WITH VERIFIED ANSWERS
A home health nurse is conducting an initial home visit for a client who
has terminal breast cancer, the client has two minor children and a
limited support system. Which of the following is the priority nursing
action? Ask the client about their understanding of the diagnosis.
A nurse is teaching a client about smoking cessation. Which of the
following client statements should the nurse identify as an
understanding of the teaching? I will set a specific date to stop
smoking.
A nurse is teaching a family about home hospice care. Which of the
following appropriate for the nurse to include in the teaching?
Hospice care encourages the family to coordinate health care services.
A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect?
Hallucinations.
A nurse is providing dietary teaching to a client who has an increased
cholesterol level. Which of the following foods should the nurse
recommend? Egg whites
,A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following suggestions should the nurse recommend?
Tell the client to avoid drinking fluids 1 hr before bedtime
A nurse is caring for a client who has heart failure and has started taking
a loop diuretic. Which of the following findings indicates the client is
experiencing an adverse effect of the medication? Decreased
reflexes (hypercalcemia)
A nurse is caring for a client who has a new prescription for lithium
carbonate. Prior to administering the first dose, which of the following
laboratory values should the nurse evaluate? Thyroid Hormone.
A nurse is preparing to witness a client's signature on an informed
consent for a total knee arthroplasty. Which of the following client
statements indicates the nurse should contact the surgeon? "I am
thankful there are no serious complications from this type of surgery."
A nurse is assessing a client who has a fentanyl patch in place for
chronic pain. Which of the following findings should the nurse report to
the provider? No bowel movement for 3 days
A nurse is providing teaching to an adolescent client who has cystic
fibrosis and has a prescription for pancrealipase. Which of the following
should the nurse include in the teaching? Take with meals.
, A nurse is analyzing the laboratory data on a client who has
dehydration. Which finding should the nurse anticipate in a client who
has fluid volume deficit? Elevated blood urea nitrogen (BUN)
A nurse is assessing a client who has a long arm cast. For which of the
following findings should the nurse monitor when assessing for acute
compartment syndrome? Edema
A client who has a diagnosis of complete placenta previa is admitted to
the labor and delivery suite at 36 weeks' gestation with contractions 5
min in frequency and 1 min in duration. Which of the following actions
should the nurse take? Prepare the client for a cesarean section.
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). For which of the following findings should the nurse monitor as a
potential complication of TPN? Electrolyte Imbalance.
A nurse in a mental health facility is evaluating the effectiveness of
mechanical restraints for a client who threw a chair in the day room.
The nurse should identify which of the following findings as an
indication to remove the restraints? The client apologizes for their
aggressive behavior.
A nurse is providing teaching to the parent of a 6-month-old infant who
is teething and having difficulty sleeping. Which of the following