45. A client with chronic obstructive pulmonary disease (COPD) is admitted to a non-emergent
cholecystectomy. The admission arterial blood gas ) ABG PCO2 48 mmHG ● Administer a PRN bronchodilator -good
46. A client with pyelonephritis is receiving discharge instructions with the goal to prevent readmission.Which instruction is most important to include in the discharge teaching plan. ● Complete the full course of antibiotics -good
47. A client with heart failure is receiving intravenous fluids at 125 ml/hour. The nurse observes an increased jugular venous distention. Which assessment should the nurse make before reporting to the healthcare provider.
a. Observe for change in breathing pattern
b. Assess for inflammation of the calves
48. The nurse is caring for a client after a cerebrovascular accident (CVA) who is adapting to functional changes in mobility. The client continues to experience awareness of the urge to urinate and retains a large amount of residual urine after voiding. Which action should the nurse include?
● Remind the client to practice pelvic floor (Kegel) exercises regularly
● i put self cath
49. Which dietary instruction is most important for the nurse to explain to a client who had a gastric bypass surgery?
a. Sip fluids with each meal
b. Eat small frequent meals
c. Chew Slowly and thoroughly-good
d. Reduce intake of fatty foods
50.The nurse is providing teaching to a client with Type 2 diabetes mellitus and peripheral neuropathy. What information should the nurse provide?
A. Heading pads are useful if on the lowest setting
B. Shoes should be worn outside the house, but it is fine to be barefoot inside.
C. Family members can help with regular foot exams-good
D. Aching feet may be soaked in lukewarm water for one hour or more
51. A client with a history of heart failure reports increasing fatigue over the past week. On assessment the nurse obtains the following blood pressure 122/70 mmgHg, and respiratory rate
24 breaths/minute. While waiting for an electrocardiogram (ECG),,
-Rythm of apical pulse -good
52. The nurse assists a client with parkinson's disease to ambulate in the hallway.The client appears to “Freeze” and then tells the nurse of pretending to step over a crack on the floor. How should the nurse respond?
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