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Complete A+ Guide
An older adult client with a long history of chronic obstructive pulmonary disease
(COPD) is admitted with progressive shortness of breath and a persistent cough.
She is anxious and is complaining of a dry mouth. Which intervention should the
nurse implement?
A. Administer a prescribed sedative
B. Assist client to an upright position
C. Encourage client to drink water
D. Apply a high flow venturi mask
A client with multiple sclerosis (MS) is admitted to the medical unit, The client
reports fatigue, muscle weakness, and diplopia. Which action should the nurse
implement to reduce the clients risk for falls? SATA
A. Provide assistance to bedside commode
B. Provide frequent rest periods.
C. Offer to assist with warm baths in the morning
D. Monitor pulse ox during activities
E. Teach to patch one eye while walking
A client arrives to the ED following a motor vehicle collision, The nurse observes
the client experiencing increasing dyspnea and notes absent breath sounds on
the left side, which procedure should the nurse prepare for the client?
A. Bronchoscopy
B. Chest tube insertion
C. Endotracheal intubation
D. Pulmonary function test
, Following a transurethral resection of the prostate (TURP) a client is discharged
from the hospital with an indwelling urinary catheter, Which instruction is most
important for the nurse to include in the discharge teaching plan?
A. Eliminate all spicy foods from your diet
B. Drink 3 liters of water each day
C. Clamp the catheter when taking a shower
D. Avoid driving a car for 2 weeks
An adult woman with Graves disease is admitted with severe dehydration and
malnutrition, She is currently restless and refusing to eat. Which action is most
important for the nurse to implement?
A. Teach client relaxation techniques
B. Determine the clients food preferences
C. Maintain a patent Intravenous site
D. Keep room temperature cool
A client tells the clinic nurse about experiencing burning on urination, and
assessment reveals that the client had sexual intercourse four days ago with a
person who was a casual acquaintance, Which action should the nurse
implement?
A. Obtain a specimen of urethral drainage for culture
B. Observe the perineal area for a chancre like lesion
C. Identify all sexual partners in the last four days.
D. Assess for perineal itching erythema and excoriation
The nurse is caring for a client admitted to the hospital with a tentative diagnosis
of bacterial meningitis, which diagnostic procedure should the nurse prepare the
client for?
A. Lumbar puncture
B. Skull radiography
C. MRI
D. CT
An older adult client with long term type 2 DM is seen in the clinic for a routine
health assessment, which assessment would the nurse complete to determine if a
patient with type 2 DM is experiencing long term complications? SATA
A. Sensation in feet and legs
B. Skin condition of lower extremities
C. Visual acuity
D Serum creatinine and blood urea nitrogen (BUN)
E. Signs of respiratory tract infection