2020/2021
1.instructions that the nurse should include in the discharge
teaching plan of a client who had a cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
2. male adult comes to the urgent care clinic 5 days
after being diagnose with influenza. He is short of
breath, febrile, and coughing green colored sputum.
Which intervention should the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
3. elderly male client tells the nurse that he is loosing
sleep because he has to get up several times at night
to go to the bathroom that he has trouble starting his
urinary stream and that he does not feel like his
bladder is ever completely empty. Which intervention
should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
4. An adult client is admitted with diabetic
ketoacidosis (DKA) and a urinary tract infection
(UTI) Prescriptions for intravenous antibiotics and
insulin infusion are initiated. Which serum
laboratory value warrants the most immediate
intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l