1. A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 1. The top of the cane is parallel to the client's waist... . 2. When walking, the client moves the cane 46 cm (18 in) forward. 3. The client holds the cane on the stronger side of her body. 4. The client moves her stronger limb forward with the cane. 2. A nurse receives a report about a client who has 0.9% sodium chloride infusing IV at 125mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. Which of the following actions should the nurse take first? 1. Reposition the client. 2. Document the client's IV intake in the medical record. 3. Request a new IV fluid prescription. 4. Check the IV tubing for obstruction. 3. A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? 1. Position the client with the head of the bed elevated to 30° prior to insertion of the NG tube. 2. Remove the NG tube if the client begins to gag or choke. 3. Apply suction to the NG tube prior to insertion. 4. Have the client take sips of water to promote insertion of the NG tube into the esophagus. 4. A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? 1. BUN 15 mg/dL (2.5 – 7.1) 2. Creatinine 0.8 mg/dL (0.84 – 1.21) 3. Sodium 143 mEq/L (135 – 145) 4. Potassium 5.4 mEq/L (3.5 – 5.0) 5. A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? 1. "I can place an extension cord across my living room to plug in my television." 2. "I will hire someone to trim the tree that hangs low over the stairs of my front porch." 3. "I will place my alarm clock on my bedroom dresser across the CONTINUED.................. [Show More]
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