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A nurse is caring for a client who is learning how to take care of a newly created
colostomy. When observing a return demonstration of the colostomy irrigation, the
nurse evaluates that more teaching is required when the client: - ✔✔ - Hangs the
irrigation bag on the door clothes hook during fluid insertion
A client with hepatic cirrhosis begins to develop slurred speech, confusion,
drowsiness, and a flapping tremor. With this evidence of impending hepatic coma,
which diet can the nurse expect will be prescribed for this client? - ✔✔ - 20 g of
protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should
be treated because it contributes to: - ✔✔ - Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery.
The nurse provides education about common side effects of general anesthesia.
The nurse concludes that the teaching has been effective when the client states,
"Immediately after surgery I may experience: - ✔✔ - A sore throat."
A client has surgery for the creation of burr holes after sustaining head trauma. An
early clinical manifestation of meningeal irritation for which the nurse assesses the
client is: - ✔✔ - Kernig's sign
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, What therapeutic effect should the nurse identify as the reason for administration
of neomycin sulfate to a client before colon surgery? - ✔✔ - Destroy intestinal
bacteria
A client newly diagnosed with myasthenia gravis is concerned about fluctuations
in physical condition and generalized weakness. When caring for this client it is
most important for the nurse to plan to: - ✔✔ - Space activities throughout the day
A client is diagnosed with myasthenia gravis, and the anticholinesterase
medication pyridostigmine (Mestinon) is prescribed. When teaching the client
about this medication, the nurse explains that the desired effect is to increase: - ✔✔
- Contraction of skeletal muscles
A client with a history of a pulmonary embolus is to receive 3 mg of warfarin
(Coumadin) daily. The client has blood drawn twice weekly to ascertain that the
international normalized ratio (INR) stays within a therapeutic range. The nurse
provides dietary teaching. Which food selected by the client indicates that further
teaching is necessary? - ✔✔ - Spinach salad
A client with advanced bone cancer is experiencing cachexia. The nurse discusses
the nutritional aspect of palliative care with the family. Why is it important to
explain these nutritional interventions to the family? - ✔✔ - Enhance the quality of
the client's life
When providing discharge teaching to a client who had a total hip replacement, the
nurse should instruct the client to avoid: - ✔✔ - Sitting in a low chair
A client comes to the clinic for a physical and asks to be tested for acquired
immunodeficiency syndrome (AIDS). Which test should the nurse explain will be
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