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a nurse is providing teaching to a pt who had a bone marrow biopsy taken from her iliac
crest, what information should the nurse include in the teaching - answer>>>apply ice to
the incision site
a nurse is providing discharge instructions to a pt who has GERD, what statements by the
pt demonstrates an understanding of the teaching? - answer>>>i will limit activities that
require bending at the waist
a nurse is caring for a pt who is hyperventilating and whose ABG results are pH 7.5, PaCO2
29, HCO3 25, based on this information the nurse should recognize that the client has
what imbalance - answer>>>respiratory alkalosis
a nurse is assessing a pt who has a new diagnosis of acute glomerulonephritis, what
finding should the nurse expect - answer>>>brown colored urine
a nurse is caring for a pt who has acute pancreatitis, what intervention should the nurse
include in the client's plan of care - answer>>>monitor BG levels
maintain NPO status until pain free
manage acute pain
a nurse is caring for a pt who has mild dehydration, the pt has a peripheral IV and is
prescribed 0.9% sodium chloride 1,000mL with 40 mEq potassium chloride to infuse in 1
,hour, what action should the nurse take first - answer>>>verify the prescription with the
provider
(risk for fluid overload and dysrhythmia from rapid potassium IV infusion)
a nurse is teaching a group of APs about caring for clients with Alzheimer's disease, what
info should the nurse include - answer>>>provide supervision to prevent a pt from
becoming injured or lost
a nurse is providing teaching to a pt who has acute leukemia and received chemo 5 days
ago, what instruction should the nurse include in the teaching - answer>>>use an electric
shaver
avoid crowds
monitor for bruising
a nurse is caring for a pt who is at high risk for iron deficiency anemia, what foods should
the nurse instruct the client to increase in her diet - answer>>>raisins
a nurse is planning care for a pt who has Meniere's disease and is experiencing episodes
of vertigo, what intervention should the nurse include in the plan - answer>>>provide a
low-sodium diet
(reduces fluid retention, reducing manifestations of the disease)
, a nurse is providing discharge instructions to a pt who has a new AV fistula to the right
forearm for hemodialysis, what statement should the nurse include - answer>>>keep the
right arm elevated above the level of your heart
(prevents edema)
a nurse is providing discharge teaching to a pt who has multiple sclerosis, what instruction
should the nurse include in the teaching - answer>>>it is important to develop a daily
schedule that reduces fatigue and conserves energy
a nurse is providing discharge teaching to a pt who has heart failure and a prescription for
furosemide 20 mg PO two times a day, what instruction should the nurse include in the
teaching - answer>>>increase the intake of high potassium foods
a nurse is providing discharge instructions to a pt who is to perform dressing changes to
an incision at home, what statements by the pt indicates an understanding of the
teaching - answer>>>"I should wash my hands before both removing and applying the
dressing"
a home health nurse is caring for a pt who has COPD and is on home oxygen at 2L/min via
nasal cannula, the pt tells the nurse that she is experiencing difficulty breathing, what
action should the nurse take first - answer>>>observe the pt's respiratory effort
a nurse is caring for a pt who has right sided pneumothorax, following chest tube
insertion what finding indicates that the chest drainage system is functioning correctly -
answer>>>gentle bubbling in the suction chamber