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1. Client is recovering from a transurethral prostatectomy. Which activity
should be limited until after the first postoperative visit with the healthcare
provider?: Drink 3L
2. A client with stage IV bone cancer is admitted to the hospital for a 1-10
scale. Which intervention should the nurse implement?: Administer opioid and
non-opioid medications simultaneously
3. A client experiences an AOB incompatibility reaction after multiple blood
transfusions. Which finding should the nurse report immediately to the health
care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain: a. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
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,4. When conducting discharge teaching for a client diagnosed with
diverticulosis, which diet instruction should the nurse in- clude?
a. Have small frequent meals and sit up for at least two hours after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products: c. Eat a high
fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
6. A client wit lung cancer who wears a subcutaneous morphine sulfate patch
for pain is short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on:
Remove all morphine patches
9. A client who underwent cardiac stent placement four days ago arrives to
the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r hythm with the bell of the
stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume, and
pitting edema.
, c. Verify troponin level assessments are scheduled every 3-6 hours for a
series of three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitor-
ing
.: d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
5. The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following a transurethral
resection of the prostate (TURP). What is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder irrigation
d. Administer a PRN dose of an antispasmodic agent: c. Increase the flow of
the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
7. Coming down the basement steps, a client is brought to the emergency
room X-ray ... cast, which assessment finding warrants immediate
Intervention by the nurse?: Right foot pale with sluggish capillary refill