Client is recovering from a transurethral prostatectomy. Which activity should be limited until after th
postoperative visit with the healthcare provider?
Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which intervention sho
nurse implement?
Administer opioid and non-opioid medications simultaneously
A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which finding
nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
a. low back pain and hypotension
,ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse include?
a. Have small frequent meals and sit up for at least two hours after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
The nurse observes an increased number of blood clots in the drainage tubing of a client with contin
bladder irrigation following a transurethral resection of the prostate (TURP). What is the best initial n
action?
a. Provide additional oral fluid intake
,b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of breath
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on
Remove all morphine patches
Coming down the basement steps, a client is brought to the emergency room X-ray ... cast, which ass
finding warrants immediate
Intervention by the nurse?
, Right foot pale with sluggish capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a hernia r
tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
postoperative visit with the healthcare provider?
Drink 3L
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which intervention sho
nurse implement?
Administer opioid and non-opioid medications simultaneously
A client experiences an AOB incompatibility reaction after multiple blood transfusions. Which finding
nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain
a. low back pain and hypotension
,ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse include?
a. Have small frequent meals and sit up for at least two hours after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products
c. Eat a high fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
The nurse observes an increased number of blood clots in the drainage tubing of a client with contin
bladder irrigation following a transurethral resection of the prostate (TURP). What is the best initial n
action?
a. Provide additional oral fluid intake
,b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent
c. Increase the flow of the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of breath
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on
Remove all morphine patches
Coming down the basement steps, a client is brought to the emergency room X-ray ... cast, which ass
finding warrants immediate
Intervention by the nurse?
, Right foot pale with sluggish capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted for a hernia r
tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
