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A nurse is preparing to Fiber -- The nurse should instruct the client who has
teach about dietary Crohn's disease and an enteroenteric fistula to
management to a client consume a low-fiber diet to reduce diarrhea and
who has Crohn's disease inflammation.
and an enteroenteric
fistula. Which of the
following nutrients should
the nurse instruct the
client to decrease in their
diet?
A nurse is updating the Determine the client's reading skills -- The first action
plan of care for a client the nurse should take when using the nursing process
who is 48 hr postoperative is to assess the client. By determining the client's level
following a laryngectomy of reading skills and cognition, the nurse can best
and is unable to speak. provide the client with a variety of customized
Which of the following techniques to practice and use after verbal skills are
actions should the nurse lost.
plan to take first?
A nurse is providing "I will not allow anyone to smoke near my baby." --
teaching to the guardians This statement by the guardian indicates an
of a newborn about understanding of the nurse's instructions. Research
measures to prevent SIDS. indicates a strong correlation between exposure to
Which of the following cigarettes smoke and the occurrence of SIDS.
guardian statements
indicates an
understanding of the
teaching?
,A nurse in an emergency Urine specific gravity 1.052 -- The nurse should
department is caring for a recognize this urine specific gravity is significantly
client who is at 9 weeks of elevated above the expected reference range of
gestation and reports 1.005 to 1.030. An increased urine specific gravity
nausea and vomiting for indicates dehydration from vomiting.
the past 2 days. Which of
the following findings
should the nurse expect?
A nurse is planning care Allow for frequent rest periods throughout the day --
for a client who has The nurse should encourage clients who have
rheumatoid arthritis and rheumatoid arthritis to balance rest with exercise to
has moderate to severe maintain muscle strength, joint function, and range of
pain in multiple joints. motion.
Which of the following
actions should the nurse
plan to take?
A nurse is caring for a Tremors -- Tremors are a manifestation of
client who has hyperthyroidism, along with tachycardia, diaphoresis,
hyperthyroidism. Which of weight loss, insomnia, and exophthalmia.
the following findings
should the nurse expect?
A hospice nurse is "We can expect the hospice nurse to provide support
consulting with a client for us after our mother's death." -- Hospice care
and her family about includes bereavement services after a family
receiving home services. member's death.
Which of the following
statements should the
nurse identify as an
indication that the family
understands home
hospice care?
, A nurse is caring for a Decreased hallucinations -- The nurse should
client who has a recognize that chlorpromazine is an antipsychotic
prescription for medication administered to decrease hallucinations
chlorpromazine. Which of and other manifestations of schizophrenia.
the following findings
should the nurse identify
as an indication that the
medication is effective?
A charge nurse notices "I would like to talk to you about the unit policies
that one of the nurses on regarding break time." -- The charge nurse is dealing
the shift frequently with the conflict in a cooperative, positive manner by
violates unit policies by using this statement to open the conversation in a
taking an extended nonthreatening way. The focus is on the length of the
amount of time for break. break time and is not a personal affront.
Which of the following
statements should the
charge nurse make to
address this conflict?
A nurse is teaching a client "I will need to measure your weight daily." -- The nurse
who has a new should instruct the client that daily weight
prescription for a total measurement is a necessary part of administering
parenteral nutrition nutrition through a central line to avoid fluid overload
through a central line. and monitor for adequate weight gain.
Which of the following
information should the
nurse include in the
teaching?
A nurse is assessing a Blurred vision -- The nurse should identify blurred
client who has major vision as an adverse effect of amitriptyline and notify
depressive disorder and is the provider. Other adverse effects include
taking amitriptyline. Which constipation, urinary retention, and dry mouth.
of the following findings
should the nurse identify
as an adverse effect of the
medication?