SOLUTIONS GRADED A+
▶ A nurse is assisting in the care of a client who is receiving a continuous
tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client
receive in 12 hr? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) Answer: 864 calories
▶ A nurse is assisting with the care for a client who is 2 hr postoperative
following the amputation of a foot. Which of the following actions should the
nurse take first? Answer: Check the incisional dressing.
▶ A nurse in a health clinic is reinforcing teaching with a client about
tuberculosis (TB). Which of the following client statements indicates an
understanding of the teaching? Answer: "I can develop TB by breathing in
the infection."
▶ A nurse is preparing to assist a client out of bed 4 hr following a
laparoscopic cholecystectomy. Which of the following actions should the
nurse take first? Answer: Obtain the client's blood pressure.
▶ A nurse is contributing to the plan of care for a client who has Ménière's
disease. Which of the following interventions should the nurse include in
the plan of care? Answer: Administer an antiemetic to the client.
▶ A nurse is preparing to suction a client who has a tracheostomy. Which
of the following actions should the nurse take first? Answer: Ventilate the
client with 100% oxygen.
▶ A nurse is reinforcing teaching with a client who has chronic kidney
disease about disease management. Which of the following statements by
the client indicates an understanding of the teaching? Answer: "I will limit
my daily intake of protein."
▶ A nurse is reinforcing teaching with a client who has mitral valve disease.
Which of the following statements by the client indicates an understanding
of the disease process? Answer: "I should call my doctor if my ankles
swell."
, ▶ A nurse is assisting with the care of a client who has prostate cancer.
The client asks the nurse why they are having difficulty with urination.
Which of the following responses should the nurse make? Answer: "The
tumor causes obstruction of urine from the urethra."
▶ A nurse is assisting with the care for a client following a gastrectomy.
Which of the following actions should the nurse take to decrease episodes
of dumping syndrome. Answer: Place the client in the supine position after
meals.
▶ A nurse on a medical-surgical unit is assign with the care of a newly
admitted client. Select the 3 findings that require follow-up by the nurse.
Answer: Oxygen Saturation
Pain level
Wound dressing
▶ The nurse is assisting with the care of the client. Complete the following
sentence by using the lists of options. Answer: The client is most likely
experiencing a hemothorax as evidenced by the client's respiratory
findings.
▶ The nurse is assisting with the care of the client. Drag words from the
choices below to fill in each blank in the following sentence. Answer: The
nurse should first address the client's blood pressure, followed by the
client's oxygenation.
▶ For each potential provider prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client. Answer:
Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube
insertion. Initiate NPO status.
Contraindicated- Place the client in Trendelenburg position. Cover the
client with a cooling blanket.
▶ The nurse is assisting with the care of the client following the placement
of a chest tube for a hemothorax. Which of the following actions should the
nurse take? Select all that apply Answer: Place the client in high-Fowler's
position
Place two rubber-tipped hemostats in the client's room
Palpate the chest tube insertion site for subcutaneous emphysema