A nurse is planning care for a client who has renal calculi. which of the following interven-
tions should the nurse include to promote elimination of the calculi - ANSWER Encourage
at least 3 L of fluid each day
A nurse is providing postoperative education for a client following a laparoscopic cholecys-
tectomy for cholelithiasis. Which of the following client statements indicates an understand-
ing of the teaching? - ANSWER "The adhesive bandages on my incision will fall off as the
incision heals."
A nurse is planning care to prevent hospital-acquired methicillin-resistant Staphylococcus au-
reus (MRSA) infection for a client who is immunocompromised. Which of the following inter-
ventions should the nurse include to prevent this antibiotic-resistant infection? - AN-
SWER Bathe the client with chlorhexidine wipes
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of the
following images should the nurse identify as this type of viral infection? - ANSWER Pic-
ture of the lips
A nurse is assessing a client who has Graves' disease. Which of the following findings should
the nurse expect? - ANSWER Exophthalmos
A nurse is teaching an older adult client who has peripheral neuropathy about a new pre-
scription for duloxetine. Which of the following client statements indicates an understanding
of the teaching? - ANSWER It might take several weeks to notice an improvement in my
symptoms
1
, A nurse is teaching a client who has scabies about a new prescription for lindane lotion.
Which of the following client statements indicates an understanding of the treatment for
this parasitic infection? - ANSWER "I will wash the lotion off 12 hours after I apply it"
A nurse is assessing a client who has appendicitis. Which of the following findings should the
nurse report to the provider immediately? - ANSWER Board like abdomen
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent
reflux. Which of the following information should the nurse include in the teaching? - AN-
SWER Plan to finish eating at least three hours before bedtime
A nurse is teaching a client who has a deep-vein thrombosis about a new prescription for
warfarin. Which of the following client statements indicates an understanding of the teach-
ing? - ANSWER "I should contact my provider if I notice a pink-tinged color to my urine."
A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the
nurse that the client has a continuing infection? - ANSWER Positive leukocyte esterase
A nurse is assessing a client for manifestations of grief after having a colostomy for removal
of colon cancer. Which of the following findings indicates to the nurse that the client has ac-
cepted the loss? - ANSWER Touches the colostomy stoma when the bag is changed
A nurse is assessing a school-age child who has appendicitis with possible perforation. Which
of the following findings should the nurse identify as a manifestation of peritonitis? - AN-
SWER Abdominal distension
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the fol-
lowing findings is a priority to report to the provider? - ANSWER Hemoglobin 7.6 mg/dL
2
tions should the nurse include to promote elimination of the calculi - ANSWER Encourage
at least 3 L of fluid each day
A nurse is providing postoperative education for a client following a laparoscopic cholecys-
tectomy for cholelithiasis. Which of the following client statements indicates an understand-
ing of the teaching? - ANSWER "The adhesive bandages on my incision will fall off as the
incision heals."
A nurse is planning care to prevent hospital-acquired methicillin-resistant Staphylococcus au-
reus (MRSA) infection for a client who is immunocompromised. Which of the following inter-
ventions should the nurse include to prevent this antibiotic-resistant infection? - AN-
SWER Bathe the client with chlorhexidine wipes
A nurse is assessing a client who has developed type 1 herpes simplex virus. Which of the
following images should the nurse identify as this type of viral infection? - ANSWER Pic-
ture of the lips
A nurse is assessing a client who has Graves' disease. Which of the following findings should
the nurse expect? - ANSWER Exophthalmos
A nurse is teaching an older adult client who has peripheral neuropathy about a new pre-
scription for duloxetine. Which of the following client statements indicates an understanding
of the teaching? - ANSWER It might take several weeks to notice an improvement in my
symptoms
1
, A nurse is teaching a client who has scabies about a new prescription for lindane lotion.
Which of the following client statements indicates an understanding of the treatment for
this parasitic infection? - ANSWER "I will wash the lotion off 12 hours after I apply it"
A nurse is assessing a client who has appendicitis. Which of the following findings should the
nurse report to the provider immediately? - ANSWER Board like abdomen
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent
reflux. Which of the following information should the nurse include in the teaching? - AN-
SWER Plan to finish eating at least three hours before bedtime
A nurse is teaching a client who has a deep-vein thrombosis about a new prescription for
warfarin. Which of the following client statements indicates an understanding of the teach-
ing? - ANSWER "I should contact my provider if I notice a pink-tinged color to my urine."
A nurse is reviewing the urinalysis results of a client who has completed a 14-day course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the
nurse that the client has a continuing infection? - ANSWER Positive leukocyte esterase
A nurse is assessing a client for manifestations of grief after having a colostomy for removal
of colon cancer. Which of the following findings indicates to the nurse that the client has ac-
cepted the loss? - ANSWER Touches the colostomy stoma when the bag is changed
A nurse is assessing a school-age child who has appendicitis with possible perforation. Which
of the following findings should the nurse identify as a manifestation of peritonitis? - AN-
SWER Abdominal distension
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the fol-
lowing findings is a priority to report to the provider? - ANSWER Hemoglobin 7.6 mg/dL
2
