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A nurse is assessing a client who has peripheral arterial
disease. Which of the following findings should the nurse
expect? - CORRECT ANSWER Hair loss on the lower
legs
A nurse is providing teaching to a client who has
esophageal cancer and is to undergo radiation therapy.
Which of the following statements should the nurse
identify as an indication that the client understands the
teaching? - CORRECT ANSWER "I will use my hands
rather than a washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is
2 weeks postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the
following instructions should the nurse include?
Select all that apply. - CORRECT ANSWER Avoid
drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
A nurse is caring for a client who is scheduled for a right
knee arthroplasty.
,The nurse provided preoperative teaching to the client.
Which of the following statements by the client indicates
an understanding of the teaching?
Select all that apply. - CORRECT ANSWER "I will need
to do the breathing exercises every 1 to 2 hours after the
surgery"
"I will be sure to ask for pain medication before my knee
starts to hurt too bad"
"I will probably be going home with a walker"
A nurse is planning to provide discharge teaching for the
family of an older adult client who has hemianopsia and is
at risk for falls. Which of the
following instructions should the nurse include? -
CORRECT ANSWER Remind the client to scan their
complete range of vision during ambulation.
An older adult client is brought to an emergency
department by a family member. Which of the following
assessment findings should cause the
nurse to suspect that the client has hypertonic
dehydration? - CORRECT ANSWER Urine specific
gravity 1.045
A nurse is assessing a client who is at risk for the
development of pernicious anemia resulting from peptic
ulcer disease. Which of the following
images depicts a condition caused by pernicious anemia?
- CORRECT ANSWER
,A PACU nurse is assessing a client who is postoperative
following a right nephrectomy. The client's initial vital
signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and
temperature 36° C (96.8° F). Which of the following vital
sign changes should alert the nurse
that the client might be hemorrhaging? - CORRECT
ANSWER Heart rate 110/min.
A nurse is caring for a client who is 4 hr postoperative
following a total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to
the provider
immediately. - CORRECT ANSWER Perineal pad
saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
A nurse is caring for a client who has HIV. Which of the
following findings indicates a positive response to the
prescribed HIV treatment? - CORRECT ANSWER
Decreased viral load
A nurse is providing discharge teaching to a client who
has heart failure and a new prescription for a potassium-
sparing diuretic. Which of the
, following information should the nurse include in the
teaching? - CORRECT ANSWER Try to walk at least
three times per week for exercise.
A nurse is conducting an admission history for a client
who is to undergo a CT scan with an IV contrast agent.
The nurse should identify that which
of the following findings requires further assessment? -
CORRECT ANSWER History of asthma
A nurse is planning teaching for a client who has bladder
cancer and is to undergo a cutaneous diversion
procedure to establish a ureterostomy.
Which of the following statements should the nurse
include in the teaching? - CORRECT ANSWER "You
should cut the opening of the skin barrier one-eighth inch
wider than the stoma."
A nurse is providing discharge instructions to a client
who has active tuberculosis (TB). Which of the following
information should the nurse
include in the instructions? - CORRECT ANSWER
Sputum specimens are necessary every 2 to 4 weeks
until there are three negative cultures.
A nurse is assessing for compartment syndrome in a
client who has a short leg cast. Which of the following
findings should the nurse identify as a