1. A nurse is caring for a client with Diabetes Insipidus (DI). Which data
warrants the most immediate intervention by the nurse?
- a. Serum sodium of 185 mEq/L
2. The nurse is obtaining the admission history for a cl
...
1. A nurse is caring for a client with Diabetes Insipidus (DI). Which data
warrants the most immediate intervention by the nurse?
- a. Serum sodium of 185 mEq/L
2. The nurse is obtaining the admission history for a client with suspected
peptic ulcer disease (PUD). Which subjective data reported by the client
supports this diagnosis?
- upper mid abdominal gnawing and burning pain
3. The nurse assesses a client who is newly diagnoses with hyperthyroidism
and observes that the clients’ eyeballs are protuberant, causing a wide eyed
appearance and eye discomfort. Based on this finding, which action should
the nurse include in this client plan or care?
- obtain a prescription for artificial tear drops
4. To reduce the risk for pulmonary complication for a client with
Amyotrophic Lateral Sclerosis (ALS), what interventions should the nurse
implement? (Select all that apply)
- Teach the client breathing exercises,
Perform chest physiotherapy
Encourage use of incentive spirometer
5. A client is hospitalized with heart failure. which intervention should the
nurse implement to improve ventilation and reduce venous return
- place client in high fowler position
6. A female client who was involved in a motor vehicle collision is admitted
with a fractured left femur which is immobilized using a fracture traction
splint in preparation for an open reduction internal fixation (ORIF). The
nurse determines that her distal pulses are diminished in the left foot.
Which interventions should the nurse implement? (Select all that apply.)
- Verify pedal pulses using a doppler pulse device
Monitor left leg for pain, pallor, paresthesia, paralysis, pressure
Evaluate the application of the splint to the left leg
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