Which of these instructions should a nurse include in the teaching plan for a client who had removal of a
cataract in the left eye? Correct Answer: "Take the prescribed stool softener to avoid increasing
intraocul
...
Which of these instructions should a nurse include in the teaching plan for a client who had removal of a
cataract in the left eye? Correct Answer: "Take the prescribed stool softener to avoid increasing
intraocular pressure."
A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take
which of these actions? Correct Answer: Check the residual volume.
Which of these actions best demonstrates cultural sensitivity by a nurse?. Correct Answer: The nurse
asks clients about their beliefs and practices toward pregnancy.
Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is
diagnosed with dehydration? Correct Answer: Tachycardia.
When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential
entry portals, which include: Correct Answer: the urinary meatus.
A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a
nurse take if the client is agitated? Correct Answer: Encourage the client to verbalize feelings.
Which of these measures should a nurse include when planning care for a school-aged child during a
sickle cell crisis episode? Correct Answer: Providing pain relief.
Which of these instructions should a nurse include in the plan of care for a 32-week gestation client who
had an amniocentesis today? Correct Answer: "Call the clinic if you experience any abdominal cramps."
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods.
Selection of which of these lunches by the client indicates a correct understanding of foods high in iron
content? Correct Answer: Beefburger with cheese.
A client has been admitted with acute pancreatitis. Which of these laboratory test results supports this
diagnosis? Correct Answer: Elevated serum amylase level.
Which of these manifestations, if assessed in a client who is two-hours postoperative after abdominal
surgery, should a nurse report immediately? Correct Answer: Vomiting and a pulse rate of 106/minute.
Which of these observations of a student nurse's behavior while interacting with a client who is crying
indicates a correct understanding of therapeutic communication? Correct Answer: The student sits
quietly next to the client.
Which of these actions should a nurse take initially if a client who is diagnosed with diabetes mellitus
develops tremors and ataxia? Correct Answer: Measure the client's blood sugar level.
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