A | LATEST UPDATED | QUESTIONS WITH COMPLETE
SOLUTIONS.
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. Answer - Indicated: Notify the
provider immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply
oxygen at 2 L/min via nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not
indicated
A nurse is caring for a client who is postoperative following abdominal surgery.
1100: Client received from PACU; initial vital signs recorded. Answer - Instruct
the client to splint the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
, Ask the client to rate their pain 0 to 10 pain scale
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a
new bag is not available when the current infusion is nearly completed.
Answer - Administer dextrose 10% in water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago.
Answer - The client reports back pain.
A nurse is caring for a client who is having a seizure. Answer - Turn the client to
the side.
A nurse in a provider's office is assessing a client who has hypertension and
takes propranolol. Answer - Reports of a night cough.
A nurse is planning to irrigate and dress a clean, granulating wound for a client
who has a pressure injury. Answer - Use a 30 mL syringe.
A nurse is assessing a client who has graves disease. Which of the following
images should indicate to the nurse that the client has exophthalmos Answer -
Choose the one that's not a guy. It should be one with big bulging eyes staring
at you.
A nurse is caring for a client who has DKA. Which of the following findings
indicate improving? Answer - Glucose 272 mg/dL
A nurse is caring for a client who has hypothyroidism. Which of the following
manifestations should the nurse expect? Answer - Constipation