ANSWERS
1.Which information should the nurse include in the teaching plan of a
client diagnosed with gastroesophageal reflux disease (GERD)?
Answer MINIMIZE SYMP- TOMS BY WEARING LOOSE, COMFORTABLE
CLOTHING
2.Which group of foods is best for the nurse to recommend for clients with
a strong family history of colon and rectal cancers?
Answer OATMEAL, RAISINS, AND FRUIT WITH SKIN
3.The nurse is caring for a client admitted to the hospital with a tentative
diagnosis of bacterial meningitis. Which diagnostic procedure should the
nurse prepare the client for the healthcare provider?
Answer LUMBAR PUNCTURE
4.A client who has small cell carcinoma of the lung is admitted with
symptoms of syndrome of inappropriate antidiuretic hormone (SIADH). As
the client responds to treatment, the client's serum sodium level increases
from 120 mEq/L (120 mmol/L) to 125 mEq/L (125 mmol/L). Based on this
finding, which intervention should the nurse implement?
Answer WITHHOLD NEXT SCHEDULED DOSE OF TREATMENT
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, 5.A nurse is preparing a client for discharge who was recently diagnosed
with Addison's disease. Which instruction is most important for the nurse to
include in this client's discharge teaching?
Answer TAKE PRESCRIBED CORTISONE ACCURATELY
6.While caring for a client with a full thickness burn covering 40% of the
body, the nurse observes purulent drainage at the wound. Before reporting
this finding to the healthcare provider, the nurse should review which of
the client's laboratory values?
Answer WHITE BLOOD CELL (WBC) COUNT
7.An adult client who had a gastric bypass surgery 2 weeks ago, is admitted
with possible anastomosis leakage. The client's abdomen is tender to touch,
and the vital signs are" temperature 101 F (38.3 C), heart rate 130
beats/minute, respiratory rate 26 breaths/minute, and blood pressure 100/50
mm Hg. Which intervention is most important for the nurse to include in the
client's plan of care?
Answer STRICT INTRAVENOUS (IV) FLUID REPLACEMENT
8.The nurse is providing teaching to a client admitted with a blood glucose
lev- el of 580 mg/dL about preventing complications related to diabetes
mellitus. Which information stated by the client indicates understanding?
Answer INCLUDE NO MORE THAN 1-2 ALCOHOLIC BEVERAGES IN DIET
PER DAY
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