"I will use a stool softener to prevent constipation" - ANSWER -Postoperative client had
LASER SURGERY for and open angle glaucoma. What client STATEMENT shows
understanding?
speech therapist - ANSWER -A client has had a STROKE and is having DIFFICULTY
SWALLOWING. What referral is RECOMMENDED for this client?
Change perineal pad with each void - ANSWER -A client who is 12hr POSTPARTUM
and has had EPISIOTOMY. What instruction to give this client?
Periobital Edema (swelling around the eyes) - ANSWER -A child client has ACUTE
GLOMERULONEPHRITIS ( inflamed kidneys) What FINDING should the nurse expect?
Use needless syringe in buccal cavity (cheek) - ANSWER -Preparing to administer a
LIQUID MEDICATION to a 6MONTH OLD INFANT who is crying. Action to REDUCE
risk of ASPIRATION?
"I will plan to have meals at regular intervals" - ANSWER -A client has a PEPTIC
ULCER DISEASE (open sores in lining in stomach). What client STATEMENT shows
understanding?
Pinpoint pupils (small pupils) - ANSWER -Client who has a SUBSTANCE USE
DISORDER and reports taking OPIOIDS. What is the manifestation of OPIOID
INTOXICATION?
Muscle weakness - ANSWER -Client reports having DIARRHEA for the past 3 days.
What FINDINGS shows HYPOKALEMIA (low potassium)
Depression - ANSWER -An adolescent client has a new prescription of CEFAZOLIN
(antibiotic). What finding does the adolescent MONITORS and REPORTS to provider?
Apply pressure at the bridge of the child's nose - ANSWER -A school aged child has
EPISTAXIS (nosebleed). What ACTION the nurse takes?
all vesicles have crusted over - ANSWER -Child with VRICELLA (chickenpox) can be
around other children when?
Reducing the risk of newborn abduction - ANSWER -What is MOST important for
STAFF to wear IDENTIFICATION?
Client will feed the baby 6 to 8 times daily - ANSWER -What SHOWS understanding of
a client who plans to BOTTLE FEED her NEWBORN?
, "I will exercise my joints as much as I can when they are inflamed" - ANSWER -What
client statement SHOWS understanding when client is diagnosed with
OSTEOARTHRITIS and reports joint pain, swelling, and stiffness?
Refrain from using deodorant on the morning of the test - ANSWER -What
INSTRUCTION to include with client scheduled for a MAMMOGRAM?
Insulin Aspart
Regular Insulin
Lispro - ANSWER -When preparing client's INSULIN REGIMEN, What INSULIN can be
MIXED?
"I feel tired all the time - ANSWER -Client's HGB is 8.8mg/dl (low blood). What
statement the nurse expects from the client?
Slow the rate of instillation - ANSWER -Administering a CLEANSE ENEMA to client
who reports MILD CRAMPING during instillation of the solution? What ACTION the
nurse takes?
Frequently remind the client of expectations for her behavior - ANSWER -Client has
BIPOLAR DISORDER and experiencing MANIA. What ACTION the nurse take?
Administer Aithromycin (antibiotic) - ANSWER -Client has VIRAL PNEUMONIA. What
ACTION the nurse takes?
Use paper tape for securing the new dressing - ANSWER -Caring for an OLDER
CLIENT who is postoperative after a TOTAL HIP ARTHROPLASTY. What NURSE
ACTION demonstrates SENSITIVITY to AGE RELATED changes?
Maintain continuity of staff members - ANSWER -A client with ANOREXIA NERVOSA.
What is a RECOMMENDATION in the plan of care?
Hallucination - ANSWER -Client has SCHIZOPHRENIA and states he is receiving
special audible messages for central intelligence agency that NO ONE ELSE CAN
HEAR. What ALTERATION is the client having?
Replace bottled salad dressing with homemade venegar and oil dressing - ANSWER -A
client has HEART FAILURE and reports DIFFICULTY LIMITIN SODIUM in his diet.
What is a recommendation?
"Wash your newborn's hair under a stream of running water" - ANSWER -What
statement the nurse is to include to postpartum client about her bathing newborn?