A client with heart failure is to be weighed daily. The client asks…

Question A client with heart failure is to be weighed daily. The client asks… A client with heart failure is to be weighed daily. The client asks why this is necessary. Which is the best information for the nurse to give the client?Is an indication of the fluid status in the body.      b) Helps determine if the medication is working.      c) Determines the number of calories for the diet.     d) Shows how activity affects activity tolerance A client is diagnosed with glaucoma. The client asks. “Why do I need to take these eye drops? They hurt my eyes.” which is the nurse’s best response?The eye care provider says you need to take them. I am sorry they hurt you.Let’s talk to your eye care provider to see if there is a medication that is less irritatingYou will lose your vision if you don’t use the drops as prescribed The drops help preserve your vision. Maybe less painful medication can be found.    3. The nurse visits a new parent client in the home 2 weeks after an uncomplicated cesarean birth of the first baby.  The chent reports wanting sleep all the time, feeling overwhelmed, and having anxiety attacks. The client asks, “What’s wrong with me? Which nursing diagnosis best fits the nurse’s concern?Problems with bonding because of postpartum bluesDifficulty coping with the family because of the new baby Difficulty coping because of postpartum depression Lack of sleep and extreme due to changes in the home4. The parent of a toddler reports these changes in the child  : edema of the eyes, Increased weight gain, decreased urinary output, and listlessness. Which additional sign causes the nurse to inform the health care provider Immediately?Increased appetite Proteinuria Normal hematocrit Flushed skin5. The nurse correctly instructs a client to avoid which substance while taking alprazolam ? ( Select all that apply .)  a)  antihistamines  b) Alcohol  c)Tropical fruits  d)Aged meats E) Grapefruit juiceF) valerian root 6. A client is diagnosed with anorexia nervosa. Which is the most important action for the nurse to implement when lunch is completed? Allow the client to go to the bathroom Stay with the client Weight the client  Discuss emotional issues with the client7. A client is diagnosed with HIV. The client has a   decline in health leading to secondary diagnosis of AIDS. One client goal is, “The client will report a decrease in negative feelings related to heath before discharge. Which client statement indicates to the nurse the goal is met. I get so tired of feeling sick and being very weak all the time. I need to think about the future related to my health Exercising is hard since I feel sick all the time I think I am ready to make the lifestyle changes you recommended 8. The nurse suctions a client. The  nurse implements the procedure based on which most important principle? Use  sterile saline to lubricate airway Keep skin and area around stoma sterile Suction trachea before pharyngeal area. Prevent hyperoxygenation9.The nurse prepares a client for extracorporeal lithotripsy. The nurse determines the client understands the procedure when which client statement is made?My urine may be bloody for a while after the procedureI will be asleep when I receive electrical shock I will limit my fluid intake after the procedure When I wake up, I will have stones in my bladder.10. A client is recovering from burns received while rescuing a child from the house fire . The nurse plans care based on which nursing diagnosis? Acute confusion  Risk for impaired skin integrity Impaired gas exchange Risk for bleeding11. A preschool-age client who is HIV-positive tells the nurse, I can’t play with other children because they might get sick.” Which action by the nurse is best?Plan an  education session with the family and community regarding HIV/AIDS. Tell the client the truth about HIV/AIDS and how it is transmitted  Explain to the parents how important it is for the client to play with others. Ask the parents why are limiting the client’s social activities12. The nurse assesses a newborn female. Which observation causes the nurse to suspect Turner Syndrome? ( Select all that apply)Low posterior hairline 7 lb 9 oz ( 3.4 kg) and 17.2 inches ( 43.7 cm) Widely spaced nipples Chest shaped like a shield Skin folds along the neck to the shoulders13. A newborn has an Apgar score of 8 at 1 minute and 9 at 5 minutes. The nurse makes which evaluation of the newborn?  May require some nasopharyngeal suctioningWill need to be stimulated by stroking the back Resuscitation will required Not able to determine with this information14. The nurse talks with a client who is 20 weeks pregnant and is asking about the baby’s development. Which answer by the nurse is best ?  