A nurse is assisting a client during ambulation when the client begins to fall. Which of the
following actions should the nurse take? - ANSWER Lower the client to the floor
A provider is discharging a client with a prescription for home oxygen therapy. The nurse
should reinforce which of the following instructions with the client and his family? SATA -
ANSWER Make sure the straps are secure but not too tight
Check the tops of his ears regularly for skin breakdown
Post "no smoking" warning signs at home in a prominent location
A nurse is caring for a client who has right-sided paralysis from a cerebral vascular accident
(CVA). Which of the following interventions should the nurse implement? -
ANSWER Use a footboard to maintain dorsiflexion of the feet
A nurse is administering a cleansing enema for a client who has constipation. Which of the
following actions should the nurse take? - ANSWER Hold the container of solution 30
cm (12in) above the anus
A nurse is caring for a client who wants information about a complementary or alternative
healing modality to help her reduce stress. The nurse should suggest which of the following
modalities in which the client can practice poses and medication to achieve wellness? -
ANSWER Yoga
A nurse is reinforcing teaching with a client who has trouble sleeping at night. Which of the
following beverages should the nurse recommend the client to drink to avoid caffeine
consumption? - ANSWER Lemon-lime soda
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following actions should the nurse take? - ANSWER Lower the client to the floor
A provider is discharging a client with a prescription for home oxygen therapy. The nurse
should reinforce which of the following instructions with the client and his family? SATA -
ANSWER Make sure the straps are secure but not too tight
Check the tops of his ears regularly for skin breakdown
Post "no smoking" warning signs at home in a prominent location
A nurse is caring for a client who has right-sided paralysis from a cerebral vascular accident
(CVA). Which of the following interventions should the nurse implement? -
ANSWER Use a footboard to maintain dorsiflexion of the feet
A nurse is administering a cleansing enema for a client who has constipation. Which of the
following actions should the nurse take? - ANSWER Hold the container of solution 30
cm (12in) above the anus
A nurse is caring for a client who wants information about a complementary or alternative
healing modality to help her reduce stress. The nurse should suggest which of the following
modalities in which the client can practice poses and medication to achieve wellness? -
ANSWER Yoga
A nurse is reinforcing teaching with a client who has trouble sleeping at night. Which of the
following beverages should the nurse recommend the client to drink to avoid caffeine
consumption? - ANSWER Lemon-lime soda
1
