Correct Answers) Verified by Experts
A nurse is caring for a client who is anxious about her upcoming surgery. Which one of
the following interventions should the nurse prioritize? - ANSWER Determine whether
the client understands the procedure.
,A nurse is helping to develop a treatment plan for a client with peripheral arterial disease
of the lower extremities. Which one of the following interventions should the nurse
implement? - ANSWER Dangle your extremities from the side of the bed.
A nurse is assisting with the care plan for a client who recently suffered a left
hemispheric stroke. Which of the following actions should the nurse incorporate into the
plan? - ANSWER Use simple verbal cues to direct tasks.
A nurse is reinforcing teaching the caregiver of a terminally ill client about signs of
approaching death. Which of the following manifestations should the nurse consider? -
ANSWER Incontinence in the bowel and bladder
A nurse prepares to remove a client's NG tube. Which of the following interventions
should the nurse take to reduce the risk of aspiration? - ANSWER Pinch the NG tube.
A nurse is caring for a preoperative client who is getting an IV infusion of cefazolin. Ten
minutes after starting the infusion, the client complains of severe itching. Which of the
following actions should the nurse complete first? - ANSWER Stop the medication
infusion.
A nurse is reinforcing discharge instructions with a cirrhosis patient. Which of the
following instructions should the nurse provide? - ANSWER: "Consume foods with low
sodium."
, A nurse reinforces teaching with a client who is about to undergo a guaiac fecal occult
blood test. Which of the following instructions should the nurse include while teaching? -
ANSWER Avoid eating red meat for three days before the test.
A nurse prepares to administer phytonadione 7 mg subcutaneously to a client with an
INR of 4. Phytonadione 10 mg/mL is currently available. How many milliliters should the
nurse administer? (Round the answer to the nearest tenth). Use a leading zero if
necessary. Don't use a trailing zero. - ANSWER: 0.7mL
A nurse reinforces teaching with a client who is on insulin glargine. Which of the
following information should the nurse include in her teaching? - ANSWER: "This type of
insulin should be administered at the same time each day."
A nurse is treating a patient with methicillin-resistant Staphylococcus aureus (MRSA) in a
surgical wound. Which of the following information should the nurse prepare to share
with visitors? - ANSWER Visitors must wear a gown and gloves before entering the
client's room.
A nurse is gathering information from a 55-year-old woman who reports vaginal dryness
and hot flashes. The client wants to try hormone replacement therapy (HRT). Which of
the following should the nurse consider as a contraindication to HRT?
- ANSWER History of treatment for blood clots
A nurse is reinforcing constipation management with a hypothyroid client. Which of the
following instructions should the nurse include while teaching? - ANSWER Increase
your intake of fiber-rich foods.