COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
▶ A nurse is preparing to suction a client who has a tracheostomy. Which
of the following actions should the nurse take first? Answer: Ventilate the
client with 100% oxygen.
▶ A nurse is reinforcing teaching with a client who has chronic kidney
disease about disease management. Which of the following statements by
the client indicates an understanding of the teaching? Answer: "I will limit
my daily intake of protein."
▶ A nurse is reinforcing teaching with a client who has mitral valve disease.
Which of the following statements by the client indicates an understanding
of the disease process? Answer: "I should call my doctor if my ankles
swell."
▶ A nurse is assisting with the care of a client who has prostate cancer.
The client asks the nurse why they are having difficulty with urination.
Which of the following responses should the nurse make? Answer: "The
tumor causes obstruction of urine from the urethra."
▶ A nurse is assisting with the care for a client following a gastrectomy.
Which of the following actions should the nurse take to decrease episodes
of dumping syndrome. Answer: Place the client in the supine position after
meals.
▶ A nurse on a medical-surgical unit is assign with the care of a newly
admitted client. Select the 3 findings that require follow-up by the nurse.
Answer: Oxygen Saturation
Pain level
Wound dressing
▶ The nurse is assisting with the care of the client. Complete the following
sentence by using the lists of options. Answer: The client is most likely
, experiencing a hemothorax as evidenced by the client's respiratory
findings.
▶ The nurse is assisting with the care of the client. Drag words from the
choices below to fill in each blank in the following sentence. Answer: The
nurse should first address the client's blood pressure, followed by the
client's oxygenation.
▶ For each potential provider prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client. Answer:
Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube
insertion. Initiate NPO status.
Contraindicated- Place the client in Trendelenburg position. Cover the
client with a cooling blanket.
▶ The nurse is assisting with the care of the client following the placement
of a chest tube for a hemothorax. Which of the following actions should the
nurse take? Select all that apply Answer: Place the client in high-Fowler's
position
Place two rubber-tipped hemostats in the client's room
Palpate the chest tube insertion site for subcutaneous emphysema
Ensure that all chest tube connections are securely attached
▶ The nurse is assisting with the care of the client 1 hr following chest tube
insertion. Click to highlight the findings that indicate the client's condition is
improving. To deselect a finding, click on the finding again. Answer: Client
reports pain as a 3 on a scale of 0 to 10.
Client reports shortness of breath has decreased.
Wound dressing is dry and intact.
Respiratory rate 24/min.
Blood pressure 108/74 mm Hg
Oxygen saturation 95% on oxygen 2 L/min via nasal cannula.
▶ A nurse is collecting data from an older adult client who has several
concerns. Which of the following concerns should the nurse recognize as
an expected change associated with aging? Answer: "My food tastes bland
even after I add seasoning."
▶ A nurse is reinforcing teaching with a client who has a new diagnosis of
tuberculosis (TB) and a prescription for isoniazid and rifampin. Which of the