RN Comprehensive Predictor 2019 Form D (Latest updated Solutions)

RN Comprehensive Predictor 2019 Form D (Latest updated Solutions) 1.A nrse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nrse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source.  A nrse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions the nrse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. Administer 100% humidified oxygen.  A nrse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nrse include in the plan? A. Place food on the left side of the client’s mouth when he is ready to eat. B. Provide total care in performing the client’s ADLs. C. Maintain the client on bed rest. D. Place the client’s lef t arm on a pillow while he is sitting.  A nrse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nrse take? Limit the client’s visitors to 30 min per day. Discard the client’s linens in a double bag. Discard the radioactive source in a biohazard bag Cleanse equipment before removal from the client room  A nrse is teaching a client about using a 3-point gait for crutch-walking. Which of the following actions by the client understanding … teaching ? Advances the affected leg first prior to the nonaffected leg Uses both crutches when advancing the affected leg Applies full weight on the affected side when advancing crutches Planes weight on the axilla when advancing crutches  A nrse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding, the nrse does not speak the same language as the client. The client partner and a 10-year-old child are accompanying her. Which of the following actions should the nrse take to gather the client’s information? Request a female translator interpreter through the facility Ask a student nrse who speaks the same language to translate Have the child translate Allow the clients child to translate  A nrse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nrse recognize as a contraindication to the use of oxytocin? A. Diabetes mellitus. Shoulder presentation. Post term withhydramnios. Chorioamnionitis  A nrse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nrse manager should plan to take in response to the staff members conduct Give the staff member a writing warning about the behavior Verbally remind the staff member of the expected behavior changes Suspend the staff member from work for several days Dismiss the staff member from employment at the facility Set up a meeting to speak with the staff member about the behavior  A nrse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nrse indicates a break in surgical aseptic technique? Applying a sterile gown after applying a sterile mask Balancing the bottle on the sterile basin while pouring the liquid Placing the supplies on the sterile filed and leaving a 1- inch perimeter Putting on sterile gloves after preparing the sterile field  A nrse is assessing a client who has left-sided heart failure. Which of the following should the nrse identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain. D..Bradypnea  A nrse is obtaining a clients manual blood pressure and is having difficulty auscultating sounds .Which of the following actions should the nrse …? Use the palpatory method to determine biood pressure Deflate the cuff quickly . Place the arm above the level of the client's heart Apply the largest cuff available.  A nrse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the following responses should the nrse make? A. “Your baby needs an IV because she is not producing any tears” B. “Your baby needs an IV because her fontanels are budging” C. “Your baby needs an IV because she is breathing slower than normal” D. “Your baby needs an IV because her heart rate is decreasing”  A nrse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nrse make?  “Taking furosemide can cause your potassium levels to be high”  “Eat foods that are high in sodium” C. “Rise slowly when getting out of bed” D. “Taking furosemide can cause you to be overhydrated”  A nrse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nrse take? A. Allow the client enough time to perform rituals. B. Give the client autonomy in scheduling activities. C. Discourage the client from exploring irrational fears. D. Provide negative reinforcement for ritualistic behaviors  A nrse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nrse should monitor the client for which of the following conditions as a result of an interaction between these substances?  Serotonin syndrome  Tardive dyskinesia Pseudo parkinsonism.  Acute dystonia.  A nrse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nrse take? A. Confront the client about this behavior. B. Express sympathy for the client’s situation. C. Speak assertively to the client. D. Stand within 30 cm (1 ft) of the client when speaking with them.  A nrse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nrse make? E. “Taking furosemide can cause your potassium levels to be high” F. “Eat foods that are high in sodium” G. “Rise slowly when getting out of bed” H. “Taking furosemide can cause you to be overhydrated”  A nrse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nrse take? A. Allow the client enough time to perform rituals. B. Give the client autonomy in scheduling activities. C. Discourage the client from exploring irrational fears. D. Provide negative reinforcement for ritualistic behaviors  A nrse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nrse should monitor the client for which of the following conditions as a result of an interaction between these substances? D. Serotonin syndrome E. Tardive dyskinesia Pseudo parkinsonism. F. Acute dystonia.  A nrse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nrse take? A. Confront the client about this behavior. C. Express sympathy for the client’s situation. C. Speak assertively to the client. D.Stand within 30 cm (1 ft) of the client when speaking with them.  A nrse is calculating a client's expected date of delivery. The clients fast menstral period began April 12 Using Nagele’s rule, what date should the nrse determine to be the client’s expected delivery date? A nrse is discussing group treatment and therapy with a client. The nrse should include which ofthe following as being a characteristic of a therapeutic group? A. The group is organized in an autocratic structure. B. The group encourages members to focus on a particular issue. ( C. The group must be led by a licensed psychiatrist. D. The group encourages clients to form dependent relationships.  A nrse manger is reviewing documentation with a newly licensed nrse. Which of the following notations by the newly licensed nrse indicates an understanding of the teaching? UNSURE IF ON THE REPORT A. “OOB with assistance for breakfast” B. “Given 2 mg MSO4 IM for report of pain” C. “Dressing changed qd” D. “Administered 8 u regular insulin sq.”  A nrse is preparing to administer eye drops to a school-age child. Identify the actions the nrse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 1. Apply pressure to the lacrimal punctum.5 2. Ask the child to look upward. 