questions
1. A nurse on a medical-surgical unit is admitting a client who has hepatitis B with
ascites. Which of the following actions should the nurse include in the plan of care?
A. Initiate contact precautions.
B. Weigh client weekly.
C. Measure abdominal girth 7.5 cm (3 in) above the umbilicus.
D. Provide a high-calorie, high-carbohydrate diet. - correct answerD
9. You're patient who had a stroke has issues with understanding speech. What type of
aphasia is this patient experiencing and what area of the brain is affected?
a. Expressive, wernickes
b. Receptive, brocas
c. Expressive, hippocampus
d. Receptive, wernickes - correct answerD
A 68-year-old female client who received treatment for a fracture is to be discharged
because her healing is almost complete. Which of the following nursing actions is most
critical for the client?
A. Advise the client to avoid red meat.
B. Advise the client to keep the affected limb in an elevated position.
C. Educate the client about the effects of menopause.
D. Explore factors related to the client's home environment. - correct answerD
A client has undergone an external fixation. Which of the following is the most important
nursing action to be taken for such a client?
A. Perform pin care.
B. Plan the client's diet.
C. Monitor the client's urine output.
D. Monitor the client's blood pressure. - correct answerA
A client has undergone hip surgery. Which of the following dietary suggestions would
help the client prevent constipation?
A. Intake of a high-protein diet
B. Intake of a diet rich in potassium
C. Intake of dairy products
D. Intake of a high-fiber diet - correct answerD
A client is scheduled for a joint replacement surgery. Which of the following actions
should a nurse take at this stage?
A. Ensure adequate fluid intake before the surgery.
B. Withhold intake of solid food before the surgery.
, C. Withhold administration of aspirin before the surgery.
D. Ensure adequate sleep before the surgery. - correct answerC
A client is scheduled for a joint replacement surgery. Which of the following actions
should a nurse take at this stage?
A. Ensure adequate fluid intake before the surgery.
B. Withhold intake of solid food before the surgery.
C. Withhold administration of aspirin before the surgery.
D. Ensure adequate sleep before the surgery. - correct answerC
A client who is immobilized after an orthopedic surgery is at risk for the pooling of his or
her secretions. Which of the following nursing actions will help minimize the risk?
A. Encourage the client to sneeze hard.
B. Turn the client at least every 2 hours.
C. Administer analgesics as prescribed.
D. Elevate the affected extremity and use cold applications. - correct answerB
A client who is undergoing skeletal traction complains of pressure on bony areas. Which
of the following nursing actions would comfort the client?
A. Assist with range-of-motion and isometric exercises.
B. Change the client's position within prescribed limits.
C. Administer prescribed analgesics.
D. Apply warm compresses. - correct answerB
A client with a traumatic injury is administered a prescribed narcotic analgesic for pain
relief. For which of the following signs and symptoms should the nurse closely monitor?
A.Allergic reactions
B. Hypotension
C. Respiratory depression
D. Joint inflammation - correct answerC
A client with asthma as well as a musculoskeletal disorder is prescribed calcium
carbonate as treatment for the musculoskeletal disorder. What advice, related to the
intake of calcium carbonate, should the nurse give to the client?
A. Take other drugs 1 to 2 hours after taking calcium carbonate.
B. Avoid performing strenuous activity for 1 to 2 hours after taking calcium carbonate.
C. Take calcium carbonate before bedtime.
D. Ingest calcium carbonate with plenty of milk - correct answerA
A client's cast is removed. The client is worried because the skin appears mottled and is
covered with a yellowish crust. What advice should the nurse give the client to address
the skin problem?
A. Consult a skin specialist.
B. Scrub the area vigorously to remove the crust.
C. Apply lotions and take warm baths or soaks.
D. Avoid harsh sunlight. - correct answerC