complete solutions
A nurse is assisting with the care of a client who is scheduled for a surgical procedure.
Select the 3 findings that require immediate follow-up. - correct answer ✔✔ INR
Preoperative medication
WBC count
A nurse is assisting in the care of a client.
Click to highlight the findings that increase the clients susceptibility to infection. - correct
answer ✔✔ Client has a BMI of 16
History of type 2 diabetes mellitus
Budesonide 6 mg PO qd
A nurse is assisting in the care of a client.
A nurse is caring for the client. Which of the following actions should the nurse take?
Select all that apply. - correct answer ✔✔ Wear a protective gown while caring for the client.
Place the client in a private room.
A nurse is assisting in the care of a client.
A nurse is reviewing a clients medical record. Select the 3 findings that place the client at risk for
hearing impairment. - correct answer ✔✔ Occupation
Furosemide
Naproxen
, A nurse is caring for a client who has impaired speech. Which of the following actions should
the nurse take? - correct answer ✔✔ Allow extra time to communicate with the client.
(The nurse should give the client extra time to communicate. This action shows respect and
encouragement to the client and facilitates communication.)
A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine.
Which of the following findings is an adverse effect of this type of medication? - correct answer
✔✔ dry mouth
(Antihistamines, such as diphenhydramine, can cause dry mouth, which can lead to altered
taste and oral ulcerations.
A nurse is reinforcing teaching with a client about medications that can alter taste. The nurse
should include which of the following classification of medications? - correct answer ✔✔
Antihypertensives
(Antihypertensives, such as angiotensin-cenverting enzyme inhibitors, can cause altered taste.
A nurse is assisting with teaching a class about physiological changes to hearing in older adult
clients. Which of the following should the nurse include? - correct answer ✔✔ Decreased ability
to hear high-frequency sounds.
A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following
actions should the nurse take? - correct answer ✔✔ Continue to talk to the client as if they are
awake.
A nurse is assisting with teaching a class about the physical manifestations if grief. Which of the
following manifestations should the nurse include? - correct answer ✔✔ Insomnia
A nurse is providing postmortem care for a client. Which of the folllowing actions should the
nurse take? - correct answer ✔✔ Wash the clients body