2 3. Pull the lower eyelid downward. 3 4. Instill the drops of medication. 4 5. Place the child in a sitting position. 1 105. A nrse is caring for a client who speaks a language different from the nrse. Which ofthe following should the nrse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter. 106. A nrse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nrse should increase the rate of infusion? ON THE REPORT needs double checking A. Urine output 20 ml/hr. A. Montevideo units constantly 300 mm Hg. B. FHR pattern with absent variability. C. Contractions every 5 min that last 30 seconds. 107. A nrse is planning care for a group of clients and is working with one licensed practical nrse LPN and one assistive personal AP. Which of the following actions should the nrse take first to manage her time effectively? Develop an hourly time frame for tasks Schedule daily activities Determine goals of the day Delegate tasks to the AP 108. A public health nrse is managing several projects for the community. Which of the following interventions should the nrse identify as a primary prevention strategy? A. Teaching parenting skills to expectant mothers and their partners. B. Conducting mental health screenings at the local community center. C. Referring client who have obesity to community exercise programs. D. Providing crisis intervention through a mobile counseling unit. 109. A nrse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? a. “I will take sucralfate with meals three times per day” b. “I will avoid food and beverages that contain caffeine” c. “I will decrease my daily protein intake to 15 grams per day” d. “I will use ibuprofen as needed to control abdominal pain” 110. A nrse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Low back pain. Dyspnea. Hypotension. Thready pulse. 111. A nrse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nrse include in the teaching? I. “The PCA will deliver a double dose of medication when you push the button twice.” J. “You can adjust the amount of pain medication you receive by pushing on the keypad.” K. “Continuous PCA infusion is designed to allow fluctuating plasma medication levels.” L. “You should push the button before physical activity to allow maximum pain control.” 112. A nrse is preparing to administer an autologous blood product to a client. Which of the following actions should the nrse take to identify the client? E. Match the client’s blood type with the type and cross match specimens. F. Confirm the provider’s prescription matches the number on the blood component. G. Ask the client to state the blood type and the date of their last blood donation. H. Ensure that the client’s identification band matches the number on the blood unit. 113. A nrse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? B. “I noticed that I am having a harder time holding on to my toothbrush” C. “Lately, I feel like my feet are freezing up, as they are stuck to the ground” D. “Sometimes, I feel I am making a chewing motion when I’m not eating” 114. A nrse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nrse expect? A. Increased creatine. B. Increased hemoglobin. C. Increased bicarbonate. D. Increased calcium. 115. A nrse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nrse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. 116. A charge nrse is recommending postpartum client discharge following a local disaster. Which of the following should the nrse recommend for discharge? B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. E. A 42 yoars old client who has preeclampsia and BP of 166/110 mmHG 117. A nrse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nrse take? 137 “I recommend that you take this medication as prescribed” 138 “Do you know why this medication is being prescribed to you?” 139 “I will call the pharmacist now to check on this medication” Did the doctor discuss with you that there was a change in this medication 118. A community health nrse is developing a plan to improve the communitys environmental health. which of the following action nrse take first? Establish a timeframe for environmental improvements. Encourage community Involvement in environmental improvement Request funding from community organizations Collect information about the community's environmental status 119. A nrse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nrse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nrse expect? E. Withhold the next dose. F. Increase the dosage. G. Discontinue the medication. H. Administer the medication. 120. A nrse in a clinic is assessing a 6-month-old infant. Which of the following should the nrse report to the provider? Pulse 140/min Closed anterior fontanel Respiratory rate 26/min Abdominal breathing 121. A nrse is reviewing legal issues in health care with a group of newly licensed nrses. Which of the following recommendations should the nrse make? Place copies of incident reports in client’s medical records Overestimate clients acuilty to prevent short staffing Ensure that each client has a living will on file prior to treatment Obtain personal professional liability insurance coverage 122. A nrse is planning care for a child who has neutropenia due to leukemia. Which of the following Interventions should the nrse Include in the plan of care? Screen the child's visitors for active Infections. Initiate Prepare the child for a platelet transfusion. Prepare the child for a platelet transfusion. Monitor the child for indications of active bleeding 123. A nrse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement and the nrse offers a bed pan. The client states. “I’ve always used the bathroom. “Which of the following responses should the nrse make? “Tell me what concerns you have about using a bed pan.” “I will have the physical therapist ambulate you to the bathroom.” “You have to use the bed pan for you own safety.” “Make sure to use nearby furniture to support yourself when walking to the bathroom. 