1. A nurse in a long-term care facility is collecting data from an

Question Answered step-by-step 1. A nurse in a long-term care facility is collecting data from anolder adult client. Which of the following findings indicates that the client might be dehydrated?a.Cool, clammy skinb. Decrease in pulse ratec. Increase in blood pressured. recent onset of confusion2. A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema? a. Limit range-of-motion exercises with the affected arm.b.Use the client’s left arm to obtain blood samples.c. Keep both arms below the level of the client’s heart.d. Obtain blood pressure readings using the client’s right arm.3. ) A nurse is assisting a provider with removing a client’s lower-leg cast. Which of the following statements by the nurse is appropriate?a.’You can expect your leg muscles to look a little swollen.”b. “You should avoid elevating your leg while sitting.”c. “You should hold still to prevent injury to your skin.”d. “You can expect to feel pressure when we cut the cast.”4.A nurse reinforcing discharge teaching with the client who had an abdominal hysterectomy 2 days ago. Which of the following instructions should the nurse include in the teachinga. ” douche with warm water to remove vaginal discharge”b. ” Take a shower rather than a bath”c.” avoid climbing stairs for 8 week”d. ” Expect bright red vaginal bleeding for 1 week following surgery”5.A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?a. Pallorb. Peripheral edemac. Pruritusd. Hypertension6.A nurse is reviewing a client’s medical record. Which of the following findings is the priority for the nurse to report?a. Abnormal hepatoiminodiacetic acid (HIDA) scanb. A client’s rating of ear pain as 5 on a scale from 0 to 10c. Urine output 200 mL/8 hrd. Potassium level 6.2 mEq/L7.) A nurse is reinforcing teaching with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching?a. Phototherapyb. Dermabrasionc. Oil-based ointmentd. Benzoyl peroxide8. A nurse is reinforcing teaching with a client and her partner about performing chest physiotherapy at home. Which of the following statements by the client indicates an understanding of the teaching?a.”I should take a prescribed bronchodilator following the procedure”b. “I will wear a sweatshirt during the procedure”c. “I will need to change my position multiple times during the procedure”d. “I should eat a small meal prior to the procedure”9. A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?a. Administer enemas 2 days before the procedureb. Do not eat or drink anything except water for 12 hr before the procedurec. Restrict the diet to clear liquids for 1 to 3 days before the procedured. Expect the provider to schedule another procedure to remove any polyps.10.A nurse is assisting with the care of a client who has a closed-chest tube drainage system.a. Clamp the tube for 30 mins every 8 hrb. Monitor for at least 150 mL of drainage every hourc. Replace the unit when the drainage chamber is fulld. Pin the tubing to the client’s bed sheets11.A nurse is reinforcing teaching with a client who has a new ileostomy, indication of understanding.a. “I will use moisturizing soap to clean around the stoma before applying the bag”b. “I will need to empty the bag every 4-6 hrsc. “I will cut the wafer opening one-fourth of an inch larger than the stoma”d. “I will use a skin sealant before I apply the bag”12.A nurse is providing directions to an assistive personnel about moving a client up in bed.a. “Place a pillow under the client’s head prior to repositioning”b. “Keep your feet close together while moving the client”c “Face in the direction of the client’s movement”d. “Move the client’s arms to his sides prior to repositioning”13.A nurse is reinforcing teaching about foods containing potassium with a client who has a new prescription for hydrochlorothiazide, what food is the best source of potassium?a. ½ cup of cucumber slices (only 80 mg)b. 1 cup of apricot slicesc. ½ cup of okrad. 1 cup of pineapple chunks (200 mg)14. A nurse is contributing to the plan of care for a client who has developed an infectious wound would foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?a. Minister antibiotic therapy before culturing the client’s wound.b. discard soiled wound care supplies in a trash receptacle outside the client’s room.c. Place the client in a private room with a private bathroom.d. instruct visitors to perform hand hygiene four five seconds after leaving the clients room15. The nurse is reinforcing teaching with a group of clients who are at risk for coronary heart disease due to hypercholesterolemia. Which of the following information should the nurse include in the teaching?a. Increase intake of dairy productsb. limit servings of meat per meal to 113 to 170 g ( 4 to 6 oz )c. cook with coconut oild. include fish in the diet two times per week16.A nurse is caring for a client who is to receive zoster vaccine live due to the risk for herpes zoster. Which of the following is an appropriate action by the nurse?a. Withhold an immunization if the white blood cell count is less than 5,000/mm3b. Administer the immunization IMc. Repeat the immunization three months after the initial injectiond. Administer Diphenhydramine stat if erythema develops at the site17.. A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan of care?a. Ask the provider for a puree dietb. Have an assistive personnel feed the clientc. Apply foam handles to the client’s eating utensilsd. Obtain a referral for physical therapy18. A nurse is caring for a client who is postoperative following right total knee arthroplasty. Which of the following actions should the nurse take when applying the continuous passive motion ( ICP) device?a. Ensure the hip is in full abduction when applying CPM deviceb. Elevate the head of the bed 30 degrees before starting the CPM devicec. Apply the CPM device over the knee immobilizerd.  Ensure the knee joint is positioned over the CPM device frame joint19.A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?a. Eat lighter, low -calorie foods firstb.○ Eliminate dairy productsc. Consume three regular meals dailyd. Limit fluid intake during meals Health Science Science Nursing NURS 146B Share QuestionEmailCopy link Comments (0)