2026 Questions with 100% Correct Answers Verified
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1. A nurse is planning care for a client who has renal calculi.Which of the
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followinginterventionsshouldthenurseincludetopromoteeliminationofthe
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calculi?
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Maintainbedrest untilcalculi are expelled. r
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Encourage intake of at least 3 L of fluid each day. r
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Collect allurine for24 hrin a collectioncontainer. r
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ANS:Encourageintakeofatleast 3 L of fluid each day.
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The nurse should encourage the client to consume at least 3 L of fluid each day.
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Increased fluid intake increases urine production, promotes eliminiation of calculi, and
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helps prevent recurrence.
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2. A nurse is providing postoperative education for a client following a la-
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paroscopiccholecystectomyforcholelithiasis.Whichofthefollowingclient
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statements indicates an understanding of the teaching?
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"The adhesive bandages on my incision will fall off as the incision heals." "I will
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"I will need to follow a liquid diet for the first 3 days after surgery."
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"I can begin to resume my normal activity level in 2 weeks."
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,ANS:"The adhesive bandages on my incision will fall off as the incision heals."
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The nurse should instruct the client that the small adhesive bandages will lose their
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adhesiveness in 7 to 10 days. The client can then remove the bandages or allow the
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bandages to fall off over time as the incision heals.
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3. A nurse is planning care to prevent hospital-acquiredmethicillin-resistant
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Staphylococcus aureus (MRSA) infection for a client who is immunocom-
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promised.Which of the following interventions should the nurse include to
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prevent this antibiotic-resistant infection?
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Initiate contact precautions for this client.
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,Bathe the client with chlorhexidine wipes. r
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Administerceftaroline to the client as a prophylactic measure. r
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Avoidusingalcohol-basedhandsanitizersaftercaringfortheclient r
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ANS:Bathethe client with chlorhexidine wipes. r
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Thenurseshouldbathea clientwho is immunocompromised withchlorhexidine wipes to
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decrease the risk of contracting hospital-acquired MRSA.
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4. A nurse is assessing a client who has developed type 1 herpes simplex virus.
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Which of the following images should the nurse identify as this type of viral
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infection?
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ANS: Picture of lips. .q r .q r .q r
Herpessimplexvirusinfectionisacommonviralinfectioninadults.Thenurseshould identif
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that this image indicates the type 1 herpes simplex viral infection because the infection
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causes a recurring cold sore.
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5. AnurseisassessingaclientwhohasGraves'disease.Whichofthefollow- ing
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findings should the nurse expect?
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Somnolence
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ANS:Exophthalmos r
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ThenurseshouldexpectaclientwhohasGraves'disease,anautoimmuneformof
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hyperthyroidism, to experience exophthalmos, which is protrusion of the eyeballs.
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6. A nurse is teaching an older adult client who has peripheral neuropathy
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abouta newprescriptionfor duloxetine.Which of the following client state-
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ments indicates an understanding of the teaching?
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"It might take severalweeks to notice an improvement in my symptoms." "I will
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"I should take a daily ibuprofen for generalized aches."
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, "I will need to decrease my dietary sodium intake while taking this medica-
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