124. A newly licensed nrse is unsure if an assigned task is within their scope of practice. which of the following resources should the nrse consult? Written prescription from the provider Institutional policies and procedures Verbal direction from the nrse manager State Nrse Practice Act 125. A Nrse is teaching participants at a community center about advance directives. Which of the following information should the nrse include in the teaching? Assigning a health care surrogate requires legal consultation A client must create a do not resuscitate order when completing advances directives. Advance directives cannot be changed once implemented. A health care surrogate makes health care decisions when the client is no longer able. 126. A nrse is reviewing the facility’s safety protocols considering newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching? I. “Staff will apply identification band after first bath” J. “I will not publish public announcement about my baby’s birth” K. “I can remove my baby’s identification band as long as she is in my room” L. “I can leave my baby in my room while I walk in the hallway” 127. A nrse is planning care for four clients who are at risk for fluid imbalances. The nrse should identity thatwhich of the following client for fluid volume excess? A client who has ulcerative colitis A client who has an exacerbation of peptic ulcer disease A client who has diabetes insipidus A client who has advanced stage liver cirrhosis 128. A nrse is caring for a client receiving mechanical ventilation via an endotracheal tube The high pressure alarmis beeping and the.. experiencing respiratory distress. the nrse is unable to determine the cause pf the alarm. Which ofthe following actions should the nrse … Deliver breaths manually with a resuscitation bag Decrease the ventilation flow rate Reevaluate the client for an ET cuff leak Assess for disconnected tubing 129. A nrse on a mental health unit is admitting a client who has posttraumatic stress, disorder.Which of the following should the nrse expect ? Experiences frequent grandiose thoughtsTalks continuously about the event has difficulty concentrating on a task Preoccupled with having a serious illness 130. A nrse is verifying a record of informed consent for a client who is sheduled for surgery .Which of the following actions should the nrse ….? Inform the client about the condition that requires teatmentConfirm the client's signature Is authentic Explain the procedure to the client before verifying informed Provide Information on the informed consent form about the benefits of the surgery 131. A nrse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist’s notes. Which of the following responses should the nrse make? We can provide a copy of your records, but the therapists notes are not included I don’t think you will benefit from reviewing your therapists notes right now Why are you interested in seeing your therapist’s notes? Are you not happy with your treatment? 132. A nrse is screening food brought in by a family member for a client who takes phenelzine. The nrse should instruct the family members…of the following foods can cause an interaction with this medication ? Cottage cheese loeberg lettuce salad bologna sandwich Orange gelatin 133. A nrse is assessing a client who is in skeletal traction for a fractured left tibia.The nrse should identify that which of the following … altered tissue perfusion of the affected extremity ? Faint pedal pulse of left leg Warm sidn temperature distal to pin site Pain with movement of the left great toe Purulent drainage at the pin site 134. A nrse is caring for a client who has bipolar disorder. Which of the following behaviors should the nrse identifyas indicating the client experiencing mania ? The client speaks using echopraxia The client speaks using word salad. The client is easily distracted by external stimuli The client is socially withdrawn 135. A nrse is obtaining a urine specimen from a client who has had an indwelling urinary catheter for three days. Which of the following action should the nrse take after collecting the specimens? Remove gloves after labeling the specimen Place the specimen in a biohazard bag for transport Obtain the specimen from the drainage collection bag Wipe the outside of the specimen container with alcohol 136. A nrse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? M. Looking at alphabet flashcards. Playing with a large plastic truck. O. Use scissors cut out paper shapes. P. Watching a cartoon in the dayroom. 137. A nrse is reviewing the cardiac rhythm of a client who is ….. on indication ventricular tachycardia?P wave present with every QRS complex Sowtooth shaped P waves PR interval of 0.24 seconds QRS complexes wider than 0.15 seconds 138. A nrse is admitting an older adult client who is transferring from another facility. The nrse notes pressure ulcers on the client’s coccyx and abrasions around the wrists. Which of the following actions should the nrse take to address the suspicions of elder abuse? Inform the transferring agency of the client’s condition. Privately interview the client about her condition. Notify risk management Contact the family regarding the client’s condition. 139. community health nrse is reviewing laboratory reports for a group of client. The nrse should identify that which of the following disorder on the CDC's Nationally Notifiable Conditions list! Bacterial vaginosis Lyme disease Respiratory syncytial virus Pediculosis capitis 140. A nrse is teaching a client who is trying to conceive. Which of the following should the nrse instruct in her diet to prevent a neural tube defect? Folate Zinc Iron Calcium 141. A nrse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nrse expect? Loose stools Jitteriness Hypertonia Abdominal distention 142. A Nrse is preparing to administer PRN pain medication to a client who has cholelithiasis and experiencing moderate abdominal pain. Which of the following medications should the nrse plan to administer? Omeprazole Ketorolac Acetaminophen Metoclopramide 143. A nrse is giving an intramuscular injection to a newborn who has delivered at 38 weeks of gestation .Which of the following pain scale should the nrse use to assess the newborn pain ? FACE pain rating scale Premature Infant Pain Profile (PIPP) Visual analog scale (VAS) Neonatal Infant Pain Scale (NIPS) 144. A nrse is admitting a client who does not speak the same language as the nrse and scheduled for outpatient surgery. Which of following actions should the nrse take? Request a family member to interpret the information. Explain the procedure to the client through an interpreter. Provide consent form that is written in the client’s own language. Help the client look up the information about the procedure on the internet 145. A nrse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nrse plan to take ? Clean the site using vigorous friction Apply a tourniquet firmly above the insertion Use 22-gauge catheter for insertion Select a vein on the back of the hand 146. A nrse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nrse administer? Pregabalin Lorazepam Colchicine Codeine 147. A nrse is providing discharge teaching for a group of clients. The nrse should recommend a referral to a dietitian A. A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”. B. A client who has gout and states, “I can continue to eat anchovies on my pizza.” C. A client who has a prescription for spironolactone and states “I will reduce my intake of foods that contain potassium”. D. A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with a full glass of water”. 