A nurse is caring for a client who is postop. which of the following interventions
should the nurse take to reduce the risk of thrombus development (select all that
apply)
A. instruct client not to perform Valsalva maneuver
B. apply elastic stockings
C. review laboratory values for total protein level
D. place pillows under client’s knees and lower extremities
E. assist client to change position often
B
E
A nurse is planning care for a client who is on bed rest. which of the following
interventions should the nurse plan to implement?
A. encourage client to perform antiembolic exercises q2
B. instruct client to cough and deep breathe q4
C. restrict client’s fluid intake
D. reposition q4
A
,A nurse is evaluating teaching on a client who has a new rx for a sequential
compression device. which of the following client statements should indicate the
client understands?
A. this device will keep me from getting sores on my skin
B. this thing will keep the blood pumping through my leg
C. with this thing my leg muscles won’t get weak
D. this device is going to keep my joints in good shape
B
A nurse is instructing a client who has an injury to the left lower extremity about
the use of a cane. which of the following instructions should the nurse include?
(select all that apply)
A. hold cane to right side
B. keep 2 points of support on floor
C. place cane 38 cm(15in) in front of feet before advancing
D. after advancing care, more weaker leg forward
E. advance stronger leg so that it aligns with the cane
A
B
D
,A nurse is talking with the parents of a 6-month-old infant about gross motor
development. Which of the following gross motor skills are expected findings in
the next 3 months? (Select all that apply.)
a. Rolls from back to front
b. Bears weight on legs
c. Walks holding onto furniture
d. Sits unsupported
e. Sits down from a standing position
A
B
D
A nurse is cautioning the mother of an 8-month-old infant about safety. Which of
the following statements by the mother indicates an understanding of safety for
the infant?
a. "My baby loved to play with his crib gym, but I took it away from him."
b. "I just bought a soft mattress so my baby will sleep better."
c. "My baby really likes sleeping on the fluffy pillow we just got for him."
d. "I just bought a child-safety gate that folds like an accordion."
A
, A nurse is reviewing car-seat safety with parents of a 1-month-old infant. When
reviewing car-seat use, which of the following instructions should the nurse
include?
a. Use a car seat that has a three-point harness system.
b. Position the car seat so that the infant is rear-facing.
c. Secure the car seat in the front passenger seat of the vehicle.
d. Put soft padding in the car seat behind the infant's back and neck.
B
The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her
baby has been fussy with occasional loose stools since she started feeding him
fruits and vegetables. Which of the following responses by the nurse are
appropriate? (Select all that apply.)
a. "It might be good to add bananas, as they can help with loose stools."
b. "Let's make a list of the foods he is eating so we can spot any problems."
c. "Did the changes begin after you started one particular food?"
d. Has he been vomiting since he started these new foods?"
e. "Most babies react with a little indigestion when you start new foods."
B
C
D