CORRECT ANSWERS & RATIONALES WITH |VERIFIED &
REVISED ANSWERS (NEW) 2025/VERIFIED AND GRADED A+
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the
following interventions should the nurse identify as the priority?
Ans: Determine the client's understanding of the procedure.
Qiz A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the
lower extremities. Which of the following interventions should the nurse include?
Ans: Dangle the extremities off the side of the bed.
Qiz A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of
the following actions should the nurse include in the plan?
Ans: Use simple verbal cues when directing tasks.
Qiz A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the nurse include?
Ans: Incontinence of the bowel and bladder
,Qiz A nurse is preparing to remove a client's NG tube. Which of the following interventions should the
nurse take to decrease the risk for aspiration?
Ans: Pinch the NG tube.
Qiz A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten
minutes after beginning the infusion, the client reports intense itching. Which of the following actions
should the nurse take first?
Ans: Stop the medication infusion.
Qiz A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include?
Ans: "Consume foods that are low in sodium."
Qiz A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test.
Which of the following instructions should the nurse include in the teaching?
Ans: Avoid eating red meat for 3 days prior to the test.
Qiz A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of
4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer
to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Ans: 0.7 mL
, Qiz A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following
information should the nurse include in the teaching?
Ans: "This type of insulin should be given at the same time every day."
Qiz A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection
in a surgical wound. Which of the following information should the nurse plan to share with visitors?
Ans: Visitors must don a gown and gloves prior to entering the client's room.
Qiz A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following
should the nurse recognize as a contraindication to HRT?
Ans: History of treatment for blood clots
Qiz A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching?
Ans: Increase intake of fiber-rich foods.
Qiz A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching?
Ans: Avoid stopping this medication suddenly.
Qiz A nurse is caring for a client who has an area indicating potential breakdown over the sacrum. Which
of the following actions should the nurse take?