148. A nrse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which if the following findings should the nrse identify as a contraindication for heat therapy? Phlebitis Abdominal aortic aneurysm Osteoarthritis Peripheral neuropathy 149. A nrse is planning teaching for a client who has a new diagnosis of HIV. Which of the following information should the nrse include about preventing the spread infection? Clean blood contaminated surfaces with bleach. Use condoms with a petroleum-based lubricant. Wash soiled clothes in cold water. Buy disposable dishes for daily use. 150. A nrse is caring for a client who is receiving continuous enteral feedings. which of the following actions should the nrse take? Select Check placement of the feeding tube by x-ray once daily Maintain the head of the client's bed at a30% angle or higher Check gastric residuals every 4 hr. Change the feeding container and tubing every 24 hr. Ensure the formula is cold before administration 151. A nrse is assessing a client who has bipolar disorder and is experiencing depressive episode. which of the following findings should the nrse expect? Clent expresses ilusions of grandeur Inability to carry out a simple task Client reports auditory hallucinations Moves quickly from one idea to the next 152. A nrse is caring for a client who is postoperative immediately following a cardiac catheterizacion with a right femoral appro..Which of the following actions should the nrse take? Elevate the head of the client's bed to 45 Assess the client's peripheral pulses every 15 min. Change the client's dressing 4 hr following the procedure.Instruct the client to flex the right knee every 30 min. 153. A nrse is teaching a client who has chronic low back pain about the use of alternative therapy to manage pain.Which of the following by the client indicates an understanding of the use of distraction? I will have electrodes inserted in my skin to treat the pain I should apply my heating blanket to my back to reduce tensionI should jog every morning to improve my circulation I will watch my favorite old movies when I want to reduce stress 154. A nrse is providing dietary teaching to a client who has hyperlipidemia .The nrse should include in the teaching that which obtains she lowest amount of saturated fats ? Coconut oil Olive oil Canola oil Palm oil 155. A nrse is reviewing assessment data from several clients. For which of the following clients should the nrse referral to a dietitian? An older adult client who has a BMI of 24 A client who has a nonhealing leg ulcer An older adult client who has presbyopia A client who has an albumin level of 3.7g/Dl 156. A nrse is teaching a childbirth education class and is discussing sexual intercourse during pregnancy. Which of the following statements should the nrse make? “The female superior position can be used during the third trimester of pregnancy.” “Frequent intercourse increases the risk for miscarriage in early pregnancy.” “You should limit the frequency of intercourse after weeks of pregnancy.” Your sexual desire might increase during the first trimester of pregnancy.” 157. A nrse is caring for an older adult client in a long-term care facility, recently lab values shows increased hemoglobin, hematocrit, and urine irregularity which findings suggest anemia Anemia. Dehydration Hepatic failure Acute renal failure 158. A nrse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nrse include in the plan? Take a bubble bath after intercourse Void every 5 to 6 hr during the day Drink four 240 mL (8 oz) glasses of water each day. Wear loose-fitting underwear. 159. A charge nrse is planning a staff education and competence session about operating newly acquired cardiac monitoring equipment. Which of the following actions should the nrse plan to take? (Select all that apply.) Caution staff that the equipment is complicated to use. Wait to offer feedback on staff use of the equipment until the end of the session. Identify the current level of staff knowledge about the equipment. 160. A nrse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nrse make? G. “Dehydration is treated with calcium supplements” H. “Dehydration can increase the risk of preterm labor” I. “Dehydration associated gastroesophageal reflux J. “Dehydration is caused by a decreased hemoglobin and hematocrit” 161. A nrse is preparing a change of shift report for an adult female client who is postoperative. Which of the following client information should the nrse include in the report? CONFIRMED Hgb 12.8 g/dl - 12- 16 Potassium 4.2 meq/l 3.5 - 5.0 meq RBC 4.4 million/mm3 Platelets 100,000/mm3 162. A nrse is caring for a client who tells the nrse that he feels he is being discharged from the facility too soon .which of the following the nrse demonstrate client advocacy? I will contact your insurance company to see if they will pay for you to be have longer? Your provider understands your illness and is acting according to your best interests I will that the provider about your concerns I know you will be able to recover faster at home 163. A nrse is teaching a group of clients who are planning to have bariatric surgery. Which of the following statements by a client indicated an understanding of the teaching? “I will consume 48 ounces of carbonated beverages daily prior to the surgery.” “I will need to lose 25 percent of my excess body weight prior to surgery.” “I should reduce my daily caloric intake by 250 calories to lose 2 pounds each week after surgery.” “I should wait 30 minutes after eating solid foods to drink beverages following surgery.” 164. A nrse is caring for several clients on a medical-surgical unit. For which of the following nursing activities is it required that the nrse use sterile gloves? Inserting an NG tube Administering total parenteral nutritional through a central venous access device Initiating IV access Performing tracheostomy care 165. A nrse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching? “I can begin to drive 24 hours after surgery.” “I can shower within 48 hours of my surgery.” “I will have my drains removed 1 hour prior to going home.” ‘I will complete my arm exercises four times a day.” 166. A nrse is teaching a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching? “I should apply power to my skin after showering.” “I will not able to go for my daily walk.” “I will cleanse my skin using a mild soap.” “I should check my skin once weekly for rashes.” 167. A nrse is providing discharge teaching to a female client who has tuberculosis and a new prescription for rifampin. Which of the following information should the nrse include? “Your urine will be orange while this medication.” Weight gain is an expected adverse effect of this medication You should avoid getting pregnant for 6 months after stooping this medication You should avoid sun exposure while taking this medication 168. A nrse is providing discharge Instructions to a client who has a new prescription for spironolactone .Which of the following the nrse include in the teaching? Monitor weight once a week Take the medication in the morning Use a salt substitute with meals Administer a potassium supplement daily 169. A nrse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescriptions should the nrse expect the provider to prescribe? Atorvastatin Amoxicillin Enoxaparin Interferon beta-1a 170. A nrse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nrse take first? A. Confirm the client’s perception of the event B. Notify the client’s support system C. Help the client identify personal strengths D. Teach the client relaxation techniques 171. A nrse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nrse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.) A client who describes having persistent feelings of anger about the hurricane. A client who has frequent nightmares about the hurricane. A client who expresses a realization that life will not return to the way it was before the hurricane. A client who moved to an apartment located on higher ground than her previous home. A client who describes feeling disconnected from those around him following the hurricane. 