MARKING SCHEME
A client experiences an AOB a. low back pain and hypotension
incompatibility reaction after
multiple blood transfusions. ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
Which finding should the nurse
report
immediately to the health care
provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with
urticarial
d. arthritic joint changes and
chronic pain
We have an expert-written solution to this problem!
,When conducting discharge c. Eat a high fiber diet and increase fluid intake.
teaching for a client
diagnosed with diverticulosis, ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
which diet instruction should
the nurse include?
a. Have small frequent meals
and sit up for at least two
hours after meals.
b. Eat a bland diet and avoid
spicy foods.
c. Eat a high fiber diet and
increase fluid intake.
d. Eat a soft diet with
increased intake of milk and
milk products
,An overweight, young adult who a. Check
was finger stick
recently Check finger stick
glucose
glucose diagnosed with type 2
diabetes mellitus is admitted b. Assess skin
for a hernia repair. He tells temperature and
the nurse that he is moisture
feeling very weak and jittery.
c. Measure pulse
Which actions should the nurse
and blood
implement? (Select all that
pressure
apply.)
ANSWER: (CAM)
a. Check
finger stick
glucose
b. Assess skin
temperature and
moisture
c. Measure pulse
and blood
pressure
, A client who underwent d. Obtain a 12-lead electrocardiogram and begin continuous cardiac
cardiac stent placement four monitoring
days ago arrives to the
emergency department
reporting a sudden onset of
chest pressure and
shortness of breath. Which
action should the nurse take
next?
a. Listen for extra heart sounds,
murmurs, and r hythm with
the bell of
the stethoscope.
b. Evaluate upper and lower
extremities for perfusion,
pulse volume,
and pitting edema.
c. Verify
troponin level
assessments are
scheduled every 3-6 hours for a
series of three.
d. Obtain a 12-lead
electrocardiogram and
begin continuous cardiac
monitoring
.