AND ANSWERS 100% CORRECT!!!
, A nurse is assessing a group of clients for indications of role changes. The nurse should
identify which of the following clients is at risk for experiencing a role change? -
ANSWER: A client who has multiple sclerosis and is experiencing progressive difficulty
ambulating.
A nurse is providing follow-up care for a client who sustained a compound fracture 3
weeks ago. The nurse should recognize that an unexpected finding for which of the
following laboratory values is a manifestation of osteomyelitis and should be reported to
the provider? - ANSWER Sedimentation rate
A nurse is caring for a client who is postoperative. Complete the diagram by dragging
from the choices below to specify what condition the client is most likely experiencing,
two actions the nurse should take to address that condition, and two parameters the
nurse should monitor to assess the client's progress. - ANSWER - Hypovolemia
- Initiate fluid challenge and insert a large-gauge IV.
- Monitor blood pressure and urine output.
The nurse should insert a large-gauge IV and initiate a fluid challenge because the
client is most likely experiencing hypovolemia as evidenced by the client's restlessness,
tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine
output. The nurse should monitor the client's urine output and blood pressure to
evaluate the effectiveness of treatment.
A nurse is providing teaching to a client who has stage II cervical cancer and is
scheduled for brachytherapy. Which of the following instructions should the nurse
include? - ANSWER "You will need to stay still in the bed during each treatment
session."
A nurse is caring for a client who is receiving dialysis treatment. For each potential
nursing intervention, click to specify if the intervention is indicated or not indicated. -
ANSWER Indicated:
- Place the client in Trendelenburg position.
- Notify the provider immediately.
- Administer a 0.9% sodium chloride 200 mL IV bolus.
- Apply oxygen at 2 L/min via nasal cannula.
Not Indicated:
- Obtain the client's blood glucose level.
- Perform a 12-lead ECG.