The body is covered in vernix and lanugo is present There are fat deposits, and lanugo begins to disappear The genitalia can now be seen on the ultrasound The eyes begin to reopen and the body is plumper15. The nurse visits a client in the home after a total gastrectomy because of stomach cancer. The prognosis is not good and the client is not expected to live long.  Which is the most important nursing action for this client? Ensure the caregiver has an understanding of pain relief and comfort measures .Encourage client to keep radiation treatment appointmentsTeach caregivers appropriate wound care management Assist client in finding ways to maintain good nutritional status16. A school-age client recovers from a streptococcal infection. Parents notice periorbital edema, dark urine with decreased output, and loss of appetite. The nurse plans which priority client goal?Will eat regular diet with no salt added or salty foods .Will observe strict rest with limited activities.  Will maintain urine output of 3,000 mL/24 hours. Will have no headache , dizziness , or vomiting17. A client is to receive 2 units of blood. The client has an IV in the right forearm with D5W in normal saline that is used to administer an antibiotic every 4 hours.  Which does the nurse do first?Start a second IV with isotonic saline Receive the first unit of blood from the blood bankUse a filtered tubing to administer the blood Insert a microdrip chamber into the IV18.  A nurse teaches a new parent about formula feeding. The parents ask why holding the baby for feeding is necessary. Which is the nurse’s best response?Allow for better Infant sucking Shares feeding times between parents. Prevents positional media. Provides parents with satisfaction.19. A client receives isoniazid 5 mg/kg/day. The client weighs 120 pounds and is told to take 320 mg daily. Which evaluation of the dose by the nurse is correct?Dose is too high for the client’s weight Dose is correct for the client’s weight Correct dose cannot be determined with this information Dose is too low for the client’s weight 20. A client takes pancrelipase for cystic fibrosis. Which client statement indicates an understanding of the nurse’s teaching about the medication?I will plan to take the medication at the bedtime I will not crush, chew or hold the medication in my mouth I know I am getting the right dose if I start to lose weight I will sprinkle it on ice cream to make it taste better 21. A client is newly diagnosed with ulcerative colitis. The client has lost a significant amount of weight over several months because of diarrhea. The client is fatigued and anxious. The nurse identifies which client goal as best?Client will learn effective coping strategies to manage diarrhea Client will exercise daily to improve strength and stamina.  Client will decrease fluid intake to slow the diarrheal stools Client will follow a medication regimen to stop diarrhea22. The nurse cares for a group of clients. The nurse uses alcohol-based hand sanitizer for which client situation? ( select all that apply)Before assisting with moving client from a bed to a chair After the nurse’s arm became visibly soiled with blood Before measuring vital signs and adding an Iv bagBefore feeding a client Before changing a dressing on a pressure injury While caring for client diagnosed with clostridium difficile 23. A client starts taking risperidone. The nurse obtains baseline data on which assessment?( select all that apply)Weight Complete blood count Fasting blood glucose Waist circumference Fasting lipid levels Complete eye exam24. An infant falls from the bed to the floor and sustains a head injury. The nurse finds no apparent changes in airway, breathing or circulation. The infantis is sent home with the parent. Which instructions does the nurse give the parent?Check vital signs every 4 hours when awake for 3 days Observe for changes in speech patterns over 48 hours Watch for vomiting that starts after 24 hours and does not stop for 2 days.  Assess pupillary response every 4 hours, day and night, for 2 days.25.The nurse provides care for a client who has an open leg wound. The health care provider has written a prescription to apply heat to the leg after 24 hours. The nurse writes the care plan and includes which nursing diagnosis? ( select all that apply) Risk for bleeding Hyperthermia Ineffective health maintenance Risk for thermal injury Imparied skin integrity Risk for ineffective peripheral tissue perfusion  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)