172. A nrse is caring for a client who has cancer of the throat and is receiving radiation therapy. The nrse should monitor for which of the following finding as an adverse effect of the radiation? Excessive salivation Insomnia Altered sensation Elevate platelet count 173. A nrse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nrse include? Wear a tight-fitting underwire bra. Apply warm compresses on the breasts before feedings. Allow the infant to nrse on one breast per feeding. Take aspirin to reduce pain and swelling. 174. A nrse is a community clinic is caring for client who request assistant with smoking censation The nrse should expect a prescription for which of the following medications? Bupropion Chiordiazepoxide Naltrexone Clonidine 175. A nrse is preparing to administer an IV medication to a client and accidently punctures the IV bag causing the medication to leak on the counter. Which of the following medications requires the nrse to follow facility procedures in the safe handling of biohazardous material spill? Doxorubicin hydrochloride Ampicillin sodium Metronidazole Phenytoin 107. A nrse is preparing to assess a 2-week-old newborn. Which of the following actions should the nrse planto take? Obtain the newborn’s body temperature using a tympanic thermometer. Assess the newborn pain level using FACES pain scale. Auscultate the newborn’s apical pulse for 60 seconds. Measure the newborn’s head circumference over the eyebrows and below the occipital prominence. 108. A nrse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nrse make in the medical record? “Morphine 3 mg SQ every 4 hr. PRN for pain.” “Morphine 3 mg Subcutaneous every 4 hr PRN for pain “Morphine 3.0 mg sub q every 4 hr. PRN for pain.” “Morphine 3 mg SC q 4 hr. PRN for pain.” 109. A nrse is caring for a client who has gestational hypertension and is experiencing toxic effects due to magnesium sulfate therapy. The nrse should anticipate administering which of the medications? Calcium gluconate Sodium bicarbonate. Potassium chloride. Magnesium citrate 110. A nrse is reviewing the formulary about NPH insulin before administering the medication to a client. Which of the following information the nrse expect ? Administrer NPH Insulin 30min before breakfast. Give NPH Insulin by IV bolus Use NPH insulin to treat ketoacidosis Discard the NPH insulin vial if the medication is cloudy 111. A nrse is planning care for a school age child who is 4 hr postoperative following appendicitis .Which of the following action should the nrse include in the plan of care ? Administer analgesics on a scheduled basis for the first 24 hr Apply a warm compress to the operative site once daily Offer small amounts of dear liquids 6 hr following surgery Give cromolyn nebulized solution every8 hr 112. A nrse is preparing to admit a client who is 35 weeks of gestation for evaluation of the fetal well being due to potencial preterm labor following places of equipment should the nrse use to evaluate the fetal heart rate? Intrauterine pressure catheterSpiral electrode Toco transducer ultrasound transducer 113. A nrse is reviewing the medical record of a client who has delayed healing of a leg ulcer. Which of the following findings should the nrse identify as a contributing factor? The client takes prednisone for arthritis. The client is receiving IV dextrose 5% in water at 100 mL/hr. The client has a total cholesterol level of 190 mg/dL. The client has an albumin level of 3.8 g/dL 114. A nrse is caring for a client who has hypertension and a new prescription for chlorthalidone. The nrse should monitorfor which of the following adverse effects? Hypoglycemia Hypokalemia Euphoria Increased intraocular pressure 115. A nrse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nrse include? Change smoke detector batteries every other year. Lay the baby on his stomach to nap during the daytime. Use a car seat when traveling by airplane Place a plastic waterproof sheet over the crib bedding. 116. A nrse is caring for a client who is 12 hr postoperative following aortofemoral bypass surgery .which of the following finding should the nrse impact in the affected extremity? Cool extremities Pedal pulse of 2+ Throbbing pain Capillary refill of 4 seconds 117. A home health nrse is teaching a new parent about caring for his 1-week-old-infant. Which of the following statements by the client indicates an understanding of the teaching? “I can use a form pillow to prop up the bottle when feeding my baby.” “I will avoid picking up my baby too often to keep from spoiling him.” “I will hang a pastel-colored mobile 24 inches above my baby’s crib.” “I will place a ticking clock nearly to soothe my baby throughout the day.” 118. A nrse is caring for a client who has diaper dermatitis. Which of the following actions should the nrse take? Apply zinc oxide ointment to the irritated area. Wipe stool from the skin using store bought baby wipes. Wipe urine from the skin using a cool cloth Apply talcum powder to the irritable area 119. A nrse is assessing a client who is receiving daily aspirin therapy .The nrse should identify that which of the following allergic reaction to this medication ? Difficulty swallowing Blurred vision Weight gain High blood pressure 120. A nrse is preparing to measure a temperature of an infant. Which of the following action should the nrse take? Place the tip of the thermometer under the center of the infant’s axilla. Pull the pinna of the infant’s ear forward before inserting the probe. Insert the probe 3.8 cm (1.5in) into the infant’s rectum. Insert the thermometer in front of the infant’s tongue. 121. A nrse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nrse make? Q. Coffee with creamer. R. Lettuce with sliced avocados. S. Broiled skinless chicken breast with brown rice. T. Warm toast with margarine. 