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nurse plan to take? a. Administer through a 22-gauge IV
catheter
b. Prime the IV tubing with 0.45% sodium chloride
c. Complete the transfusion within 2 hour
d. Slow the transfusion rate if the client reports itching -
ANSWER-c. Complete the transfusion within 2 hours
A nurse is planning care for a client who has developed
nephrotic syndrome. Which of the following dietary
recommendations should the nurse include? a. Increase
phosphorus intake
c. Increase potassium intake
d. Decrease carbohydrate intake
b. Decrease protein intake - ANSWER-b. Decrease protein
intake
A nurse is caring for an older adult client who has
dementia. Which of the following questions should the
,nurse ask to assess the client's abstract thinking? a. "can
you count backwards from 100 intervals of 7?"
b. "what is meant by the saying, don't beat around the brush?
c. "what do you understand about your condition?"
d. "can you tell me the state where you were born?" - ANSWER-
b. What is meant by saying, don't beat around the bush?
A nurse is caring for a client who has cervical cancer and is
receiving brachytherapy.
Which of the following actions should the
nurse take? a. Keep the soiled bed linens in
the client's room
b. Instruct visitors to remain 3 feet from the client
c. Discard the radioactive device in the client's trash can
d. Limit time for visitors to 2 hour per day - ANSWER-a. Keep
the soiled bed linens in the client's room
A nurse is preparing a client for a lumbar puncture. Which of
the following images indicates the position should the nurse
assist the client into for this procedure? a. Side-lying (THIS IS A
DIAGRAM CHOOSE THE PERSON IN A FETAL
POSITION) - ANSWER-SIDELYING POSITION
A nurse is caring for a client who has cervical cancer and a
sealed radiation implant.
,Which of the following actions should the nurse take? a.
Place long-handled forceps at the client's bedside
b. Attach a dosimeter badge to the client's gown
c. Leave unused equipment in the client's room until discharge
d. Move the client's soiled linens to a designated container
outside the room - ANSWER-A. Place long-handled forceps at
the client's bedside
A nurse in the post-anesthesia care unit is assessing a
client following an appendectomy and finds a 2-cm (3/4in)
area of blood on the postoperative dressing. Which of the
following actions should the nurse take? a. Apply pressure
b. Loosen the dressing
c. Circle the drainage
d. Apply a new dressing - ANSWER-c. Circle the drainage
A nurse is caring for a client who is receiving mechanical
ventilation. Which of following interventions should the nurse
implement?
a. Empty water from the ventilator tubing daily
b. Suction the client's airway every 4 hour
c. Maintain the client in supine position
d. Perform oral care every 2 hour - ANSWER-a. Empty water
from the ventilator tubing daily
, A nurse is assessing an older adult client at a health fair. Which
of the following statements by the client is the nurse's priority?
a. "I can't seem to get reading materials far enough away to see
the words"
b. "I'm having more difficulty telling the difference between
blues and greens"
c. "I've noticed that there is a gray ring around the colored part
of my eye"
d. "In the last day, I have had a severe headache and pain
around my right eye" - ANSWER-d. In the last day, I have had
a severe headache and pain around my right eye
A nurse is caring for an adolescent client who has an acute
kidney injury. Which of the following laboratory findings should
the nurse anticipate? a. BUN 8 mg/dl b. Hgb 20 g/dl
c. Potassium 6.8 mEq/l
d. Creatinine 0.4 mg/dl - ANSWER-c. Potassium 6.8 mEq/l
A nurse is planning care for an older adult client who has
Meniere's disease. Which of the following interventions
should the nurse include in the plan?
a. Perform range-of-motion exercises to the client's neck every
4 hour
b. Limit the client's fluid intake to 1,500 ml/day
d. Administer aspirin if the client reports a headache