Answers Graded A+
1) A nurse is reinforcing teaching to a client who improve which of the following? -
was recently prescribed a 2,000 mg sodium ANSWER -Mood
restricted diet. Which of the following nutritional
selections by the client indicates a need for St. John's Wort is widely used in the U.S. and
further teaching? - ANSWER -¾ cup of other countries as an herbal supplement for
canned tomato juice treating mild to moderate depression and to
relieve depression-related anxiety.
The nurse would recognize that the client didn't
understand because tomato juice has a lot of 7) A nurse is caring for a client who is immobile
sodium in it. and has developed a pressure ulcer. Which of
the following characteristics is associated with a
stage II pressure ulcer? - ANSWER -partial
2)A nurse in a providers office is reinforcing thickness skin loss
teaching to the parents of a child who has
allergies and is prescribed Benadryl 25mg every
six hours as needed. Available is Characteristics for a stage II ulcer include partial
diphenhydramine 12.5/5mL. How many thickness skin loss. The nurse would know this
teaspoons of medicine does the nurse need to because she is familiar with the stages of
instruct the parents to administer per dose? - pressure ulcers.
ANSWER -2 tsp
8) A nurse on a pediatric unit is caring for an
3) A nurse is caring for a client who has been infant who is diagnosed with
prescribed a full liquid diet. Which of the following larynotrachebronchitis. While performing a
is appropriate to include in the clients diet? - respiratory examination the nurse hears which
ANSWER -Grape Juice, Ice Cream sound? - ANSWER -STRIDOR
Stridor is a harsh high-pitched sound heard on
4)A nurse is examining a client's lymphatic inhalation or expiration. It is caused by turbulent
system. Identify the site nurse should palpate to air flow secondary to a narrowing or blockage in
assess the posterior cervical lymph nodes. - the upper airway and is a common clinical
ANSWER -Toward the back of the neck manifestation of acute laryngotracheobronchiti
5) A nurse is preparing to administer a tap water 9) A nurse is performing a respiratory
enema to a client. In which of the following examination on a client who has pneumonia.
positions should the nurse place the client? - Which of the following sounds should the client
ANSWER -Sims be elected over areas if consolidation during
percussion? - ANSWER -Dullness
6) A nurse in a provider's office is caring for a
client who has depression and is taking St. The nurse would know that a client with
Johns Wort. The herbal supplement is thought to pneumonia likely would have a dullness sound in
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