50. A nurse is preparing to obtain informed consent from a client… 50. A nurse is pre

50. A nurse is preparing to obtain informed consent from a client… 50. A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?1.Get another nurse who understands client language2. Recommend an interpreter who is the same gender as the client. 3.Recommend an professional  interpreter  51. A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? 1. Aspirate residual volume every 4 hr 2.Aspirate residual every 2 hours3. Flash the tube after every feeding 52. A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating Iv therapy? 1. The cephalic vein in the left distal forearm 2.The cephalic vein in the right distal  forearm3The Cephalic vein in the left proximal forearm 53. A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet? 1. Plain yogurt 2.Ginger alle3.Dietery soda  55. A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first? Provide the client with a mirror to look at her mastectomy incisions refer the client to a breast cancer support group identify the impact of the mastectomy on the client’s body image encourage the client to assist with her dressing change 58. A nurse is preparing to perform a physical assessment of a client’s abdomen. Identify the sequence in which the nurse should perform the following steps. (Place them in order of performance. Use all steps) –  . Percuss all four quadrants of the abdomen to measure sound quality –   Provide adequate lighting to inspect the abdomen –   Locate liver and spleen borders by pressing hands 2.5 to 7.5 cm ( 1 to 3 in) into the abdomen –   Listen to the abdomen arteries using the bell of a stethoscope –   Check for areas of tenderness by pressing fingers 1.3 cm (0.5 in) into the 59. a nurse working on a medical surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to assistive personnel? 1.Assisting with ambulation for a client who has a pulmonary infection. 2.Feeding of the patient3. Changing of wound dressing 60. A nurse is mixing a short acting insulin and an intermediate insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?  1.Inject air into the short acting insulin vial.2. Rolling  vial in the hand3.Shaking the vial  Health Science Science Nursing NURS 318 Share QuestionEmailCopy link Comments (0)

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