H 2025 VERIFIED
WITH CORRECT
QUESTION AND
ANSWERS
ATnurseTisTcaringTforTaTclientTwhoThasTaTlegTcastTandTisTreturningTtoTdemonstrateTonTtheTprop
erTuseTofTcrutchesTwhileTclimbingTstairs.TIdentifyTtheTsequenceTtheTclientTshouldTfollowTwhe
nTdemonstratingTcrutchTuse.
- BringsTtheTcrutchesTandTtheTaffectedTlegTupTtoTtheTstair
- PlacesTbodyTweightTonTtheTcrutches
- ShiftsTweightTfromTtheTcrutchesTtoTtheTunaffectedTleg
- AdvancesTtheTunaffectedTlegTontoTtheTstairT-T-TPlacesTbodyTweightTonTtheTcrutches
- AdvancesTtheTunaffectedTlegTontoTtheTstair
- ShiftsTweightTfromTtheTcrutchesTtoTtheTunaffectedTleg
- BringsTtheTcrutchesTandTtheTaffectedTlegTupTtoTtheTstair
ATnurseTisTcaringTforTaTclientTwhoThasThypothyroidism.TWhichTofTtheTfollowingTmanifestatio
nsTshouldTtheTnurseTexpect?
- Constipation
- Insomnia
- Tachycardia
- DiaphoresisT-T-TConstipation
RATIONALE:TATclientTwhoThasThypothyroidismTcanTexperienceTconstipationTdueTtoTtheTde
creaseTinTtheTclient'sTmetabolism,TresultingTinTslowTmotilityTofTtheTGITtract.TTheTnurseTshoul
dTinstructTtheTclientTtoTincreaseTfiberTandTfluidTintakeTtoTreduceTtheTriskTforTconstipation.
ATnurseTisTassessingTaTclientTwhoThasTaTdiagnosisTofTrheumatoidTarthritis.TWhichTofTtheTfollo
wingTnonpharmacologicalTinterventionsTshouldTtheTnurseTsuggestTtoTtheTclientTtoTreduceTpain
?
- IncreaseTintakeTofTfoodsTcontainingTcalcium
- AlternateTapplicationTofTheatTandTcoldTtoTtheTaffectedTjoints
- KeepTtheTaffectedTextremitiesTelevated
- LimitTmovementTofTtheTaffectedTjointsT-T-
TAlternateTapplicationTofTheatTandTcoldTtoTtheTaffectedTjoints
RATIONALE:TTheTnurseTshouldTinstructTtheTclientTtoTalternateTheatTandTcoldTapplicationsT
toTdecreaseTjointTinflammationTandTpain.TTheTapplicationTofTcoldTcanTrelieveTjointTswelling
TandTtheTapplicationTofTheatTcanTdecreaseTjointTstiffnessTandTpain.
ATnurseTisTcaringTforTaTclientTwhoTisTreceivingTaTbloodTtransfusion.TTheTclientTbecomesTrestl
ess,Tdyspneic,TandThasTcracklesTnotedTtoTtheTlungTbases.TWhichTofTtheTfollowingTactionsTshou
ldTtheTnurseTanticipateTtaking?
- AdministerTanTantihistamine
- SlowTtheTinfusionTrate
,- GiveTtheTclientTaTcorticosteroid
- ElevateTtheTclient'sTlowerTextremitiesT-T-TSlowTtheTinfusionTrate
, RATIONALE:TDyspnea,Trestlessness,TandTtheTonsetTofTcracklesTduringTaTbloodTtransfusionTa
reTmanifestationsTofTcirculatoryToverload.TTheTnurseTshouldTslowTorTstopTtheTinfusionTtoTimp
roveTtheTclient'sTabilityTtoTbreath,TplaceTtheTclientTinTanTuprightTposition,TandTnotifyTtheTprovi
der.
TheTproviderTmightTprescribeTaTdiureticTtoTalleviateTtheTfluidToverload.
ATnurseTinTtheTemergencyTdepartmentTisTassessingTaTclientTwhoThasTaTdetachedTretina.TWhic
hTofTtheTfollowingTshouldTtheTnurseTexpectTtheTclientTtoTreport?
- "It'sTlikeTaTcurtainTclosedToverTmyTeye."
- "ThisTsharpTpainTinTmyTeyeTstartedT2ThoursTago."
- "I'veTbeenThavingTmoreTandTmoreTdifficultyTseeingToverTtheTlastTfewTweeks."
- "ITseemTtoThaveTmoreTproblemsTseeingTdifferentTcolors."T-T-
T"It'sTlikeTaTcurtainTclosedToverTmyTeye."
RATIONALE:TATretinalTdetachmentTisTtheTseparationTofTtheTretinaTfromTtheTepithelium.TItTc
anToccurTbecauseTofTtrauma,TcataractTsurgery,Tretinopathy,TorTuveitis.TClientsTwhoThaveTretin
alTdetachmentTtypicallyTreportTtheTsensationTofTaTcurtainTbeingTpulledToverTpartTofTtheTvisual
Tfield.
ATnurseTisTteachingTaTclientTwhoThasTaTfamilyThistoryTofTcolorectalTcancer.TToThelpTmitigate
TthisTrisk,TwhichTofTtheTfollowingTdietaryTalterationsTshouldTtheTnurseTrecommend?
- AddTfull-fatTyogurtTtoTtheTdiet
- AddTcabbageTtoTtheTdiet
- ReplaceTbutterTwithTcoconutToil
- ReplaceTshellfishTwithTredTmeatT-T-TAddTcabbageTtoTtheTdiet
RATIONALE:TToThelpTreduceTtheTriskTforTcolorectalTcancer,TtheTclientTshouldTconsumeTaTdi
etTthatTisThighTinTfiber,TlowTinTfat,TandTlowTinTrefinedTcarbohydrates.TBrassicaTvegetables,Tsu
chTasTcabbage,Tcauliflower,TandTbroccoli,TareThighTinTfiber.
ATnurseTisTcaringTforTaTclientTwhoTisTpostoperativeTfollowingTabdominalTsurgery.
ATnurseTisTcaringTforTaTclientTwhoTisTpostoperative.TWhichTofTtheTfollowingTactionsTshouldTth
eTnurseTtake?T(SelectTallTthatTapply.)
- AskTtheTclientTtoTrateTtheirTpainTonTaT0TtoT10TpainTscale
- InstructTtheTclientTtoTsplintTtheTabdomenTwithTaTpillowTforTcoughing
- PlanTtoTambulateTtheTclientTasTsoonTasTpossible
- ApplyToxygenTviaTaTfaceTmask
- ReportTurinaryToutputTtoTtheTproviderT-T-
TInstructTtheTclientTtoTsplintTtheTabdomenTwithTaTpillowTforTcoughing
RATIONALE:TItTisTimportantTforTtheTclientTtoTturn,Tcough,TandTdeepTbreatheTtoTreduceTtheTri
skTforTrespiratoryTcomplications.TTheTnurseTshouldTinstructTtheTclientTtoTsplintTtheTincisionTw
hileTperformingTtheseTactionsTtoTreduceTtheTriskTofTcomplicationsTtoTtheTsurgicalTincision.
- PlanTtoTambulateTtheTclientTasTsoonTasTpossible
RATIONALE:TTheTnurseTshouldTplanTtoTambulateTtheTclientTasTsoonTasTpossibleTtoTpromoteT
ventilationTandTdecreaseTtheTriskTofTthrombosis..
- ReportTurinaryToutputTtoTtheTprovider