Questions and Answers 100% Solved
A nurse is evaluating a client's use of a cane. Which of the following
actions should the nurse identify as an indication of correct use? - ✔✔The
client holds the cane on the stronger side of her body.
A nurse receives report about a client who has 0.9% sodium chloride
infusing IV at 125 mL/hr. When the nurse performs the initial assessment,
he notes that the client has received only 80 mL over the last 2 hr. Which of
the following actions should the nurse take first? - ✔✔Check the IV tubing
for obstruction.
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube? - ✔✔Have the client take sips of water to promote
insertion of the NG tube into the esophagus.
A nurse is reviewing a client's fluid and electrolyte status. Which of the
following findings should the nurse report to the provider? - ✔✔Potassium
5.4 mEq/L
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, A nurse is providing discharge instructions to a client who will be using a
walker. Which of the following statements indicates an understanding of the
teaching? - ✔✔"I will hire someone to trim the tree that hangs low over the
stairs of my front porch."
A nurse is planning care for a client who has had a stroke, resulting in
aphasia and dysphagia. Which of the following tasks should the nurse
assign to an assistive personnel (AP)? (Select all that apply.) - ✔✔assist
the client with a partial bed bath, measure the client's BP after the nurse
administers an antihypertensive medication, use a communication board to
ask what the client wants for lunch
A nurse is caring for a client who is expressing anger about the diagnosis
of colorectal cancer. Which of the following actions should the nurse take? -
✔✔Reassure the client that this is an expected response to grief.
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressing should the nurse
use? - ✔✔Hydrocolloid
A nurse is administering an otic medication to an older adult client. Which
of the following actions should the nurse take to ensure that the medication
reaches the inner ear. - ✔✔Press gently on the tragus of the client's ear.
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