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A hospice nurse is caring for a preschooler who has a terminal illness. One of the
child's parents tells the nurse that it is too difficult to cope any longer and has
decided to move out of the house. Which of the following responses should the
nurse make? - (ANSWER)Let's talk about a few ways you have dealt with stress in
the past
A nurse is teaching a client ways to prevent osteoporotic fractures due to
osteoporosis. Which of the following information should the nurse include in the
teaching? - (ANSWER)Maintain bone health by eating fruits, vegetables, and
protein
A nurse is teaching a clients who has hypothyroidism about taking Levothyroxine.
Which of the following statements should the nurse make? - (ANSWER)This
medication causes adverse effects if the dosage is too high or too low
,A nurse in an emergency department is assessing a preschooler who has severe
dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which
of the following findings should the nurse identify as an indication that the
treatment is effective? - (ANSWER)Brisk skin turgor
A nurse is caring for a client who has left hemiparesis following a stroke. Which of
the following actions should the nurse take? - (ANSWER)encourage the client to
use wide grip utensils when eating with the right hand
A nurse is teaching about herbal supplements with a group of newly licensed
nurses. Which of the following herbal supplements should the nurse include in the
teaching for treating yperlipidemia? - (ANSWER)Garlic
A nurse is admitting a client who has an acute bacterial wound infection and a
temperature of 103.6. Which of the following actions should the nurse take? -
(ANSWER)Set the temperature of the client's room to 72
,A nurse is assessing a client who is 1 hr postoperative following a transurehtral
resection of the prostate for treatment of benign prostatic hyperlplasia. For which
of the following assessment findings should the nurse notify the provider? -
(ANSWER)The catheter tubing has multiple red clots
A nurse is planning care for a client who had surgery for osteomyelitis from a past
musculoskeletal trauma to the lower leg. Which of the following interventions
should the nurse include in the plan of car? - (ANSWER)Check for paresthesia of
the affected leg
A nurse is assessing the eyes and ears of a 2 yo toddler at a well-child visit. Which
of the following findings should the nurse report to the provider? -
(ANSWER)Presence of strabismus
A nurse is teaching a client who has atherosclerosis about self-care. Which of the
following instructions should the nurse include in the teaching? -
(ANSWER)Increase fiber intake to at least 30g per day.
, A nurse is assessing a client who has as an ulcer due to peripheral vascular disease.
Which of the following findings should the nurse identify as an indication that the
client has a venous ulcer rather than an arterial ulcer? - (ANSWER)Discoloration
and edema of the right ankle
A nurse is providing discharge teaching to a client who is postoperative following a
transurethral resection of the prostate for treatment of benign prostatic hyperplasia.
Which of the following instructions should the nurse include in the teaching? -
(ANSWER)Perform Kegel exercises several times throughout the day
A nurse is assessing a client who has left-sided heart failure. Which of the
following findings should the nurse expect (SATA) - (ANSWER)Nocturia,
Dyspnea, Hacking cough
A nurse is teaching a client who has gastroesophageal reflux disease about ways to
prevent reflux. Which of the following information should the nurse include in the
teaching? - (ANSWER)Plan to finish eating at least 3 hr before bedtime