188 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) LATEST |GUARANTEED A+
A nurse is providing teaching to a client who has a severe form of
stage II Lyme disease. Which of the following statements made by the
client reflects an understanding of the teaching? - CORRECT ANSWER
"My joints ache because I have Lyme disease."
A nurse is caring for a client who is 4 hr postoperative following an
open reduction internal fixation of the right ankle. Which of the
following assessment findings should the nurse report to the provider?
- CORRECT ANSWER Extremity cool upon palpation
A nurse is assessing a client while suctioning the client's
tracheostomy tube. Which of the following findings should indicate to
the nurse the client is experiencing hypoxia? - CORRECT ANSWER
The client's heart rate increases.
A nurse is caring for a client who is 8 hr postoperative following a total
hip arthroplasty. The client is unable to void on the bedpan. Which of
the following actions should the nurse take first? - CORRECT ANSWER
Scan the bladder with a portable ultrasound.
A nurse is providing discharge instructions to a client who has active
tuberculosis (TB). Which of the following information should the nurse
include in the instructions? - CORRECT ANSWER Sputum
specimens are necessary every 2 to 4 weeks until there are three
negative cultures.
A nurse is caring for a client who has increased intracranial pressure
(ICP) and is receiving mannitol via continuous IV infusion. Which of the
following findings should the nurse report to the provider as an
adverse effect of this medication? - CORRECT ANSWER Crackles
heard on auscultation
A nurse is providing discharge teaching to a client who is
postoperative following a modified radical mastectomy. Which of the
,following instructions should the nurse include? - CORRECT ANSWER
Numbness can occur along the inside of the affected arm.
A nurse is providing education to a client who has tuberculosis (TB)
and their family. Which of the following information should the nurse
include in the teaching? - CORRECT ANSWER Family members in
the household should undergo TB testing.
A nurse is providing discharge teaching about infection prevention to a
client who has AIDS. Which of the following statements by the client
indicates understanding of the teaching? - CORRECT ANSWER "I
will no longer floss my teeth after brushing my teeth."
A nurse is reviewing the laboratory results of a client who has aplastic
anemia. Which of the following findings indicates a potential
complication? - CORRECT ANSWER WBC count 2,000/mm
A nurse is assessing heart sounds of a client who reports substernal
precordial pain. Identify which of the following sounds the nurse
should document in the client's medical record by listening to the
audio clip. (Click on the audio button to listen to the clip.) - CORRECT
ANSWER Pericardial friction rub
A nurse is admitting a client who has active tuberculosis. Which of the
following types of transmission precautions should the nurse initiate? -
CORRECT ANSWER Airborne
A nurse is preparing to present a program about prevention of
atherosclerosis at a health fair. Which of the following
recommendations should the nurse plan to include? (Select all that
apply.) - CORRECT ANSWER -Follow a smoking cessation program.
-Maintain an appropriate weight.
-Eat a low-fat diet.
A home health nurse is providing teaching to a client who has a stage
1 pressure injury on the greater trochanter of his left hip. Which of the
following instructions should the nurse include in the teaching? -
CORRECT ANSWER Change position every hour.
, A nurse is providing teaching to a client who takes ginkgo biloba as an
herbal supplement. Which of the following statements should the
nurse make? - CORRECT ANSWER "Ginkgo biloba can cause an
increased risk for bleeding."
A nurse is providing teaching to a client who has a new prescription
for psyllium. Which of the following information should the nurse
include in the teaching? - CORRECT ANSWER Drink 240 mL (8oz) of
water after administration.
A nurse is assessing a client who has advanced lung cancer and is
receiving palliative care. The client has just undergone thoracentesis.
The nurse should expect a reduction in which of the following common
manifestations of advanced cancer? - CORRECT ANSWER Dyspnea
A nurse is caring for a client who is receiving mechanical ventilation
via a tracheostomy tube. The nurse should recognize that which of the
following complications is associated with long-term mechanical
ventilation? - CORRECT ANSWER Stress ulcers
A nurse is assessing a client who is postoperative following a
thyroidectomy. Which of the following findings is the nurse's priority? -
CORRECT ANSWER Temperature 39.9 C (102 F)
A nurse is teaching a family about the care of a parent who has a new
diagnosis of Alzheimer's disease. Which of the following information
should the nurse include in the teaching? - CORRECT ANSWER
Create complete outfits and allow the client to select one each day.
A nurse on a medical-surgical unit is reviewing the medical record of
an older adult client who is receiving IV fluid therapy. Which of the
following client information should indicate to the nurse that the client
requires re-evaluation of the IV therapy prescription? (Click on the
"Exhibit" button for additional information about the client. There are
three tabs that contain separate categories of data.) - CORRECT
ANSWER BUN