122. A nrse in a provider’s office is reviewing a female client’s medical record during a routine visit. The nrse should recommend increasing dietary intake of which of the following vitamins? (Exhibit) --only tab shown is Tab 3: a. Vitamin D b. Vitamin K c. Vitamin A d. Vitamin B12 123. A nrse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of the following findings should the nrse to report? Chest pain Muscle spasms. Cool, moist skin. Incisional pain. 124. A nrse is providing teaching to a client who is to begin external radiation therapy for cancer .Which of the following information include ? Wash your skin thoroughly with a washcloth after each treatment Wear a binder over the radiation site You might experience altered taste sensations Use rubbing alcohol to remove the ink maricings 125. A nrse is caring for an infant who has respiratory svncytial virus . Which of the following intervention should the nrse take ? Suction nares prior to feeding Request a prescription for guaifenesinAdminister palivizumab intravenouslyInitiate neutropenic precautions 126. A nrse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states“I don’t know what to do. Everything has been happening so quickly.” Which of the following by the nrse is therapeutic? “Can you talk about what happens with your partner at home?” “Why do you think your partner’s symptoms are progressing so quickly?” “You should make sure your partner takes the prescribed medication.” “You did the right thing by bringing your partner in for treatment.” 127. A nrse in a provider’s office is reviewing the laboratory results of a group of clients. The nrse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? A. Chlamydia B. Human papillomavirus C. Candidiasis D. Herps simplex virus 128. A nrse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nrse report to the occupational therapist? The client’s parent is in a skilled nursing facility The client is allergic to penicillin The client has two small children at home The client lives in a two-story home 129. A nrse is caring for a client who has heart failure. The nrse notes the client’s 24-hr-intake is 1.750 mL and output is 425 mL. Which of the following actions should the nrse take first? Compare the client’s wight to the previous day. Reduce the client’s sodium intake. Encourage the client to change positions frequently. Administer furosemide to the client. 130. A nrse in a mental health facility receives change-of-shift report for four clients. Which of the following clients should the nrse plan to assess first? A newly admitted client who has a hx of 4.5 kg (10lb) weight loss in the past 2 months A client who will be receiving her first ECT treatment today A client placed in restraints due to aggressive behavior A client who received a PRN dose of haloperidol 2 hr ago for increased anxiety 131. A nrse is caring for a newborn who is experiencing neonatal abstinence syndrome. which of the following actions should the nrse take Decrense the lighting levels in the nrsery Wrap the newborn loosely in a bianket Encourase frequent eye contact with the newborn during feeding Provide frequent stimulation for the newborn 176. A nrse is calculating a client's expected date of delivery. The clients fast menstral period began April 12 Using Nagele’s rule, what date should the nrse determine to be the client’s expected delivery date? A nrse is discussing group treatment and therapy with a client. The nrse should include which ofthe following as being a characteristic of a therapeutic group? A. The group is organized in an autocratic structure. B. The group encourages members to focus on a particular issue. ( C. The group must be led by a licensed psychiatrist. D. The group encourages clients to form dependent relationships. 177. A nrse manger is reviewing documentation with a newly licensed nrse. Which of the following notations by the newly licensed nrse indicates an understanding of the teaching? UNSURE IF ON THE REPORT A. “OOB with assistance for breakfast” E. “Given 2 mg MSO4 IM for report of pain” F. “Dressing changed qd” G. “Administered 8 u regular insulin sq.” 178. A nrse is preparing to administer eye drops to a school-age child. Identify the actions the nrse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 6. Apply pressure to the lacrimal punctum.5 7. Ask the child to look upward. 2 8. Pull the lower eyelid downward. 3 9. Instill the drops of medication. 4 10. Place the child in a sitting position. 1 179. A nrse is caring for a client who speaks a language different from the nrse. Which of the following should the nrse take? E. Request an interpreter of a different sex from the client. F. Request a family member or friend to interpret information for the client. G. Direct attention toward the interpreter when speaking to the client. H. Review the facility policy about the use of an interpreter. 180. A nrse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nrse should increase the rate of infusion? ON THE REPORT needs double checking A. Urine output 20 ml/hr. D. Montevideo units constantly 300 mm Hg. E. FHR pattern with absent variability. F. Contractions every 5 min that last 30 seconds. 181. A nrse is planning care for a group of clients and is working with one licensed practical nrse LPN and one assistive personal AP. Which of the following actions should the nrse take first to manage her time effectively? Develop an hourly time frame for tasks Schedule daily activities Determine goals of the day Delegate tasks to the AP 182. A public health nrse is managing several projects for the community. Which of the following interventions should the nrse identify as a primary prevention strategy? A. Teaching parenting skills to expectant mothers and their partners. C. Conducting mental health screenings at the local community center. C. Referring client who have obesity to community exercise programs. D. Providing crisis intervention through a mobile counseling unit. 183. A nrse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? a. “I will take sucralfate with meals three times per day” b. “I will avoid food and beverages that contain caffeine” c. “I will decrease my daily protein intake to 15 grams per day” d. “I will use ibuprofen as needed to control abdominal pain” 184. A nrse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Low back pain. Dyspnea. Hypotension. Thready pulse. 185. A nrse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nrse include in the teaching? U. “The PCA will deliver a double dose of medication when you push the button twice.” V. “You can adjust the amount of pain medication you receive by pushing on the keypad.” W. “Continuous PCA infusion is designed to allow fluctuating plasma medication levels.” X. “You should push the button before physical activity to allow maximum pain control.” 186. A nrse is preparing to administer an autologous blood product to a client. Which of the following actions should the nrse take to identify the client? M. Match the client’s blood type with the type and cross match specimens. N. Confirm the provider’s prescription matches the number on the blood component. O. Ask the client to state the blood type and the date of their last blood donation. P. Ensure that the client’s identification band matches the number on the blood unit. 187. A nrse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? E. “I noticed that I am having a harder time holding on to my toothbrush” F. “Lately, I feel like my feet are freezing up, as they are stuck to the ground” G. “Sometimes, I feel I am making a chewing motion when I’m not eating” 188. A nrse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nrse expect? A. Increased creatine. B. Increased hemoglobin. C. Increased bicarbonate. D. Increased calcium. 