Question A nurse is reinforcing teaching with a client about breast

Question A nurse is reinforcing teaching with a client about breast self-examinations.Which of the following statements by the client indicates an understanding of the teaching?O “It is common for one breast to be larger than the other..,”O “It is common for the skin on my breasts to dimple.”O “| will perform breast exams the day my period begins.”O “| will perform breast exams every other month.” A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer and reports a change in the taste of food. Which of the following interventions should the nurse include in the plan of care?O Offer artificial saliva frequently.O Add honey to sweeten fruit smoothies.O Heat food before serving.O Provide three large meals daily. A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?O Raise all four side rails while the client is in bed.O Apply a motion sensor mat to the client’s bed.O Leave the television on in the client’s room.O Move the overbed table away from the bed. A nurse is reinforcing discharge teaching about dietary changes with a client who has a new colostomy. Which of the following foods should the nurse recommend?O AsparagusO BananasO GrapesO Broccoli A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider?O Urinary output of 1,000 mL in 12 hrO Potassium level 4.5 mEq/LO Paco2 55 mm HgO Chest x-ray showing cardiomegaly A nurse is caring for a client who has diabetic neuropathy of the lower extremities and has a new prescription for a heating pad. The prescription reads, “Apply to the left foot for 20 min.” Which of the following actions should the nurse take?O Complete Semmes-Weinstein monofilament testing following treatment. O Apply the heating pad as prescribed by the provider.O Clarify the prescription with the provider.O Observe the skin 10 min after the start of treatment. A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the following interventions should the nurse include in the plan?O Keep a stethoscope at the client’s bedside for the duration of her hospital stay.O Wear an N95 mask when entering the room.O Use an alcohol swab to clean the temperature probe before removing it from the room.O Remove personal protective equipment immediately after leaving the client’s room. A nurse is reinforcing teaching about dietary modifications to help control blood pressure with a client who has hypertension. Which of the following food choices by the client indicates an understanding of the teaching?O A ham sandwich on rye breadO Broiled cod with broccoliO Beef bouillon with crackersO Pork sausage with sautéed peppers A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching?O “| will need to charge the TENS unit for 2 hours each day.”O “The TENS unit administers a continuous dose of pain medication.”O “| should adjust the TENS unit until | feel a tingling sensation.”O “The TENS unit should be applied at least 6 inches from the actual site of my pain.” . A nurse working in a provider’s office is caring for a client who received penicillin G potassium 15 min ago to treat strep throat. Which of the following is the priority finding the nurse should report to the provider?O NauseaO HypotensionO Abdominal painO Arthralgia A nurse is reinforcing discharge teaching with a client who had an excisional biopsy of the left breast. Which of the following instructions should the nurse include?O Refrain from wearing a bra for 10 days after the surgery.O Apply an ice pack to the incision site to treat discomfort.O Expect numbness to last for up to 4 months.O Use bandages to absorb bleeding at the incision site. A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of the following actions should the nurse take when applying the SCD?O Ensure two fingers fit between the leg and the sleeve.O Wrap excess tubing to the side of each leg.O Ensure pressure of the device is at 25 mm Hg.O Place each sleeve under each leg with the opening at the calf. A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client refuses further hydration and nourishment. Which of the following actions should the nurse take?O Request a prescription for IV fluids.O Ask the client’s health care surrogate for permission to withhold nourishment.O Provide regular oral care for the client with a moist swab.O Explain the importance of oral hydration to the client. A nurse is collecting data from a client who is African-American. Which of the following areas should the nurse check to determine the presence of pallor?O Antecubital spaceO Pinna of the earO AbdomenO Conjunctiva A nurse is caring for a client who is postoperative following an appendectomy. Which of the following information should the nurse include when documenting in the electronic medical record?O Incision healing wellO Client status unchanged throughout shiftO Abdominal wound dry, without rednessO Client received an adequate amount of fluid A nurse is caring for a client who is 24 hr postoperative following abdominal surgery. The client received an opioid analgesic 1 hr ago and now reports a pain level of 2 on a scale of 0 to 10. Which of the following actions should the nurse take?O Reposition the client. |O Administer an additional dose of pain medication.O Maintain the client on bed rest.O Apply a warm, moist compress to the incision area. A nurse is reinforcing teaching about immunizations with an older adult client. Which of the following instructions should the nurse include?O “You should receive the live, attenuated influenza vaccine every other year.” O “You should receive the hepatitis A vaccine every 10 years.”O “You should receive the human papillomavirus vaccine.”O “You should receive one dose of the pneumococcal vaccine.” A nurse is prioritizing care for four clients following change-of-shift report. Which of the following clients should the nurse attend to first?O A client who has diverticulitis and a temperature of 38.3° C (100.9° F)O A client who has a prescription for a sputum specimen to be obtained before breakfastO A client who sustained a head injury 2 days ago and has a decreased level of consciousnessO A client who has Alzheimer’s disease and requires assistance to the bathroom A nurse in a long-term care facility is providing care for a client who has Alzheimer’s disease and is agitated. Which of the following interventions should the nurse implement?O Encourage the client to ambulate with a staff member.O Isolate the client in their room.O Apply bilateral wrist restraints to the client.O Administer a prescribed oral dose of trazodone to the client. A nurse is performing tracheostomy care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take?O Suction the client for 20 seconds with each pass.O Apply suction pressure while inserting the catheter into the trachea.O Sanitize around the stoma with povidone-iodine.O Allow space for one finger to be placed under the tube ties. A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal suctioning. Which of the following statements by the partner indicates an understanding of the teaching?O “| will suction the mouth before inserting the suction catheter into the tracheostomy.”O “| will suction for less than 15 seconds while inserting the suction catheter.”O “| will set the suction pressure dial between 80 and 120.”O “| will wrap the suction catheters in a clean towel to be used again at a later time.” A nurse is assisting with the care of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood transfusion?O HypertensionO vomitingO Distended neck veinsO Polyuria Health Science Science Nursing NURSING NUR151 Share QuestionEmailCopy link Comments (0)

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