1. A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm.: Indicated: Notify the provider imme-
diately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min
via nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
2. A nurse is caring for a client who is postoperative following abdominal
surgery.
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24
, 1100: Client received from PACU; initial vital signs recorded.: Instruct the client
to splint the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
Ask the client to rate their pain 0 to 10 pain scale
3. A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
a new bag is not available when the current infusion is nearly completed.: Ad-
minister dextrose 10% in water until the new bag arrives.
4. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr
ago.: The client reports back pain.
5. A nurse is caring for a client who is having a seizure.: Turn the client to the
side.
6. A nurse in a provider's office is assessing a client who has hypertension
and takes propranolol.: Reports of a night cough.
7. A nurse is planning to irrigate and dress a clean, granulating wound for a
client who has a pressure injury.: Use a 30 mL syringe.
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24
, 8. A nurse is assessing a client who has graves disease. Which of the following
images should indicate to the nurse that the client has exophthalmos: Choose
the one that's not a guy. It should be one with big bulging eyes staring at you.
9. A nurse is caring for a client who has DKA. Which of the following findings
indicate improving?: Glucose 272 mg/dL
10. A nurse is caring for a client who has hypothyroidism. Which of the follow-
ing manifestations should the nurse expect?: Constipation
mailto:https://www.stuvia.com/user/techgrades 3/
24
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm.: Indicated: Notify the provider imme-
diately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min
via nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
2. A nurse is caring for a client who is postoperative following abdominal
surgery.
mailto:https://www.stuvia.com/user/techgrades 1/
24
, 1100: Client received from PACU; initial vital signs recorded.: Instruct the client
to splint the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
Ask the client to rate their pain 0 to 10 pain scale
3. A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
a new bag is not available when the current infusion is nearly completed.: Ad-
minister dextrose 10% in water until the new bag arrives.
4. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr
ago.: The client reports back pain.
5. A nurse is caring for a client who is having a seizure.: Turn the client to the
side.
6. A nurse in a provider's office is assessing a client who has hypertension
and takes propranolol.: Reports of a night cough.
7. A nurse is planning to irrigate and dress a clean, granulating wound for a
client who has a pressure injury.: Use a 30 mL syringe.
mailto:https://www.stuvia.com/user/techgrades 2/
24
, 8. A nurse is assessing a client who has graves disease. Which of the following
images should indicate to the nurse that the client has exophthalmos: Choose
the one that's not a guy. It should be one with big bulging eyes staring at you.
9. A nurse is caring for a client who has DKA. Which of the following findings
indicate improving?: Glucose 272 mg/dL
10. A nurse is caring for a client who has hypothyroidism. Which of the follow-
ing manifestations should the nurse expect?: Constipation
mailto:https://www.stuvia.com/user/techgrades 3/
24
