VERIFIED QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE TEST 1
Lymphedemau-
uAunurseuisucaringuforuauclientuwhouisureceivinguchemotherapyuandurequestsuinformationua
boutuacupunctureutourelieveusomeuofutheusideueffects.uwhichuofutheufollowingufindingsusho
uldutheunurseuidentifyuasuaucontraindicationutoureceivinguthisualternativeutherapy?
a.uUrticariau
b.uLymphedemau
c.uHeadachesu
d.uMouthusores
33u-
uAunurseuisupreparingutouadministerulactateduRinger'suviaucontinuosuIVuinfusionuatu200uml/
hr.uTheuIVutubinguhasuaudropufactoruofu10udrops/mL.uHowumanyugtt/minushouldutheunurseu
setutheuIVuumputouadminister?
IushouldulieudownuwhenuIutakeuthisumedicationu-
uAunurseuisuprovidingudischargeuteachingutouauclientuwhouhasuaunewuprescriptionuforusubli
ngualunitroglycerin.uWhichuofutheufollowinguclientustatementsuindicatesuanuunderstandingu
ofutheuteaching?
a.u"IushouldulieudownuwhenuIutakeuthisumedication."u
b.u"Iucanukeepumyumedicationuforu1uyearubeforeureplacinguit."u
c.u"IushouldudiscontinueuthisumedicationuifuIudevelopuauheadache."u
d.u"Iucanutakeuuputoufiveutabletsuinu15uminutesubeforeuseekingumedicaluattention."
Installuauraisedutoiletuseatuinuyourubathroomu-
uAunurseuisuprovidingudischargeuteachingutouanuolderuadultuclientufollowingutotaluhipuarthro
plasty.uWhichuofutheufollowinguinstructionsushouldutheunurseuincludeuinutheuteaching.
a.u"Youushoulduuseuanuincentiveuspirometerueveryu8uhours."u
b.u"Youucanucrossuyourulegsuatutheuanklesuwhenusittingudown."u
c.u"Cleanutheuincisionudailyuwithuhydrogenuperoxide."u
d.u"Installuauraisedutoiletuseatuinuyourubathroom."
Maintainutheuclient'suaffecteduextremityuinuextensionu-
uAunurseuisuplanningucareuforuauclientufollowinguaucardiacucatheterization.uwhichuofutheufoll
owinguactionsushouldutheunurseutake.
a.uLimitutheuclient'sufluiduintakeutou1uLuperuday.u
b.uChangeutheuclient'sudressingueveryu8uhr.u
, c.uKeeputheuclientuonubedurestuforu24uhr.u
d.uMaintainuheuclient'suaffecteduextremityuinuextension.
Iuwilluneedutouhaveumyupartnerutakeuoverushoppinguforugroceriesuanducookingutheumealsuf
oruusu-
uAunurseuisucaringuforuauclientuwhouhasuauloweruextremityufractureuanduauprescriptionuforucr
utches.uwhichuofutheufollowinguclientustatementsuindicatesuthatutheuclientuisuadaptingutouth
eiruroleuchange?
a.u"Iuwilluneedutouhaveumyupartnerutakeuoverushoppinguforugroceriesuanducookingutheumeal
suforuus."u
b.u"IufeelubaduthatuIuhaveutouaskumyupartnerutoukeeputheuhouseuclean."
c.u"Theseucrutchesuwillumakeuituimpossibleutoucareuforumyuchild."
d.u"It'sugoingutoubeudifficultutoutellumyuparentsuIucan'tutakeuthemutoutheiruappointmentsuany
more."
a.u"Washuyouruperinealuareautwoutimesueachudayuwithuantimicrobialusoap."u-
uAunurseuisuprovidinguteachingutouauclientuwhouhasuanuimpaireduimmuneusystemudueutouch
emotherapy.uwhichuofutheufollowinguinformationushouldutheunurseuincludeuinutheuteaching
?
a.u"Washuyouruperinealuareautwoutimesueachudayuwithuantimicrobialusoap."u
b.u"Changeutheuwateruinuyourudrinkinguglassueveryu4uhours."u
c.u"Changeuyourupet'sulitteruboxudaily."u
d.u"Washuyourutoothbrushuinutheudishwasheruonceueachumonth."
Desmopressinu-
uaunurseuisucaringuforuauclientuwhouhasuaucontusionuandureportsuthirst.uTheuclient'suurinaryu
outputuwasu4,000umluoverupastu24uhr.utheunurseushoulduanticipateuauprescriptionuforuwhich
uofutheufollowinguIVumedications?
Suckinguonuaulozengeumayureduceutheufrequencyuofuyourucoughu-
uAunurseuinuauclinicureceivesuauphoneucallufromuauclientuwhourecentlyustartedutherapyuwithu
anuACEuinhibitoruandureportsunaggingudryucough.uWhichuofutheufollowinguresponsesubyuth
e
nurseuisuappropriate?
Usingunicotineutransdermalupatchu-
uAunurseuisutakinguanuadmissionuhistoryufromuauclientuwhoureportsuRaynaud'sudisease.uW
hichuofutheufollowinguassessmentufindingsushouldutheunurseuidentifyuasuauparenteralutrigge
ruforuexacerbationuofuRaynaud's?
u-
uAunurseuisucaringuforuauclientuwhouhasuaucentraluvenousudeviceuandunotesutheutubinguhasu
becomeudisconnected.utheuclientudevelopsudyspneauandutachycardia.uWhichuofutheufollow
inguactionsushouldutheunurseutakeufirst?