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1. A nurse ANSWERS|GRADED A+
in an emergency department is D. Perform the
preparing to perform an ocular irrigation for a irrigation with sterile
water for irri-
client. Which of the following actions should the nurse gation
plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the
unaffect- ed eye
c. Hold the irrigator syringe 3.81 cm (1.5 in)
above the eye
d. Perform the irrigation with sterile water for
irriga- tion
2. A nurse is preparing to administer lactated ringer's via C. 33 gtt/min
continuous IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/ml.
How many gtt/min should the
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nurse set the IV pump to administer?
Round to near whole number.
A. 10
B. 22
C. 33
D. 4
3. A nurse is providing discharge teaching to a client who b. I should lie
down when
has a new prescription for understand
sublingual nitroglycerin. Which of the following ing of the
teaching?
client statements indicates an
a. I can keep
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my medications for 1 year before replac- ing it I take this medication
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b. I should lie down when I take this
medication
c. I should discontinue this medication if I
develop a
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headache
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d. I can take up to five tablets in 15 minutes
before seeking medical attention
4. A nurse is providing discharge teaching to an d. Install a raised toilet
older adult client following a left total hip seat in your bathroom
arthroplasty. Which of the following
instructions should the nurse include in the
teaching?
a. Clean the incision daily with hydrogen
peroxide
b. You can cross your legs the ankles when
sitting down
c. You should use an incentive spirometer
every 8 hours
d. Install a raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac c. maintain the
clients af-
catheterization. Which of the fected extremity in
following actions should the nurse take? exten- sion
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in
extension
d. Change the client's dressing every 8 hour
6. A nurse is caring for a client who has a lower extremity a. I will need to
have my
fracture and a prescription for crutches.
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Which of the following client statements in- partner take over
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dicates that the client is adapting to shop- ping for
their role change? groceries and
a. I will need to have my partner take over cooking the meals for
shopping for groceries and cooking the us
meals for us