Answers!!
a hospice nurse is caring for a preschooler who has a terminal illness. One of the child's
parents tells the nurse that it is too difficult to cope any longer and has decided to move
out of the house. Which of the following responses should the nurse make? - ANSWER
Let's talk about a few ways you have dealt with stress in the past
A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis.
Which of the following information should the nurse include in the teaching? - ANSWER
Maintain bone health by eating fruits, vegetables, and protein
A nurse is teaching a clients who has hypothyroidism about taking Levothyroxine.
Which of the following statements should the nurse make? - ANSWER This medication
causes adverse effects if the dosage is too high or too low
A nurse in an emergency department is assessing a preschooler who has severe
dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the
following findings should the nurse identify as an indication that the treatment is
effective? - ANSWER Brisk skin turgor
A nurse is caring for a client who has left hemiparesis following a stroke. Which of the
following actions should the nurse take? - ANSWER encourage the client to use wide
grip utensils when eating with the right hand
A nurse is teaching about herbal supplements with a group of newly licensed nurses.
Which of the following herbal supplements should the nurse include in the teaching for
treating yperlipidemia? - ANSWER Garlic
A nurse is admitting a client who has an acute bacterial wound infection and a
temperature of 103.6. Which of the following actions should the nurse take? - ANSWER
Set the temperature of the client's room to 72
A nurse is assessing a client who is 1 hr postoperative following a transurehtral
resection of the prostate for treatment of benign prostatic hyperlplasia. For which of the
following assessment findings should the nurse notify the provider? - ANSWER The
catheter tubing has multiple red clots
A nurse is planning care for a client who had surgery for osteomyelitis from a past
musculoskeletal trauma to the lower leg. Which of the following interventions should the
nurse include in the plan of car? - ANSWER Check for paresthesia of the affected leg
, A nurse is assessing the eyes and ears of a 2 yo toddler at a well-child visit. Which of
the following findings should the nurse report to the provider? - ANSWER Presence of
strabismus
A nurse is teaching a client who has atherosclerosis about self-care. Which of the
following instructions should the nurse include in the teaching? - ANSWER Increase
fiber intake to at least 30g per day.
A nurse is assessing a client who has as an ulcer due to peripheral vascular disease.
Which of the following findings should the nurse identify as an indication that the client
has a venous ulcer rather than an arterial ulcer? - ANSWER Discoloration and edema of
the right ankle
A nurse is providing discharge teaching to a client who is postoperative following a
transurethral resection of the prostate for treatment of benign prostatic hyperplasia.
Which of the following instructions should the nurse include in the teaching? - ANSWER
Perform Kegel exercises several times throughout the day
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect (SATA) - ANSWER Nocturia, Dyspnea, Hacking cough
A nurse is teaching a client who has gastroesophageal reflux disease about ways to
prevent reflux. Which of the following information should the nurse include in the
teaching? - ANSWER Plan to finish eating at least 3 hr before bedtime
A nurse is providing teaching for a client who has a new diagnosis of benign prostatic
hyperplasia. Which of the following instructions should the nurse include to promote
elimination? - ANSWER Void as soon as you feel the urge
a nurse is assessing for manifestations of hyponatremia in a client who has been taking
twice the prescribed dose of diuretic. Which of the following findings should the nurse
expect? - ANSWER Decreased level of consciousness
A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the
following statements should the nurse identify as an indication the client understands
the teaching? - ANSWER I will base my peak flow meter score on the best of three
attempts
A nurse is assessing a school age child who has diabetes mellitus and a blood glucose
level of 250 mg/dl. Which of the following findings should the nurse expect? - ANSWER
Fruity breath odor
A nurse is assessing a 1 hour old newborn who has hypothermia, with a temperature of
97. Which of the following manifestations should the nurse expect? - ANSWER
Hypoglycemia