31. A client with hemorrhoids asks for information about a high…
Question Answered step-by-step 31. A client with hemorrhoids asks for information about a high… 31. A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu items should the nurse suggest? (Select all that apply.)A. Scrambled eggsB. Bowel of oatmealC. Raisin bran muffinsD. Cup of raspberriesE. Bacon slices 32. The nurse is admitting a client from the post anesthesia unit to the postoperative surgical care unit. Which prescription should the nurse implement first?A. Straight catheterization if unable to voidB. Advance from clear liquids as toleratedC. Cefazolin 1 gram IVPB q6 hoursD. Complete blood cell count (CBC) in AM 33. The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child’s anxiety, which action is best for the nurse to implement?A. Provide dolls and equipment to re0enact feelings associated with painful procedures. B Give the child syringes of hospital masks to play with at home prior to hospitalizationC. Provide a family tour of the preoperative unit one week before the surgery is scheduled. D. Include the child in play therapy with children who are hospitalized for similar surgery 34. The nurse is providing teaching to a client who has been recently diagnosed with gestational diabetes mellitus. Which complication poses the greatest risk to the fetus if euglycemia (normal level of glucose) is not maintained? A. Cleft palateB. Preterm birthC. Low birth weightD. Macrosomic newborn 35. An older adult client is admitted to the stroke unit after recovery from the acute phase of an ischemic cerebral vascular accident (CVA). Which interventions should the nurse include in the plan of care during convalescence and rehabilitation? (Select all that apply)A. Encourage family to participate in the client’s careB. Play classical music in room while client is awakeC. Suction oral cavity every 4 hoursD. Place a bedside commode next to bedE. Measure neurological vital signs every 4 hours 36. The nurse enters a client’s room to administer oral medications and finds unlicensed assistive personnel (UAP) providing personal care to the client, whose condition has obviously deteriorated. The client is lying in a supine position and is weak, pale, and diaphoretic. What is the priority nursing action? A. determine why the UAP did not notify the nurse of the change in the client’s condition B. Advise the UAP to stop providing care so the nurse can assess the client’s condition. C. Explain to the UAP that changes in a client’s condition should be reported immediately. D. Ask the UAP to position the client so the oral medications can be administered. 37. The nurse observes a client prepare meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safety? (Select all that apply)A. Leans forward to pull a pan from a high shelf. B. bends from the waist to pick trach off the floor. C. Locks knees while preparing food on the counter.D. Brings a heavy can close to body before liftingE. Widens stance while working near the sink. 38. A client with peptic ulcer disease receives a prescription for intermittent suction via a Salem Sump nasogastric tube (NGT). After inserting the NGT and obtaining coffee-ground gastric contents, the nurse clamps the NGT because the client must leave the unit for diagnostic studies. Upon return to the unit, the client complains of nausea. Which action should the nurse implement first?A. Connect the NGT to low intermittent suctionB. Irrigate the NGT with sterile normal salineC. Provide oral suction using a Yankauer tipD. Administer a prescribed antiemetic agent 39. A mother brings her child, who has a history of asthma, to the emergency room. The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has labored respirations. Which assessment is most important for the nurse to obtain? A. Frequency that the child uses a rescue inhaler during the week. B. Type all allergen exposure or trigger for the current episode. C. Type of inhaler the child typically uses on the regular basis. D. Last dose and type of rescue inhaler used by the child. 40. A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor?A. Erythrocyte sedimentation rateB. Serum calciumC. OsmolalityD. Hemoglobin Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
