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Terms in this set (90)
a nurse is caring for a hypokalemia
client who has hepatic
encephalopathy that is Lactulose works by stimulating the production of
being treated with excess stools to rid the body of excess ammonia.
lactulose. the client is These excessive stools can result in hypokalemia
experiencing excessive and dehydration.
stools. which of the
following findings is an
adverse effect of the
medication?
a. hypokalemia
b. instruct the client to
allow the machine to
breathe for them.
c. add cabbage to the
diet.
d. nonrebreather mask
,a nurse is caring for a instruct the client to allow the machine to breathe
client who has for them.
emphysema and is
receiving mechanical When providing client care, the nurse should first
ventilation. the client use the least restrictive intervention. Therefore, the
appears anxious and first action the nurse should take is to provide verbal
restless, and the high- instructions and emotional support to help the
pressure alarm is client relax and allow the ventilator to work. Clients
sounding. which of the can exhibit anxiety and restlessness when trying to
following actions should "fight the ventilator."
the nurse take first?
a. add cabbage to the
diet.
b. nonrebreather mask
c. place the client in
high-fowler's position.
d. instruct the client to
allow the machine to
breathe for them.
a nurse is teaching a add cabbage to the diet.
client who has a family
history of colorectal To help reduce the risk for colorectal cancer, the
cancer. to help mitigate client should consume a diet that is high in fiber, low
this risk, which of the in fat, and low in refined carbohydrates. Brassica
following dietary vegetables, such as cabbage, cauliflower, and
alterations should the broccoli, are high in fiber.
nurse recommend?
a. nonrebreather mask
b. add cabbage to the
diet.
c. place the client in
high-fowler's position.
d. avoid placing plants or
flowers in the client's
room.
,a home health nurse is visual-spatial deficits
assigned to a client who left hemianopsia
was recently discharged one-sided neglect
from a rehabilitation
center after experiencing
a right-hemispheric
stroke. which of the
following neurological
deficits should the nurse
expect to find when
assessing the client?
a. visual-spatial deficits
b.
c. left hemianopsia
d. one-sided neglect
e.
a nurse is caring for a nonrebreather mask
client who has viral
pneumonia. the client's The nurse should initiate a nonrebreather mask to
pulse oximeter readings deliver between 80% to 95% oxygen to the client. A
have fluctuated between client who has an unstable respiratory status should
79% and 88% for the last receive oxygen via a nonrebreather mask.
30 min. which of the
following oxygen
delivery systems should
the nurse initiate to
provide the highest
concentration of
oxygen?
a. nonrebreather mask
b. place the client in
high-fowler's position.
c. Urine specific gravity
of 1.045
d. avoid placing plants or
flowers in the client's
room.
, a nurse is caring for a place the client in high-fowler's position.
client who has bilateral
pneumonia and an SaO2 The greatest risk to this client is injury from airway
of 85%. the client has obstruction. Therefore, the priority intervention the
dyspnea with a nurse should take is to move the client into high-
productive cough and is Fowler's position. High-Fowler's position facilitates
using accessory muscles lung expansion and improves ventilation and gas
to breathe. which of the exchange.
following actions should
the nurse take first?
a. nonrebreather mask
b. place the client in
high-fowler's position.
c. Urine specific gravity
of 1.045
d. avoid placing plants or
flowers in the client's
room.
a nurse is planning care avoid placing plants or flowers in the client's room.
for a client who has
extensive burn injuries Live plants can harbor P. aeruginosa, and this
and is bacterium can infect burn wounds and cause life-
immunocompromised. threatening complications. The nurse should ensure
which of the following no one brings live plants or flowers into the client's
precautions should the room.
nurse include in the plan
of care to prevent a
Pseudomonas aeruginosa
infection.
a. nonrebreather mask
b. place the client in
high-fowler's position.
c. Urine specific gravity
of 1.045
d. avoid placing plants or
flowers in the client's
room.