Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with heart failure reports shortness of breath when lying flat. What position should the
nurse recommend?
✔✔High Fowler’s position with pillows for support.
A postoperative client has not voided in 8 hours. What is the priority nursing action?
✔✔Assess bladder distention and notify the provider if retention is suspected.
A patient with diabetes is shaky and sweating before lunch. What is the nurse’s first action?
✔✔Check blood glucose immediately.
A client recovering from abdominal surgery is reluctant to cough because of pain. What
intervention should the nurse use?
✔✔Teach the client to splint the incision with a pillow.
A client on IV antibiotics develops hives and shortness of breath. What should the nurse do first?
1
, ✔✔Stop the infusion immediately.
A postpartum client reports passing large blood clots. What is the nurse’s priority?
✔✔Assess fundal firmness and massage if boggy.
A patient reports severe pain despite receiving pain medication. What is the most important
action?
✔✔Reassess the pain and notify the provider for further orders.
A client with COPD has oxygen saturation of 88% on room air but is not in distress. What is the
best action?
✔✔Apply prescribed low-flow oxygen and monitor closely.
A child with dehydration is started on IV fluids. What finding shows therapy is effective?
✔✔Improved skin turgor and moist mucous membranes.
A client with dementia becomes agitated during bathing. What should the nurse do?
✔✔Use calm reassurance and modify the approach to reduce stress.
2