2024/2025
Respiratory alkalosis s/s
• Lethargy
• Lightheadedness
• Confusion
• Tachycardia
• Dysrhythmias related to hypokalemia
• Nausea
• Vomiting
• Epigastric pain
• Numbness and tingling of the extremities
• Hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk
for osteoporosis.
Which intervention should the nurse include to prevent bone loss?
• Encourage weight-bearing exercises (such as walking because it can help
maintain bone mass by reducing bone demineralization, thus helping to
prevent osteoporosis.)
A nurse is caring for a client who has meningococcal pneumonia.
Which of the following personal protective equipment should the nurse use?
, • Mask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin glargine.
What information should the nurse include in the teaching?
• This type of insulin should be given at the same time every day. (it is
released over a 24-hour period.)
A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease.
What statement by the client indicates that they are adhering to the nurse's
instructions?
• "i don't cross my legs anymore."
A nurse is caring for a client who has a methicillin-resistant staphylococcus
aureus (mrsa) infection in a surgical wound.
What information should the nurse plan to share with visitors?
• Visitors must don a gown and gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new
prescription for hydrochlorothiazide.
What should the client report to the provider?
• Onset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss.
What action should the nurse take when communicating with the client?
, • Rephrase client instructions when not understood.
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea.
The nurse should recognize these findings as what complication?
• Pulmonary embolism
A nurse is monitoring a client who recently had a cast placed on the right lower
extremity for a bone fracture.
What finding should the nurse recognize as abnormal?
• Lack of sensation between the first and second toes
A nurse is reinforcing teaching with a client who has systemic lupus
erythematosus (sle) and is to begin taking methylprednisolone orally.
What should the nurse include in the teaching?
• Limit contact with large groups of people
A nurse is caring for a client who is 24 hours postoperative following abdominal
surgery and has an ng tube.
What action should the nurse plan to take to decrease the risk of postoperative
complications?
• Encourage the client to use an incentive spirometer every hour while
awake