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Exam Questions & Detailed
_____________Quiz____________? a nurse is planning dietary teaching for a client who has diabetes mellitus. which of the following actions should the nurse plan to take first? -
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ask client to identify the types of foods she prefers _____________Quiz____________? caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL -
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diaphoresis _____________Quiz____________? caring for a client who is 72 hr postoperative following an above the knee amputation which actions should the nurse take? -
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assist the client to a prone position every 4 hr. _____________Quiz____________? client who has gout and urolithiasis. client asks how to prevent future uric acid stones. -
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take allopurinol as prescribed
exercise several times a week limit intake of foods high in purine _____________Quiz____________? which of the following findings should the nurse identify as an indication of a basilar skull fracture -
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clear fluid coming form the nares _____________Quiz____________? nurse should identify which of the following findings as an indication of breast cancer? -
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a nontender, hard lump that is palpated in one breast _____________Quiz____________? nurse is providing discharge teaching about improving gas exchange to a client who has emphysema. which of the following instructions should the nurse include in the teaching? -
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use pursed-lip breathing during periods of dyspnea _____________Quiz____________? prior to initiating a transfusion of packed red blood cells, which of the following actions should the nurse take -
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assess and document the clients vital signs verify with another nurse the blood type and Rh change IV tubing to a set that has a filter _____________Quiz____________?
_____________Quiz____________? A nurse is providing postoperative care for a client who has two chest tubes in place following a lobectomy. The client asks the nurse the reason for having two chest tubes. The nurse should inform the client that the lower chest tube is placed for which of the following reasons? -
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draining blood and fluid from the pleural space _____________Quiz____________? A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements by the client indicates a need for further teaching? -
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"i will use lemon and glycerine swabs after meals" _____________Quiz____________? A nurse is providing discharge teaching to a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching? -
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"I should check my heart rate at the same time each day" _____________Quiz____________? A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO 32 mm HG, and HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances? -
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respiratory alkalosis _____________Quiz____________?
A nurse is preparing to care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse assess first? -
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a client who has emphysema and reports dyspnea _____________Quiz____________? A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight management program. The nurse determines that the client gained 1.36 kg ( lb) in the past week. Which of the following statements should the nurse make? -
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"where there any issues last week that kept you from focusing on your diet?" _____________Quiz____________? A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal fluid is not adequately draining. Which of the following actions should the nurse take? -
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turn the client form side to side _____________Quiz____________? A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include? -
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"you should take this medication on an empty stomach" _____________Quiz____________? A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider? -
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viscous urinary output with clots
A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is scheduled for a standard electroencephalogram (EEG). Which of the following instructions should the nurse include in the teaching? -
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thoroughly shampoo hair prior to the EEG _____________Quiz____________? A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider? -
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chest petechiae _____________Quiz____________? A nurse is caring for a client who is to have his chest tube removed. Which of the following actions should the nurse take? -
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instruct the client to perform the valsalva maneuver during removal _____________Quiz____________? A nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Which of the following actions should the nurse take first? -
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ask the client about first aid performed at the scene _____________Quiz____________? A nurse is providing discharge teaching to a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching? -
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"I will need to take methotrexate even if I'm in remission"
_____________Quiz____________? A nurse in an emergency department is assessing a client who has extensive burns, including on her face. Which of the following assessments should the nurse perform first? -
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characteristics of the cough and sputum _____________Quiz____________? A nurse is teaching a client about transmission prevention of hepatitis A. The nurse should identify that hepatitis A is transmitted by which of the following routes? -
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fecal-oral contamination _____________Quiz____________? A nurse is planning care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following actions should the nurse include in the client's plan of care? -
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offer the client a bedpan every 2 hr. _____________Quiz____________? A nurse is planning care for a client who has thrombophlebitis and a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care? -
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infuse the heparin using an electronic IV pump _____________Quiz____________? A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on the table. Which of the following actions should the nurse take? -
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A nurse is providing teaching to a client who is scheduled for a sigmoid colon resection with colostomy. Which of the following statements by the client indicates a need for further teaching? -
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my diet will have to change to a soft diet after surgery _____________Quiz____________? A nurse is caring for a client who has encephalitis due to West Nile virus. Which of the following actions should the nurse take? (Select all that apply.) -
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monitor vital signs every 2 hr assess neurological status every 4 hr keep the clients room darkened _____________Quiz____________? A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following actions should the nurse take? -
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apply lateral pressure to the clients nose for 10 min _____________Quiz____________? A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm3. Which of the following interventions should the nurse include? -
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avoid IM injections _____________Quiz____________? A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis (MS). The clients asks the nurse about the usual course of MS. Which of the following responses should the nurse make? -
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acute episodes are usually followed by remissions, which can vary in duration _____________Quiz____________? A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. Which of the following findings should the nurse expect? -
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involuntary muscle spasms _____________Quiz____________? A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take? -
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check the clients capillary blood glucose level every 4 hr _____________Quiz____________? A nurse is providing teaching to a client who has tuberculosis and prescriptions for rifampin and ethambutol. The nurse should identify which of the following findings as an adverse effect of these medications that the client should report to the provider? -
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decreased visual acuity _____________Quiz____________? A nurse is preparing to administer eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take? -
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apply pressure to the punch after instilling the medication _____________Quiz____________? A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first? -
