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A nurse is reinforcing teaching with a client who is postoperative following a cemented
total hip arthroplasty. Which of the following instructions should the nurse include in the
teaching? - ✔✔ANSWER✔✔>>Maintain hip flexion at 90 or less when sitting.
A nurse is reinforcing teaching with a client who has osteoporosis and a new
prescription of calcitonin. Which of the following statements should the nurse make to
describe the effect of calcitonin in treating osteoporosis? - ✔✔ANSWER✔✔>>Calcitonin
will slow the breakdown of the bone in your body.
A nurse is reinforcing teaching with a client about testicular self-examination. Which of
the following instructions should the nurse include in the teaching? -
✔✔ANSWER✔✔>>Perform testicular self-examination after taking a warm shower.
A nurse is collecting data from a client who is receiving sumatriptan. Which of the
following is an expected outcome? - ✔✔ANSWER✔✔>>Diminished headache
A nurse is caring for a client who is receiving a continuous tube feeding of 60mL/hr at
1.2 cal.mL. How many calories will the client receive in 12 hr? - ✔✔ANSWER✔✔>>Step
1: What is the unit of measurement the nurse should calculate? cal
Step 2: What is the volume the nurse should infuse? X mL = 60 mL/hr x 12 hr = 720 mL
Step 3: What is the total infusion time? 12 hr
Step 4: Should the nurse convert the units of measurement? No
Step 5: Set up an equation and solve for X.
X cal = Volume x Calories
X cal = 720 mL x 1.2 cal/mL
X cal = 864 cal
Step 6: Round if necessary.
Step 7: Determine if the amount to administer makes sense. If the provider prescribed
60 mL/hr to infuse over 12 hr, it makes sense to administer 720 mL over 12 hr. If there
are 1.2 cal/mL, it makes sense that the total number of calories the nurse will deliver in
12 hr is 864 cal.
Follow these steps to calculate the infusion rate using the Dimensional Analysis method
of calculation:
Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of
measure being calculated on the left side of the equation.)
X cal =
Step 2: Determine the ratio that contains the same unit as the unit being calculated.
(Place the ratio on the right side of the equation, ensuring that the unit in the numerator
matches the unit being calculated.)
, 1.2 calX cal = 1 min
Step 3: Place any remaining ratios that are relevant to the item on the right side of the
equation, along with any needed conversion factors, to cancel out unwanted units of
measurement.
1.2 cal60 min12 hrX cal = × × 1 min1 hr1
Step 4: Solve for X.
X cal = 864 cal
Step 5: Round if necessary.
Step 6: Determine if the amount to administer makes sense. If the provider prescribed
60 mL/hr to infuse over 12 hr, it makes sense to administer 720 mL over 12 hr. If there
are 1.2 cal/mL, it makes sense that the total number of calories the nurse will deliver in
12 hr is 864 cal.
A nurse is reviewing the medical records of a client who is postoperative. Which of the
following findings should the nurse identify as a complication of surgery? -
✔✔ANSWER✔✔>>WBC count of 15,000/mm3
A nurse is caring for a client who is 2hr postoperative following the amputation of a foot.
Which of the following actions should the nurse take first? - ✔✔ANSWER✔✔>>Check
the incisional dressing.
A nurse is caring for a client following a thyroidectomy. Which of the following findings
should alert the nurse to the possibility of parathyroid gland injury? -
✔✔ANSWER✔✔>>Muscle twitching
A nurse is reinforcing teaching with a client prior to removal of a leg cast. Which of the
following statements should indicate to the nurse that the client understands the
teaching? - ✔✔ANSWER✔✔>>I will feel vibrations on my leg from the cast cutter.
A nurse is caring for a client who has end-stage liver disease and just underwent an
abdominal paracentesis. For which of the following manifestations should the nurse
monitor as an adverse effect of the procedure? - ✔✔ANSWER✔✔>>Decreased blood
pressure
A home health nurse is caring for a client who has COPD. The client reports shortness
of breath while eating, despite the use of home oxygen. Which of the following
recommendations should the nurse make? - ✔✔ANSWER✔✔>>Use a bronchodilator
30 minutes before your meal.
A nurse is caring for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take? -
✔✔ANSWER✔✔>>Administer oxygen via nasal cannula.
A nurse is caring for a client who is undergoing testing for multiple sclerosis. Which of
the following findings should the nurse expect? - ✔✔ANSWER✔✔>>Muscle spasticity