. A nurse at a rehabilitation facility is assisting with the admission of a client who has left
hemiplegia following a stroke. Which of the following actions should the nurse take first? ANS:
Determine the client's men
...
. A nurse at a rehabilitation facility is assisting with the admission of a client who has left
hemiplegia following a stroke. Which of the following actions should the nurse take first? ANS:
Determine the client's mental status
2. A nurse is planning care for a client who practices Judaism. Which of the following questions
should the nurse ask the client to better understand how he practices Judaism? ANS: "Do you
observe the Sabbath?"
3. A nurse is caring for a client who has a visual impairment. When setting up the client's meal
tray, the nurse should take which of the following actions? ANS: Describe food placement
using the numbers on the face of a clock
4. A nurse is reinforcing teaching with a male client about clean intermittent self-catheterization.
Which of the following instructions should the nurse include? ANS: Wash the catheter with
soap and water after use
5. A nurse is caring for a client who has a terminal illness. Which of the following is an expected
response by a family member during the anger stage of grieving? ANS: The family member
criticizes care provided by the nurse
6. A nurse is assisting with the plan of care for a client who is dying. Which of the following
interventions should the nurse include in the plan of care? ANS: Allow family to assist the
client with personal hygiene
7. A nurse is preparing to collect blood samples from an older adult client. Which of the following
actions should the nurse take when performing venipuncture? ANS: Apply the tourniquet over
the client's sleeve
8. A nurse is collecting data from a client who is receiving a continuous IV infusion of lactated
Ringer's for dehydration. Which of the following findings indicates infiltration of the solution into
the subcutaneous area? ANS: The area around the infusion site is cool to the touch
9. A nurse is reinforcing teaching about home safety with a client who is at risk for falls. Which of
the following client statements indicates an understanding of the teaching? ANS: I will secure
all of my electrical cords to the baseboard
10.A nurse is reinforcing teaching about sleep promotion with a client who reports having difficulty
sleeping. Which of the following client statements indicates an understanding of the teaching?
ANS: I should play music that relaxes me before I go to bed
11.A nurse is reinforcing teaching with the partner of a client who has left-sided weakness about
how to safely move the client from a bed to a chair at home. which of the following statements
by the partner indicates an understanding of the teaching? ANS: I'll bend at the knees when
lifting to get better leverag
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