,Which of these instructions should a nurse include in the teaching plan for a
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client who had removal of a cataract in the left eye?
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a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
b. "Perform the prescribed eye exercises each day to strengthen your eye muscles."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
c. "Rinse your eyes with saline each morning to prevent postoperative infection."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
d. "Take the prescribed stool softener to avoid increasing intraocular pressure."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
Answer… d. "Take the prescribed stool softener to avoid increasing intraocular pressure."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
Which of these measures should a nurse include when planning care for a
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
school- aged child during a sickle cell crisis episode?
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a. Monitoring for signs of bleeding. p6p4 p6p4 p6p4 p6p4
b. Providing pain relief. p6p4 p6p4
c. Administering cool sponge baths to reduce fevers. p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
d. Offering a high calorie diet. p6p4 p6p4 p6p4 p6p4
Answer… b. Providing pain relief.
p6p4 p6p4 p6p4 p6p4
An adolescent has a nursing diagnosis of fatigue related to inadequate intake
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
of iron-rich foods. Selection of which of these lunches by the client indicates
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a correct understanding of foods high in iron content?
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a. Peanut butter and jam sandwich.
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b. Chicken nuggets with rice. p6p4 p6p4 p6p4
c. Tuna salad sandwich.
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d. Beefburger with cheese. p6p4 p6p4
, Answer …d. Beefburger with cheese.
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A client has been admitted with acute pancreatitis. Which of these laboratory
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
test results supports this diagnosis?
p6p4 p6p4 p6p4 p6p4 p6p4
a. Elevated serum potassium level. p6p4 p6p4 p6p4
b. Elevated serum amylase level. p6p4 p6p4 p6p4
c. Elevated serum sodium level. p6p4 p6p4 p6p4
d. Elevated serum creatinine level. p6p4 p6p4 p6p4
Answer …b. Elevated serum amylase level.
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When discussing weigh gain during pregnancy, a nurse should recommend that
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
the total weight gain for a pregnant client who is at ideal body weight for her
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
height is:
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a. at least 15 pounds.
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b. 15 to 20 pounds.
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c. 25 to 35 pounds.
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d. at least 45 pounds.
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Answer …c. 25 to 35 pounds. p6p4 p6p4 p6p4 p6p4 p6p4
Which of these manifestations, if reported by a client who is 10-weeks-pregnant,
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supports the diagnosis of ruptured tubal pregnancy.
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a. Sharp unilateral abdominal pain.
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b. Uncontrollable vomiting. p 6 p4
c. Marked abdominal distention. p6p4 p6p4
d. Profuse vaginal bleeding. p6p4 p6p4
Answer …a. Sharp unilateral abdominal pain.
p6p4 p6p4 p6p4 p6p4 p6p4
A client diagnosed with type 1 diabetes mellitus has a glycosylated
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
client has:
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a. had a period of sustained hyperglycemia.
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b. been non-compliant with home management.
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c. been in relatively good diabetic control.
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, d. eaten a high carbohydrate snack just prior to testing.
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
client who had removal of a cataract in the left eye?
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
b. "Perform the prescribed eye exercises each day to strengthen your eye muscles."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
c. "Rinse your eyes with saline each morning to prevent postoperative infection."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
d. "Take the prescribed stool softener to avoid increasing intraocular pressure."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
Answer… d. "Take the prescribed stool softener to avoid increasing intraocular pressure."
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
Which of these measures should a nurse include when planning care for a
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
school- aged child during a sickle cell crisis episode?
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a. Monitoring for signs of bleeding. p6p4 p6p4 p6p4 p6p4
b. Providing pain relief. p6p4 p6p4
c. Administering cool sponge baths to reduce fevers. p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
d. Offering a high calorie diet. p6p4 p6p4 p6p4 p6p4
Answer… b. Providing pain relief.
p6p4 p6p4 p6p4 p6p4
An adolescent has a nursing diagnosis of fatigue related to inadequate intake
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
of iron-rich foods. Selection of which of these lunches by the client indicates
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a correct understanding of foods high in iron content?
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a. Peanut butter and jam sandwich.
p6p4 p6p4 p6p4 p6p4
b. Chicken nuggets with rice. p6p4 p6p4 p6p4
c. Tuna salad sandwich.
p6p4 p6p4
d. Beefburger with cheese. p6p4 p6p4
, Answer …d. Beefburger with cheese.
p6p4 p6p4 p6p4 p6p4
A client has been admitted with acute pancreatitis. Which of these laboratory
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
test results supports this diagnosis?
p6p4 p6p4 p6p4 p6p4 p6p4
a. Elevated serum potassium level. p6p4 p6p4 p6p4
b. Elevated serum amylase level. p6p4 p6p4 p6p4
c. Elevated serum sodium level. p6p4 p6p4 p6p4
d. Elevated serum creatinine level. p6p4 p6p4 p6p4
Answer …b. Elevated serum amylase level.
p6p4 p6p4 p6p4 p6p4 p6p4
When discussing weigh gain during pregnancy, a nurse should recommend that
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
the total weight gain for a pregnant client who is at ideal body weight for her
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
height is:
p6p4 p6p4
a. at least 15 pounds.
p6p4 p6p4 p6p4
b. 15 to 20 pounds.
p6p4 p6p4 p6p4
c. 25 to 35 pounds.
p6p4 p6p4 p6p4
d. at least 45 pounds.
p6p4 p6p4 p6p4
Answer …c. 25 to 35 pounds. p6p4 p6p4 p6p4 p6p4 p6p4
Which of these manifestations, if reported by a client who is 10-weeks-pregnant,
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
supports the diagnosis of ruptured tubal pregnancy.
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
a. Sharp unilateral abdominal pain.
p6p4 p6p4 p6p4
b. Uncontrollable vomiting. p 6 p4
c. Marked abdominal distention. p6p4 p6p4
d. Profuse vaginal bleeding. p6p4 p6p4
Answer …a. Sharp unilateral abdominal pain.
p6p4 p6p4 p6p4 p6p4 p6p4
A client diagnosed with type 1 diabetes mellitus has a glycosylated
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
client has:
p6p4 p6p4
a. had a period of sustained hyperglycemia.
p6p4 p6p4 p6p4 p6p4 p6p4
b. been non-compliant with home management.
p6p4 p6p4 p6p4 p6p4
c. been in relatively good diabetic control.
p6p4 p6p4 p6p4 p6p4 p6p4
, d. eaten a high carbohydrate snack just prior to testing.
p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4 p6p4
