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The nurse is caring for a client who is c) Alternate periods of rest and activity
hospitalized for treatment of severe
hemolytic anemia. Which of the
following actions should the nurse
implement?
a) provide a diet high in Vitamin K
b) Place the client on protective
isolation
c) Alternate periods of rest and
activity
d) teach the client how to avoid injury
The nurse has finished teaching a a) I will call the doctor if my stools start to turn black
client about taking oral ferrous
sulphate. Which of the following client
statements indicates that additional
instruction is needed?
a) I will call the doctor if my stools
start to turn black
b) I will take a stool softener if I feel
constipated occasionally
c) I should take the iron with orange
juice about an hour before eating
d) I should increase my fluid and fibre
intake while i am taking iron tablets
,The RPN is observing a student nurse c) palpates both carotid arteries simultaneously to
who is doing a physical assessment on compare pulse quality
a client. The RPN will need to
intervene immediately if the student
implements which of the following
interventions?
a) places the client in the left lateral
position to check for the point of
maximal impulse
b) presses on the skin over the tibia for
100 seconds to check for edema
c) palpates both carotid arteries
simultaneously to compare pulse
quality
d) documents a murmur heard along
the left sternal border as an aortic
murmur
Which of the following actions should c) have the client sit in a chair
the nurse in hypertension clinic take in
order to obtain an accurate baseline
BP for a new client
a) obtain a BP reading in each arm
and average the results
b) deflate the BP cuff at a rate of 1-10
mmHg / second
c) have the client sit in a chair
d) assist the client to the supine
position for BP measurements
,the nurse is caring for a client who has d) change position slowly to help prevent dizziness
just diagnosed with hypertension and and falls
has a new prescription fr captopril.
which of the following information is
important to include when teaching
the client
a) check BP daily before taking the
medication
b) increase fluid intake if dryness of
the mouth is a problem
c) include high-potassium foods like
bananas in the diet
d) change position slowly to help
prevent dizziness and falls
the nurse is providing teaching to a c) I will call an ambulance if I still have pain 5 mins
client about use of sublingual after taking the nitroglycerin
nitroglycerin. which of the following
client statements indicate that
teaching has been effective.
a) I can expect indigestion as an
adverse effect of nitroglycerin
b) I can only take the nitroglycerin if I
start to have chest pain
c) I will call an ambulance if I still have
pain 5 mins after taking the
nitroglycerin
d) I will help slow down the progress
of the plaque formation by taking
nitroglycerin
, A client who has chronic heart failure d) paroxysmal nocturnal dyspnea
tells the nurse "I felt fine when I went
to bed but I woke up in the middle of
the night feeling like I was suffocating"
which of the following information
should the nurse document related to
this assessment
a) pulsus alternans
b) two-pillow orthopnea
c) acute bilateral pleural effusion
d) paroxysmal nocturnal dyspnea
the nurse working in the HF clinic will c) calls the clinic when the weight increases from 56-
know that teaching for a client with 59 kg in 2 days
newly diagnosed HF has been effect
when the client does which of the
following actions?
a) uses the additional pillow to sleep
when feeling short of breath at night
b) tells the home care nurse that
furosemide is taken at bedtime
c) calls the clinic when the weight
increases from 56- 59 kg in 2 days
d) says that the nitroglycerin patch will
be used for any chest pain that
develops