2025
Terms in this set (100)
A nurse in an emergency d. Perform the irrigation with sterile water for irrigation
department is preparing to
perform an ocular irrigation for
a client. Which of the following
actions should the nurse plan
to take?
a. Assess the client's visual
acuity prior to irrigation
b. Have the client turn their
head toward the unaffected
eye
c. Hold the irrigator syringe 3.81
cm (1.5 in) above the eye
d. Perform the irrigation with
sterile water for irrigation
A nurse is preparing to 33 gtt/min
administer lactated ringer's via
continuous 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 pump to administer?
Round to near whole number
,A nurse is providing discharge b. I should lie down when I take this medication
teaching to a client who has a
new prescription for
sublingual nitroglycerin.
Which of the following client
statements indicates an
understanding of the teaching?
a. I can keep my medications
for 1 year before replacing it
b. I should lie down when I
take this medication
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
A nurse is providing discharge d. Install a raised toilet seat in your bathroom
teaching to an older adult client
following a left total hip
arthroplasty. Which of the
following instructions should
the nurse include in the
teaching?
a. Clean the incision daily with
hydrogen peroxide
b. You can cross your legs the
ankles when sitting down
c. You should use an incentive
spirometer every 8 hours
d. Install a raised toilet
seat in your bathroom
,A nurse is planning care for a c. Maintain the client's affected extremity in extension
client following a cardiac
catheterization. Which of the
following actions should the
nurse take?
a. Keep the client on bed rest for
24 hours
b. Limit the client's fluid intake to 1
l per day
c. Maintain the client's affected
extremity in extension
d. Change the client's dressing
every 8 hour
A nurse is caring for a client a. I will need to have my partner take over shopping for groceries
who has a lower extremity and cooking the meals for us
fracture and a prescription for
crutches. Which of the
following client statements
indicates that the client is
adapting to their role change?
a. I will need to have my partner
take over shopping for
groceries and cooking the
meals for us
b. These crutches will make it
impossible to care for my child
c. I feel bad that I have to ask my
partner to keep the house clean
d. Its going to be difficult to tell
my parents I cant take them to
their appointments anymore
, A nurse is caring for a client d. Decreased BP
who has gastroenteritis.
Which of the following
assessment findings should
the nurse recognize as an
indication that the client is
experiencing dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP
A nurse is caring for a client a. Desmopressin
who has a contusion of the
brainstem and reports thirst.
The client's urinary output was
4,000 ml over the past 24 hour.
The nurse should anticipate a
prescription for which of the
following IV medication?
a. Desmopressin
b. Epinephrine
c. Furosemide
d. Nitroprusside
A nurse in a clinic receives a a. "your cough may require that you stop or change your medication"
phone call from a client who
recently started therapy with an
ACE inhibitor and reports a
nagging dry cough. Which of the
following responses by the
nurse is appropriate?
a. "your cough may require that
you stop or change your
medication"
b. "Increasing your daily fluid
intake may eliminate your
cough"