2023 LATEST UPDATE 2024 GRADED A
A nurse is assisting with the care of a client who has a femur fracture and is in
skeletal traction. Which of the following actions should the nurse take?
1) Loosen the knots on the ropes if the client is experiencing pain.
2) Ensure the client’s weights are hanging freely from the bed.
3) Check the client’s bony prominences every 12 hr.
4) Cleanse the client’s pin sites with povidone-iodine.
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?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take
ake this this medication
medication withwith milk.
milk.
4) Limit intake of whole grains while taking this medication.
3) Limit intake of whole grains while taking this medication.
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
A nurse is instructions
following reviewing the plan the
should of care
nurseforinclude?
a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend?
1) Take this medication between meals.
1) Apply topical antifungal agents.
2) Limit intake of Vitamin C while taking this me dication.
2) Apply fresh ice packs every 4 hr.
,3) Wash daily with an antibacterial soap.
4) Keep draining lesions uncovered to air dry.
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?
1) "A flexible tube is introduced through the nose during the
procedure."
2) "During the procedure you are in a sitting position."
3) "You will remain NPO for 8 hours before the procedure."
4) "You will be awake while the procedure is performed."
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?
1) Aura phase
2) Presence of automatisms
3) Postictal phase
, 4) Presence of absence seizures
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?
1) "The pain results from lying in one position too long during
surgery."
2) "The pain occurs as a residual pain from cholecystitis."
3) "The pain will dissipate if you ambulate frequently."
4) "The pain is caused from the nitrous dioxide injected into the
abdomen."
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?
1) Notify the provider.
Answer Rationale:
The nurse should check for kinks and take other measures before notifying the
provider.
2) Verify that the suction regulator is on.