New Update Solutions
/. A nurse is reinforcing teaching with an adolescent who has a new prescription for
cefazolin.
For which of the following findings should the nurse instruct the adolescent to monitor
and report to the provider? - Answer-✅Depression
/.A nurse is caring for a school-age child who has epistaxis. Which of them following
actions should the nurse take? - Answer-✅Apply pressure at the bridge of the child's
nose
/.A nurse is reinforcing teaching with a group of expectant parents regarding the proper
use of a car seat. Which of the following statements by a parent indicates an
understanding of the teaching? - Answer-✅I can place a rolled towel on each side of my
newborns head until he can hold his head up
/.A nurse working in an inpatient mental health facility is assisting with the plan of care
for a client who has anorexia nervosa. Which of the following should the nurse
recommend to include in the plan of care? - Answer-✅Maintain continuity of staff
members.
/.A nurse is assisting with an admission interview for a client who has schizophrenia. He
tells the nurse that he is receiving special audible messages from the Central
Intelligence Agency that no one else is able to hear. The nurse should identify that the
client is having which of the following alterations in perception? - Answer-✅hallucination
/.A nurse is reinforcing teaching with a postpartum client about bathing her newborn.
Which of the following statements should the nurse include? - Answer-✅"Wash your
newborn's head under a stream of running water."
/.A nurse is caring for a client who has heart failure and reports difficulty limiting sodium
in his diet. Which of the following recommendations should the nurse provide? -
Answer-✅Replace bottled salad dressing with homemade vinegar and oil dressing.
/.A nurse is reinforcing teaching with a client who is scheduled for a mammogram.
Which of the following instructions should the nurse include in the teaching? - Answer-
✅Refrain from using deodorant on the morning of the test
/.A nurse is preparing a clients insulin regimen. Which of the following insulin's can be
mixed? - Answer-✅Insulin aspart, regular insulin, insulin lispro
, /.A nurse is reinforcing discharge teaching with a client who is postoperative following
laser surgery for open-angle glaucoma. Which of the following statements by the client
indicates an understanding of the instructions? - Answer-✅I will take a stool softener to
prevent constipation
/.A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the
following findings should the nurse expect? - Answer-✅Periorbital edema
/.A nurse is preparing to administer a liquid medication to a 6-month-old infant who is
crying.
Which of the following actions should the nurse take to reduce the risk of aspiration? -
Answer-✅Administer using a needless syringe in the buccal cavity
/.A nurse is reinforcing teaching with a client who plans to bottle feed her newborn.
Which of the following statements indicates an understanding of the instructions? -
Answer-✅I will feed my baby six to eight times a day
/.A nurse is administering a cleansing enema to a client who reports mild cramping
during instillation of the solution. Which of the following actions should the nurse take? -
Answer-✅Slow the rate of instillation
/.A nurse receives report on four clients. The nurse should first collect data about the
client who has which of the following? - Answer-✅A decreased level of consciousness
and vomiting
/.A nurse is setting up a sterile field prior to performing a dressing change. Which of the
following actions should the nurse take? - Answer-✅Open the outermost flap of the
wrapper toward the body
/.A nurse in long-term care facility has received change-of-shift report about four clients.
Which of the following clients should the nurse attend to first? - Answer-✅A client who
has COPD and dementia and was agitated during the night shift
/.A nurse is collecting data from a client who has substance use disorder and reports
recently taking opioids. Which of the following findings should the nurse identify as a
manifestation of opioid intoxication? - Answer-✅pinpoint pupils
/.A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates hypokalemia? -
Answer-✅muscle weakness
/.A nurse is caring for a client who has bipolar disorder and is experiencing mania.
Which of the following actions should the nurse take? - Answer-✅Frequently remind the
client of the expectations for her behavior