,◉
◉ A nurse in a provider's office is reinforcing teaching with a client
who has anemia and has been taking ferrous gluconate for several
weeks. Which of the following instructions should the nurse
include? Answer: Take this medication between meals.
◉ A nurse is preparing a plan of care for a client who is
postoperative following
a modified radical mastectomy. Which of the following invasive
devices should the nurse expect this client to have? Answer:
jacksonpratt drain
◉ A nurse is caring for a client who had a left lower lobectomy to
treat lung cancer. Which of the following factors will have a
significant impact on the plan of care for this client? Answer: lung
cancer usually has metastasized before the client presents with
symptoms
◉ A nurse is reviewing the plan of care for a client who has cellulitis
of the leg. Which of the following interventions should the nurse
recommend? Answer: Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative
after having an ileostomy established. Which of the following
instructions should the nurse include in the teaching? Answer: Avoid
medications in capsule or enteric form.
,◉
◉ A nurse is caring for a client with severe burns to both lower
extremities. The client is scheduled for an escharotomy and wants to
know what the procedure involves. Which of the following
statements is appropriate for the nurse to make? Answer: "Large
incisions will be made in the burned tissue to improve circulation."
◉ A nurse is collecting data from a client who has a possible
cataract. Which of the following manifestations should the nurse
expect the client to report? Answer: Decreased color perception
◉ A nurse is contributing to the plan of care for a client who has an
intestinal obstruction and is receiving continuous gastrointestinal
decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care? Answer:
Maintain the client in Fowler's position.
◉ A nurse is caring for a client who has Cushing's syndrome. Which
of the following clinical manifestations should the nurse expect to
observe? (Select all that apply.) Answer: 1) Buffalo hump 2) Purple
striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute
kidney injury. Which of the following actions should the nurse take?
Answer: Monitor intake and output hourly
, ◉
◉ A nurse is reinforcing teaching about an
esophagogastroduodenoscopy with a client who has upper gastric
pain. Which of the following statements should the nurse include in
the teaching? Answer: "You will remain NPO for 8 hours before the
procedure."
◉ A nurse is caring for a client who is difficult to arouse and very
sleepy for several hours following a generalized tonic-clonic seizure.
Which of the following descriptions should the nurse use when
documenting this finding in the medical record? Answer: Postictal
phase
◉ A nurse is reinforcing teaching with a client who reports right
shoulder pain following a laparoscopic cholecystectomy. Which of
the following statements should the nurse make? Answer: "The pain
will dissipate if you ambulate frequently."
◉ A nurse is checking the suction control chamber of a client's chest
tube and notes that there is no bubbling in the suction control
chamber. Which of the following actions should the nurse take?
Answer: Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following
a lumbar puncture. Which of the following actions should the nurse
take? (Select all that apply.) Answer: Encourage fluid intake. 2)
Monitor the puncture site for hematoma.
◉ A nurse in a provider's office is reinforcing teaching with a client
who has anemia and has been taking ferrous gluconate for several
weeks. Which of the following instructions should the nurse
include? Answer: Take this medication between meals.
◉ A nurse is preparing a plan of care for a client who is
postoperative following
a modified radical mastectomy. Which of the following invasive
devices should the nurse expect this client to have? Answer:
jacksonpratt drain
◉ A nurse is caring for a client who had a left lower lobectomy to
treat lung cancer. Which of the following factors will have a
significant impact on the plan of care for this client? Answer: lung
cancer usually has metastasized before the client presents with
symptoms
◉ A nurse is reviewing the plan of care for a client who has cellulitis
of the leg. Which of the following interventions should the nurse
recommend? Answer: Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative
after having an ileostomy established. Which of the following
instructions should the nurse include in the teaching? Answer: Avoid
medications in capsule or enteric form.
,◉
◉ A nurse is caring for a client with severe burns to both lower
extremities. The client is scheduled for an escharotomy and wants to
know what the procedure involves. Which of the following
statements is appropriate for the nurse to make? Answer: "Large
incisions will be made in the burned tissue to improve circulation."
◉ A nurse is collecting data from a client who has a possible
cataract. Which of the following manifestations should the nurse
expect the client to report? Answer: Decreased color perception
◉ A nurse is contributing to the plan of care for a client who has an
intestinal obstruction and is receiving continuous gastrointestinal
decompression using a nasogastric tube. Which of the following
interventions should the nurse include in the plan of care? Answer:
Maintain the client in Fowler's position.
◉ A nurse is caring for a client who has Cushing's syndrome. Which
of the following clinical manifestations should the nurse expect to
observe? (Select all that apply.) Answer: 1) Buffalo hump 2) Purple
striations 3) Moon face
A nurse is caring for a client who is in the oliguric phase of acute
kidney injury. Which of the following actions should the nurse take?
Answer: Monitor intake and output hourly
, ◉
◉ A nurse is reinforcing teaching about an
esophagogastroduodenoscopy with a client who has upper gastric
pain. Which of the following statements should the nurse include in
the teaching? Answer: "You will remain NPO for 8 hours before the
procedure."
◉ A nurse is caring for a client who is difficult to arouse and very
sleepy for several hours following a generalized tonic-clonic seizure.
Which of the following descriptions should the nurse use when
documenting this finding in the medical record? Answer: Postictal
phase
◉ A nurse is reinforcing teaching with a client who reports right
shoulder pain following a laparoscopic cholecystectomy. Which of
the following statements should the nurse make? Answer: "The pain
will dissipate if you ambulate frequently."
◉ A nurse is checking the suction control chamber of a client's chest
tube and notes that there is no bubbling in the suction control
chamber. Which of the following actions should the nurse take?
Answer: Verify that the suction regulator is on.
A nurse is assisting with the care of a client immediately following
a lumbar puncture. Which of the following actions should the nurse
take? (Select all that apply.) Answer: Encourage fluid intake. 2)
Monitor the puncture site for hematoma.
