make it impossible to care for
my child."
d. "It's going to be difficult to tell my parents I can't
take them to their appointments anymore."
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7. A nurse is providing teaching to a client who has a. "Wash your perineal area
an impaired immune system due to chemotherapy. two times each day with an-
which of the following information should the nurse timicrobial soap."
include in the teaching?
a. "Wash your perineal area two times each day with
antimicrobial soap."
b. "Change the water in your drinking glass every 4
hours."
c. "Change your pet's litter box daily."
d. "Wash your toothbrush in the dishwasher once
each month."
8. a nurse is caring for a client who has a contusion and Desmopressin
reports thirst. The client's urinary output was 4,000
ml over past 24 hr. the nurse should anticipate a pre-
scription for which of the following IV medications?
9. A nurse in a clinic receives a phone call from a client Sucking on a lozenge may
who recently started therapy with an ACE inhibitor reduce the frequency of your
and reports nagging dry cough. Which of the follow- cough
ing responses by the
nurse is appropriate?
10. A nurse is taking an admission history from a client Using nicotine transdermal
who reports Raynaud's disease. Which of the follow- patch
ing assessment findings should the nurse identify as
a parenteral trigger for exacerbation of Raynaud's?
11. A nurse is caring for a client who has a central venous
device and notes the tubing has become discon-
nected. the client develops dyspnea and tachycardia.