189. A nrse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nrse include in the teaching? I. Use three pronged grounded plugs. J. Cover extension cords with a rug. K. Check the tingling sensations around the cord to ensure the electricity is working. L. Remove the plug from the socket by pulling the cord. 190. A charge nrse is recommending postpartum client discharge following a local disaster. Which of the following should the nrse recommend for discharge? F. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. G. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. H. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. I. A 42 yoars old client who has preeclampsia and BP of 166/110 mmHG 191. A nrse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nrse take? 140 “I recommend that you take this medication as prescribed” 141 “Do you know why this medication is being prescribed to you?” 142 “I will call the pharmacist now to check on this medication” Did the doctor discuss with you that there was a change in this medication 192. A community health nrse is developing a plan to improve the communitys environmental health. which of the following action nrse take first? Establish a timeframe for environmental improvements. Encourage community Involvement in environmental improvement Request funding from community organizations Collect information about the community's environmental status 193. A nrse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nrse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nrse expect? M. Withhold the next dose. N. Increase the dosage. O. Discontinue the medication. P. Administer the medication. 194. A nrse in a clinic is assessing a 6-month-old infant. Which of the following should the nrse report to the provider? Pulse 140/min Closed anterior fontanel Respiratory rate 26/min Abdominal breathing 195. A nrse is reviewing legal issues in health care with a group of newly licensed nrses. Which of the following recommendations should the nrse make? Place copies of incident reports in client’s medical records Overestimate clients acuilty to prevent short staffing Ensure that each client has a living will on file prior to treatment Obtain personal professional liability insurance coverage 196. A nrse is planning care for a child who has neutropenia due to leukemia. Which of the following Interventions should the nrse Include in the plan of care? Screen the child's visitors for active Infections. Initiate Prepare the child for a platelet transfusion. Prepare the child for a platelet transfusion. Monitor the child for indications of active bleeding 197. A nrse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement and the nrse offers a bed pan. The client states. “I’ve always used the bathroom. “Which of the following responses should the nrse make? “Tell me what concerns you have about using a bed pan.” “I will have the physical therapist ambulate you to the bathroom.” “You have to use the bed pan for you own safety.” “Make sure to use nearby furniture to support yourself when walking to the bathroom. 198. A newly licensed nrse is unsure if an assigned task is within their scope of practice. which of the following resources should the nrse consult? Written prescription from the provider Institutional policies and procedures Verbal direction from the nrse manager State Nrse Practice Act 199. A Nrse is teaching participants at a community center about advance directives. Which of the following information should the nrse include in the teaching? Assigning a health care surrogate requires legal consultation A client must create a do not resuscitate order when completing advances directives. Advance directives cannot be changed once implemented. A health care surrogate makes health care decisions when the client is no longer able. 200. A nrse is reviewing the facility’s safety protocols considering newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching? Q. “Staff will apply identification band after first bath” R. “I will not publish public announcement about my baby’s birth” S. “I can remove my baby’s identification band as long as she is in my room” T. “I can leave my baby in my room while I walk in the hallway” 201. A nrse is planning care for four clients who are at risk for fluid imbalances. The nrse should identity that which of the following client for fluid volume excess? A client who has ulcerative colitis A client who has an exacerbation of peptic ulcer diseaseA client who has diabetes insipidus A client who has advanced stage liver cirrhosis 202. A nrse is caring for a client receiving mechanical ventilation via an endotracheal tube The high pressure alarmis beeping and the.. experiencing respiratory distress. the nrse is unable to determinethe cause pf the alarm. Which of the following actions should the nrse … Deliver breaths manually with a resuscitation bag Decrease the ventilation flow rate Reevaluate the client for an ET cuff leak Assess for disconnected tubing 203. A nrse on a mental health unit is admitting a client who has posttraumatic stress, disorder.Which ofthe following should the nrse expect ? Experiences frequent grandiose thoughtsTalks continuously about the event has difficulty concentrating on a task Preoccupled with having a serious illness 204. A nrse is verifying a record of informed consent for a client who is sheduled for surgery .Which of the following actions should the nrse ….? Inform the client about the condition that requires teatmentConfirm the client's signature Is authentic Explain the procedure to the client before verifying informed Provide Information on the informed consent form about the benefits of the surgery 205. A nrse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist’s notes. Which of the following responses should the nrse make? We can provide a copy of your records, but the therapists notes are not included I don’t think you will benefit from reviewing your therapists notes right now Why are you interested in seeing your therapist’s notes? Are you not happy with your treatment? 