Thoracentesis Teaching --ANSWER: Lean forward on over bed table for procedure
Alzheimer's Sleep Promotion --ANSWER: Provide light snack of cheese and crackers
at bedtime
Nicotine Chewing Gum Use --ANSWER: Recommend no eating/drinking 15min
around gum use
Diabetes Foot Care --ANSWER: Prop feet up while watching TV
Neurogenic Bladder Interventions --ANSWER: Include stroking inner thigh in plan for
bladder control
Systemic Lupus Erythematosus --ANSWER: Expect joint pain in the client
GERD Dietary Teaching --ANSWER: Instruct to avoid peppermint
Enteral Feedings with Medications --ANSWER: Flush tube with water before and
after each medication
Oxygen Concentrator Safety --ANSWER: Include maintaining electrical backup system
Hypoglycemia Management --ANSWER: Have client drink a glass of milk for glucose
<50mg/dL
Hypertension Dietary Selections --ANSWER: Instruct to avoid pretzels for sodium
intake
Pheochromocytoma Findings --ANSWER: Expect hypertension in the client
Gastric Lavage Teaching --ANSWER: Inform about semi-upright position during the
procedure
Right-Sided Heart Failure Findings --ANSWER: Expect peripheral edema,
hepatomegaly, abdominal distension
Neutropenia Care --ANSWER: Include bathing with antimicrobial soap, daily
temperature checks, and avoiding gardening
Alzheimer's Home Care --ANSWER: Include labeling kitchen cabinets and drawers for
caregiver
Low Sodium Level --ANSWER: Nurse is collecting data from a client with sodium level
of 128mEq/L
, Mental Confusion --ANSWER: Expected finding in a client
Clopidogrel --ANSWER: Medication preventing clot formation post-stroke
Yogurt --ANSWER: Recommended solid food for client after severe diarrhea
3oz canned salmon --ANSWER: Food with high calcium for client with hypocalcemia
Macular degeneration --ANSWER: Visual impairment cause requiring glare
management
Closed irrigation --ANSWER: Procedure for indwelling urinary catheter post-surgery
Persistent bubbling --ANSWER: Sign requiring notification in a client with
pneumothorax
Assistive personnel (AP) --ANSWER: Task delegation for documenting client output
Tinnitus --ANSWER: Adverse effect of furosemide in heart failure client
Pain radiating to right shoulder --ANSWER: Expected manifestation in acute
cholecystitis
Fruity breath odor --ANSWER: Finding in a client with diabetic ketoacidosis
Preoperative language barrier --ANSWER: Action for a nurse caring for a client with
language difference
Total hip arthroplasty --ANSWER: Pre-procedure actions including allergy check and
consent form verification
Lisinopril --ANSWER: Instruction for hypertension client on reporting persistent
cough
Peripheral IV site --ANSWER: Red, warm, and painful site requiring IV discontinuation
Cool skin flap --ANSWER: Priority finding in a client with type 1 diabetes post-
amputation
12 lead ECG --ANSWER: Procedure instruction for a client with angina pectoris
Mammograms --ANSWER: Frequency understanding for postmenopausal client
Skeletal traction --ANSWER: Care plan intervention for a client in traction