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1. A nurse is caring for a female client. The client is at risk for
bleeding as evidenced by
Medical History the client's platelet count.
Client is receiving chemotherapy for treatment of
breast cancer.
Diagnostic Results
Week 1:
Hct 42% (37% to 47%)Hgb 15 g/dL (12 to 16 g/dL)WBC
count 8,000/mm3 (5,000 to 10,000/mm3)Platelet count
350,000/mm3 (150,000 to 400,000/mm3)Potassium
3.7 mEq/L (3.5 to 5 mEq/L)
Week 2:
Hct 37% (37% to 47%)Hgb 12 g/dL (12 to 16 g/dL)WBC
count 6,000/mm3 (5,000 to 10,000/mm3)Platelet count
100,000/mm3 (150,000 to 400,000/mm3)Potassium
3.6 mEq/L (3.5 to 5 mEq/L)
2. A nurse is caring for a client who asks about the "They indicate the form of
purpose of advance directives. Which of the following treatment a client is willing
statements should the nurse make? to accept in the event of a
serious illness."
3. A nurse is caring for a client who has recently start- "I will be sure to remove
ed using a behind-the-ear hearing aid. Which of the my hearing aid before tak-
following statements should the nurse identify as an ing a shower."
indication that the client understands the use of this
assistive device?
4. A nurse is evaluating a client's use of a cane. Which of The client holds the cane
the following actions should the nurse identify as an on the stronger side of
indication of correct use? their body.
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5. A nurse is caring for a group of clients. Which of the Place a client who has tu-
following actions should the nurse take to prevent the berculosis in a room with
spread of infection? negative-pressure airflow.
6. A nurse is administering an otic medication to an older Press gently on the tragus
adult client. Which of the following actions should the of the client's ear.
nurse take to ensure that the medication reaches the
inner ear?
7. A nurse is assessing an older adult client's risk for falls. Pupil clarity
Which of the following assessments should the nurse
use to identify the client's safety needs? Visual fields
Visual acuity
8. A nurse is caring for a client who has decreased mo- Apply an ankle-foot or-
bility. Which of the following actions should the nurse thotic device to the client's
take to decrease the client's risk of developing plantar feet.
flexion contractures?
9. A nurse in a clinic is caring for a middle adult client who "You should have a fe-
states, "The doctor says that, since I am at an average cal occult blood test every
risk for colon cancer, I should have a routine screen- year."
ing. What does that involve?" Which of the following
responses should the nurse make?
10. A nurse is teaching an older adult client who is at Walking briskly
risk for osteoporosis about beginning a program of
regular physical activity. Which of the following types
of activity should the nurse recommend?
11. A home health nurse is completing an admission as- The caregiver insists on re-
sessment of an older adult client who has their caregiv- maining in the room.