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A nurse is reinforcing teaching with a client who is about
to undergo a thoracentesis. Which of the following
statements by the client is understanding of the
information?
A. "I will have general anesthesia during the procedure."
B. "I will lie flat for 6 hours following the procedure."
C. "I will have a chest x-ray following the procedure."
D. "I will breathe deeply through my nose during the
procedure." - ....ANSWER...C. "I will have a chest x-ray
following the procedure."
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,A nurse is caring for an infant who is drinking a cow's milk
formula and has bloody stools. Which of the following
record(?) nurse make to the infant's guardian?
A. Switch to a soy-based formula
B. Switch to a goat's milk formula
C. Switch to an unpasteurized milk formula.
D. Switch to a condensed milk formula - ....ANSWER...A.
Switch to a soy-based formula
(NGN)72. A nurse in a provider's office is collecting data
from a client who was discharge from the facility 7 days
ago following treatment for a deep-vein thrombosis.
Which of the following findings is the nurse's priority
(Click on the "Exhibit" button for additional information
about the client. There are three tabs that contain
separate categories of data.)
a) The client takes ibuprofen daily to treat musculoskeletal
pain
b) The client depends on friend for transportation to the
clinic
c) The client has difficulty applying their compression
stockings
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,d) The client consumes 15 g of fiber daily -
....ANSWER...a) The client takes ibuprofen daily to treat
musculoskeletal pain
A nurse is caring for an older adult client who states. "I
can't pay for my care because my kid took all my money."
Which of the following actions should the nurse take?
A. Instruct the client to report the theft to the police.
B. Report the possible abuse to adult protective services.
C. Ask the client if there is another family member they
can call for financial help.
D. Restrict visitation for the client's family until
discharge. - ....ANSWER...B. Report the possible abuse to
adult protective services.
A nurse is visiting with the family of a client who has just
died. Which of the following actions should the nurse take
to promote comfort for the family?
A. Allow the family as much time as they want with the
client.
B. Use paper tape to hold the client's eyelids open.
C. Place the client in a supine position.
D. Avoid repeating information about the client's death. -
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, ....ANSWER...A. Allow the family as much time as they
want with the client.
A client who has inoperable cancer tells the nurse that she
does not want to pursue the recommended treatment. She
asks if the provider can force her to have the treatment.
Which of the following is an appropriate response by the
nurse?
A. "You have the right to refuse the recommended
treatment plan."
B. "I will have to tell your provider right away that you
are considering this."
C. "You have to consider the medical consequences of not
treating this cancer."
D. "In cases like yours. It is best to talk with your
clergyperson before deciding this." - ....ANSWER...A.
"You have the right to refuse the recommended treatment
plan."
A nurse is collecting data from a client who is 24 hr
postoperative following a total knee arthroplasty. Which
of the following operative leg should the nurse identify as a
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