a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of the following findings is an adverse effect of... the medication? - hypokalemia a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the client appears anxious and restless, and the high-pressure alarm is sounding. which of the following actions should the nurse take first? - instruct the client to allow the machine to breathe for them a nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this risk, which of the following dietary alterations should the nurse recommend? - add cabbage to the diet a home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. which of the following neurological deficits should the nurse expect to find when assessing the client? – visual spatial deficits left hemianopsia one-sided neglect a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? - nonrebreather mask a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the client has dyspnea with a productive cough and is using accessory muscles to breathe. which of the following actions should the nurse take first? - place the client in high-fowler's position a nurse is planning care for a client who has extensive burn injuries and is immunocompromised. which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection. - avoid placing plants or flowers in the client's room an older adult client is brought to an emergency department by a family member. which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? - Urine specific gravity of 1.045 a nurse in an emergency department is reviewing the providers prescriptions for a client who sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse expect? - administer an opioid analgesic to the client a nurse is assessing a client who has had a suspected stroke. the nurse should place the priority on which of the following findings? - dysphagia a nurse is teaching a young adult client how to perform testicular self-examination. which of the following instructions should the nurse include? - roll each testicle between the thumb and fingers a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. which of the following statements by the client indicates an understanding of the teaching? - I should take this medication with a meal a nurse is teaching a client who has venous insufficiency about self-care. which of the following statements should the nurse identify as an indication that the client understands the teaching? - I will wear clean graduated compression stockings every day a nurse is assessing a client who has acute cholecystitis. which of the following findings is the nurse's priority? - tachycardia a nurse is reviewing the health record of a client who is scheduled for allergy skin testing. the nurse should postpone the testing and report to the provider with if the following findings? - current medications a nurse is caring for a group of clients. the nurse should plan to make a referral to physical therapy for which of the following clients? - a client who is receiving preoperative teaching for a right knee arthroplasty a nurse is caring for a client who has DKA. which of the following laboratory findings should the nurse expect? - BUN 32 mg/dl a nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. which of the following statements should the nurse include in the teaching - you should cut the opening of the skin barrier one-eighth inch wider than the stoma [Show More]
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