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A nurse is implementing cold therapy for a client who has an ankle sprain. Which of the
following actions should the nurse take?
A. Apply a cold pack to the edematous area
B. Check capillary refill before applying an ice pack to the affected area
C. Half-fill an ice pack with crushed ice
D. Apply an ice pack for 60 min intervals
B (Check capillary refill before applying an ice pack to the affected area)
A nurse is caring for a client who has a deficiency of vitamin D. Which of the following
foods should the nurse recommend the client include in his diet?
,A. Whole milk
B. Chicken
C. Oranges
D. Dried peas
A (Whole milk)
A nurse is caring for a client who has a terminal illness. The family wants to care for the
client at home. Which of the following statements indicates that the nurse understands
family-centered care?
A. "Social services can contact various community resources that will be helpful."
B. "I will review the care plan to make the necessary changes."
C. "Let's set up a meeting time with the doctor to discuss your options for home care."
D. "I will make a list of things we need to do before discharge."
Flag question for later
C ("Let's set up a meeting time with the doctor to discuss your options for
home care.")
A nurse is caring for a postoperative client who has an indwelling urinary catheter for
gravity drainage. The nurse notes no urine output in the past 2 hr. Which of the following
actions should the nurse take first?
A. Check to determine if the catheter tubing is kinked
B. Palpate the bladder
, C. Obtain a prescription to irrigate the catheter with 0.9% sodium chloride
D. Encourage the client to drink more fluids
A (Check to determine if the catheter tubing is kinked)
A nurse is screening a client who has an S-Shaped spinal column with unequal shoulder
heights. The nurse should identify these findings as manifestations of which of the
following abnormalities?
A (Scoliosis)
A nurse is inserting an NG tube into a client who begins to cough and gag. Which of the
following actions should the nurse take?
A. Remove the NG tube
B. Advance the NG tube quickly
C. Pull the NG tube back slightly
D. Ask the client to tilt his head backward
C (Pull the NG tube back slightly)
A nurse is implementing cold therapy for a client who has an ankle sprain. Which of the
following actions should the nurse take?
A. Apply a cold pack to the edematous area
B. Check capillary refill before applying an ice pack to the affected area
C. Half-fill an ice pack with crushed ice
D. Apply an ice pack for 60 min intervals
B (Check capillary refill before applying an ice pack to the affected area)
A nurse is caring for a client who has a deficiency of vitamin D. Which of the following
foods should the nurse recommend the client include in his diet?
,A. Whole milk
B. Chicken
C. Oranges
D. Dried peas
A (Whole milk)
A nurse is caring for a client who has a terminal illness. The family wants to care for the
client at home. Which of the following statements indicates that the nurse understands
family-centered care?
A. "Social services can contact various community resources that will be helpful."
B. "I will review the care plan to make the necessary changes."
C. "Let's set up a meeting time with the doctor to discuss your options for home care."
D. "I will make a list of things we need to do before discharge."
Flag question for later
C ("Let's set up a meeting time with the doctor to discuss your options for
home care.")
A nurse is caring for a postoperative client who has an indwelling urinary catheter for
gravity drainage. The nurse notes no urine output in the past 2 hr. Which of the following
actions should the nurse take first?
A. Check to determine if the catheter tubing is kinked
B. Palpate the bladder
, C. Obtain a prescription to irrigate the catheter with 0.9% sodium chloride
D. Encourage the client to drink more fluids
A (Check to determine if the catheter tubing is kinked)
A nurse is screening a client who has an S-Shaped spinal column with unequal shoulder
heights. The nurse should identify these findings as manifestations of which of the
following abnormalities?
A (Scoliosis)
A nurse is inserting an NG tube into a client who begins to cough and gag. Which of the
following actions should the nurse take?
A. Remove the NG tube
B. Advance the NG tube quickly
C. Pull the NG tube back slightly
D. Ask the client to tilt his head backward
C (Pull the NG tube back slightly)
