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, A nurse is planning care for a client who has renal calculi. Encourage intake of at least 3 L of fluid each day.
Which of the following interventions should the nurse
include to promote elimination of the calculi? The nurse should encourage the client to consume at least 3 L of fluid each day.
Increased fluid intake increases urine production, promotes eliminiation of calculi,
Maintain bedrest until calculi are expelled. and helps prevent recurrence.
Withhold thiazide diuretics.
Encourage intake of at least 3 L of fluid each day.
Collect all urine for 24 hr in a collection container.
A nurse is providing postoperative education for a client "The adhesive bandages on my incision will fall off as the incision heals."
following a laparoscopic cholecystectomy for
cholelithiasis. Which of the following client statements The nurse should instruct the client that the small adhesive bandages will lose
indicates an understanding of the teaching? their adhesiveness in 7 to 10 days. The client can then remove the bandages or
allow the bandages to fall off over time as the incision heals.
"The adhesive bandages on my incision will fall off as the
incision heals."
"I will be able to take a shower in 1 week."
"I will need to follow a liquid diet for the first 3 days after
surgery."
"I can begin to resume my normal activity level in 2
weeks."
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A nurse is planning care to prevent hospital-acquired Bathe the client with chlorhexidine wipes.
methicillin-resistant Staphylococcus aureus (MRSA)
infection for a client who is immunocompromised. Which The nurse should bathe a client who is immunocompromised with chlorhexidine
of the following interventions should the nurse include to wipes to decrease the risk of contracting hospital-acquired MRSA.
prevent this antibiotic-resistant infection?
Initiate contact precautions for this client.
Bathe the client with chlorhexidine wipes.
Administer ceftaroline to the client as a prophylactic
measure.
Avoid using alcohol-based hand sanitizers after caring for
the client
A nurse is assessing a client who has developed type 1 Picture of lips.
herpes simplex virus. Which of the following images Herpes simplex virus infection is a common viral infection in adults. The nurse
should the nurse identify as this type of viral infection? should identify that this image indicates the type 1 herpes simplex viral infection
because the infection causes a recurring cold sore.
A nurse is assessing a client who has Graves' disease. Exophthalmos
Which of the following findings should the nurse expect?
The nurse should expect a client who has Graves' disease, an autoimmune form of
Somnolence hyperthyroidism, to experience exophthalmos, which is protrusion of the eyeballs.
Cold intolerance
Exophthalmos
Dry, scaly skin
A nurse is teaching an older adult client who has It might take several weeks to notice an improvement in my symptoms."
peripheral neuropathy about a new prescription for
duloxetine. Which of the following client statements The nurse should instruct the client that duloxetine can take several weeks to be
indicates an understanding of the teaching? effective. This medication is an antidepressant that reduces the discomfort of
peripheral neuropathy.
"It might take several weeks to notice an improvement in
my symptoms."
"I will need to take this medication on an empty stomach."
"I should take a daily ibuprofen for generalized aches."
"I will need to decrease my dietary sodium intake while
taking this medication."
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A nurse is teaching a client who has scabies about a new "I will wash the lotion off 12 hours after I apply it."
prescription for lindane lotion. Which of the following
client statements indicates an understanding of the The nurse should instruct the client to apply the lotion and leave it in place for 8
treatment for this parasitic infection? to 12 hr and then remove it by washing it off.
"I will apply the lotion once a day for 1 week."
"I will rub in the lotion thoroughly from my face to my
toes."
"I will wash the lotion off 12 hours after I apply it."
"I should avoid bathing for 6 hours prior to applying the
lotion."
A nurse is assessing a client who has appendicitis. Which Board-like abdomen
of the following findings should the nurse report to the
provider immediately? When using the urgent vs. nonurgent approach to client care, the nurse should
identify that a board-like abdomen is the priority finding indicating peritonitis. The
WBC 16,000/mm³ nurse should notify the provider immediately.
Board-like abdomen
Nausea and vomiting
Temperature of 38° C (100.4° F)
A nurse is teaching a client who has gastroesophageal Plan to finish eating at least 3 hr before bedtime.
reflux disease about ways to prevent reflux. Which of the
following information should the nurse include in the The nurse should encourage the client not to eat anything at least 3 hr before
teaching? bedtime to prevent reflux.
Drink tomato juice with the breakfast meal.
Suck on peppermint when having indigestion.
Elevate the head of the bed 10 cm (4 in) using wooden
blocks.
Plan to finish eating at least 3 hr before bedtime.
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