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A nurse is caring for 4 client's. which client should the nurse use therapeutic technique of
silence? client who has experienced the death of a child
a nurse is caring for a client who has an indwealling urinary Cath. which action should the nurse
take? clean the perineal area at least once per day.
A nurse is caring for a client who is receiving chemotherapy and has stomatitis. Which of the
following actions should the nurse take to reduce the client's discomfort? The use of 0.9%
sodium chloride solution to rinse the client's mouth
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the
following instructions should the nurse give the partner about turning the client in bed?
"tighten your stomach muscles"
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client
tells the nurse that he has numerous allergies. Which of the following allergies should the nurse
bring to the attention of the charge nurse prior to the initiation of the therapy? latex
A nurse is caring for a client who has a prescription for a high-protein diet to promote wound
healing following surgery. The client's religion prohibits eating meat on particular days. Which
of the following actions should the nurse take? Ask the dietician to recommend alternative
food choices for the client.
a nurse is teaching a client about self administration of ophthalmic drops. which instruction
should the nurse include? you should cleanse your eye from inner to outer edge prior to
putting in drops.
, A nurse is changing a colostomy bag for a client who is 2 days postoperative. The nurse should
report a purple-colored stoma
A nurse is reinforcing teaching about carbohydrate counting with a client who has a new
diagnosis of diabetes mellitus. What action should the nurse take? ask the client what he
already knows about meal planning
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which
findings should the nurse identify as an indication that the client is malnourished? Pale,
scaly skin
a nurse is teaching about advanced directives with a client who has end stage renal disease .
which statements indicate an understanding? "I know that I can change my advanced
directives if I need to in the future"
a nurse is preparing a client for a Romberg test. which statement should the nurse make?
"stand with your feet together and place your arms at your side"
a nurse is checking the client for a pulse deficit after detecting an irregular heart rate. which
action should the nurse take? count the client's radial and apical pulses simultaneously with
another nurse.
a nurse is teaching a client who is scheduled for a bladder scan. which instructions should the
nurse include? "I will pace a gel pad directly above your pubic area before I place the probe"
a charge nurse is teaching a new nurse who is setting up a sterile field. what action by the new
nurse indicates on understanding? removing and inverting a lid before placing it on to a non-
sterile surface.