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A nurse is collecting data from a client who has a chest tube in place to a
closed three-chamber drainage system to treat a pneumothorax. The nurse
should identify which of the following findings as an indication of
malfunction? - 🧠ANSWER ✔✔Continuous bubbling in the water seal
chamber.
A nurse is assisting in the care of the client who has manifestations of
sepsis. Which of the following provider prescriptions should the nurse
implement first? - 🧠ANSWER ✔✔Initiate oxygen at 4L/min via nasal
cannula.
A nurse is reinforcing discharge teaching for the caregivers of a client who
has Parkinson's disease. Which of the following information should the
nurse include in the teaching? - 🧠ANSWER ✔✔Remind the client to avoid
watching their feet when walking.
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,A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c)
testing with a client who has diabetes mellitus. Which of the following
statements indicates that the client understands the teaching? -
🧠ANSWER ✔✔"I will have my HbA1c checked twice per year."
A nurse is assisting with the care of a client who has a newly-inserted
water-seal closed chest tube. Which of the following findings should the
nurse report to the provider? - 🧠ANSWER ✔✔Chest drainage is greater
than 70mL/hr.
A nurse is contributing to the plan of care for a client who has multiple
sclerosis and is taking dantrolene to manage muscle spasms. Which of the
following interventions should the nurse include? - 🧠ANSWER
✔✔Encourage the client to complete ADLs.
A nurse is reinforcing discharge teaching with a client who has cirrhosis.
Which of the following instructions should the nurse include? - 🧠ANSWER
✔✔"Consume foods that are low in sodium."
A nurse is reinforcing teaching with a client who has systemic lupus
erythematous (SLE) and is to begin taking methylprednisolone orally.
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,Which of the following statements should the nurse include in the teaching?
- 🧠ANSWER ✔✔"Limit contact with large groups of people."
A nurse is caring for a client who has a history of breast cancer. The client
asks the nurse about birth control. Which of the following methods of birth
control is contraindicated for this client? - 🧠ANSWER ✔✔Combination oral
contraceptives
A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following
statements indicates that the client is adhering to the nurse's instructions? -
🧠ANSWER ✔✔"I don't cross my legs anymore."
A nurse is caring for a client who is post-op and has an epidural infusion.
Which of the following findings should the nurse recognize as the priority? -
🧠ANSWER ✔✔Dyspnea
A nurse is reinforcing teaching about home care with a client who has knee
arthroplasty. Which of the following factors should the nurse identify as an
indication that a barrier to learning might be present? - 🧠ANSWER ✔✔The
client stops the. nurse and asks for pain medication.
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, A nurse is assisting with the care of a client who is receiving 0.9% sodium
chloride by continuous IV infusion. The client reports pain and swelling at
the IV site. In which order should the nurse perform the following steps? -
🧠ANSWER ✔✔- Check the IV site
- Stop the infusion
- Withdraw the IV catheter
- Elevate the affected arm
- Notify the charge nurse
A nurse is reinforcing teaching with the caregiver of a client who has a
cervical injury and has a halo vest in place. Which of the following safety
precautions should the nurse include in the teaching? - 🧠ANSWER
✔✔Change the sheepskin liner weekly.
A nurse is reinforcing teaching with a client who is taking insulin glargine.
Which of the following information should the nurse include in the teaching?
- 🧠ANSWER ✔✔"This type of insulin should be given at the same time
every day."
A nurse is contributing to the plan of care for a client who is having difficulty
eating following a stroke. Which of the following actions should the nurse
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