repositioned all night and is sleeping on a special air mattress with no sheets. Which
information should the nurse provide to the family member?
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Clarify that an aerated support surface does not use sheets that often
cause skin breakdown.
,A client is discharged to a long term care facility with an indwelling urinary catheter.
Which nursing action should be included in the plan of care to reduce the clients risk
for infection related to the catheter?
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Flush the catheter daily with sterile saline.
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff,
the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse
take?
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Inflate blood pressure cuff to 120 mm Hg.
When conducting diet teaching for a client who is experiencing episodes of vomiting,
the nurse recommends that the client consume only clear liquids. Which choices by
the client indicate effective learning? (Select all that apply)
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-Carbonated ginger ale
- Warm chicken broth
- Filtered apple juice
The nurse is administering a client's medications through a feeding tube. One of the
medications is an enteric-coated tablet. Which action would be best for the nurse to
, take?
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Consult with the pharmacist about a liquid form of the medication.
A client is admitted to the rehabilitation unit following a cerebrovascular accident
(CVA), which resulted in paralysis of the right arm. When the nurse enters the room,
the client is struggling to put on a shirt, and curses the nurse. Which response is best
for the nurse to provide?
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Dressing must be a frustrating experience for you.
Which statement by a client indicates to the nurse that the client understands how a
newly prescribed transdermal medication will be administered?
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The medicine will be applied directly on my skin.
The community health nurse is making a home visit when the client who is sitting at the
kitchen table, begins to have a seizure. What action should the nurse take first?
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