206. A nrse is screening food brought in by a family member for a client who takes phenelzine. The nrse should instruct the family members…of the following foods can cause an interaction with this medication ? Cottage cheese loeberg lettuce salad bologna sandwich Orange gelatin 207. A nrse is assessing a client who is in skeletal traction for a fractured left tibia.The nrse should identify that which of the following … altered tissue perfusion of the affected extremity ? Faint pedal pulse of left leg Warm sidn temperature distal to pin site Pain with movement of the left great toe Purulent drainage at the pin site 208. A nrse is caring for a client who has bipolar disorder. Which of the following behaviors should the nrse identify as indicating the client experiencing mania ? The client speaks using echopraxia The client speaks using word salad. The client is easily distracted by external stimuli The client is socially withdrawn 209. A nrse is obtaining a urine specimen from a client who has had an indwelling urinary catheter for three days. Which of the following action should the nrse take after collecting the specimens? Remove gloves after labeling the specimen Place the specimen in a biohazard bag for transport Obtain the specimen from the drainage collection bag Wipe the outside of the specimen container with alcohol 210. A nrse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? Y. Looking at alphabet flashcards. Z. Playing with a large plastic truck. AA.Use scissors cut out paper shapes. BB. Watching a cartoon in the dayroom. 211. A nrse is reviewing the cardiac rhythm of a client who is ….. on indication ventricular tachycardia? P wave present with every QRS complex Sowtooth shaped P waves PR interval of 0.24 seconds QRS complexes wider than 0.15 seconds 212. A nrse is admitting an older adult client who is transferring from another facility. The nrse notes pressure ulcers on the client’s coccyx and abrasions around the wrists. Which of the following actions should the nrse take to address the suspicions of elder abuse? Inform the transferring agency of the client’s condition. Privately interview the client about her condition. Notify risk management Contact the family regarding the client’s condition. 213. community health nrse is reviewing laboratory reports for a group of client. The nrse should identify that which of the following disorder on the CDC's Nationally Notifiable Conditions list! Bacterial vaginosis Lyme disease Respiratory syncytial virus Pediculosis capitis 214. A nrse is teaching a client who is trying to conceive. Which of the following should the nrse instruct in her diet to prevent a neural tube defect? Folate Zinc Iron Calcium 215. A nrse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nrse expect? Loose stools Jitteriness Hypertonia Abdominal distention 216. A Nrse is preparing to administer PRN pain medication to a client who has cholelithiasis and experiencing moderate abdominal pain. Which of the following medications should the nrse plan to administer? Omeprazole Ketorolac Acetaminophen Metoclopramide 217. A nrse is giving an intramuscular injection to a newborn who has delivered at 38 weeks of gestation .Which of the following pain scale should the nrse use to assess the newborn pain ?FACE pain rating scale Premature Infant Pain Profile (PIPP) Visual analog scale (VAS) Neonatal Infant Pain Scale (NIPS) 218. A nrse is admitting a client who does not speak the same language as the nrse and scheduled for outpatient surgery. Which of following actions should the nrse take? Request a family member to interpret the information. Explain the procedure to the client through an interpreter. Provide consent form that is written in the client’s own language. Help the client look up the information about the procedure on the internet 219. A nrse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nrse plan to take ? Clean the site using vigorous friction Apply a tourniquet firmly above the insertionUse 22-gauge catheter for insertion Select a vein on the back of the hand 220. A nrse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nrse administer? Pregabalin Lorazepam Colchicine Codeine 221. A nrse is providing discharge teaching for a group of clients. The nrse should recommend a referral to a dietitian E. A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”. A client who has gout and states, “I can continue to eat anchovies on my pizza.” G. A client who has a prescription for spironolactone and states “I will reduce my intake of foods that contain potassium”. H. A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with a full glass of water”. 222. A nrse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which if the following findings should the nrse identify as a contraindication for heat therapy? Phlebitis Abdominal aortic aneurysm Osteoarthritis Peripheral neuropathy 223. A nrse is planning teaching for a client who has a new diagnosis of HIV. Which of the following information should the nrse include about preventing the spread infection? Clean blood contaminated surfaces with bleach. Use condoms with a petroleum-based lubricant. Wash soiled clothes in cold water. Buy disposable dishes for daily use. 224. A nrse is caring for a client who is receiving continuous enteral feedings. which of the following actions should the nrse take? Select Check placement of the feeding tube by x-ray once daily Maintain the head of the client's bed at a30% angle or higher Check gastric residuals every 4 hr. Change the feeding container and tubing every 24 hr. Ensure the formula is cold before administration 225. A nrse is assessing a client who has bipolar disorder and is experiencing depressive episode. which of the following findings should the nrse expect? Clent expresses ilusions of grandeur Inability to carry out a simple task Client reports auditory hallucinations Moves quickly from one idea to the next 226. A nrse is caring for a client who is postoperative immediately following a cardiac catheterizacion with a right femoral appro..Which of the following actions should the nrse take? Elevate the head of the client's bed to 45 Assess the client's peripheral pulses every 15 min. Change the client's dressing 4 hr following the procedure. Instruct the client to flex the right knee every 30 min. 227. A nrse is teaching a client who has chronic low back pain about the use of alternative therapy to manage pain. Which of the following by the client indicates an understanding of the use of distraction? I will have electrodes inserted in my skin to treat the pain I should apply my heating blanket to my back to reduce tensionI should jog every morning to improve my circulation I will watch my favorite old movies when I want to reduce stress 228. A nrse is providing dietary teaching to a client who has hyperlipidemia .The nrse should includein the teaching that which obtains she lowest amount of saturated fats ? Coconut oil Olive oil Canola oil Palm oil 229. A nrse is reviewing assessment data from several clients. For which of the following clients should the nrse referral to a dietitian? An older adult client who has a BMI of 24 A client who has a nonhealing leg ulcer An older adult client who has presbyopia A client who has an albumin level of 3.7g/Dl 230. A nrse is teaching a childbirth education class and is discussing sexual intercourse during pregnancy. Which of the following statements should the nrse make? “The female superior position can be used during the third trimester of pregnancy.” “Frequent intercourse increases the risk for miscarriage in early pregnancy.” “You should limit the frequency of intercourse after weeks of pregnancy.” Your sexual desire might increase during the first trimester of pregnancy.” 231. A nrse