A nurse is providing discharge teaching to a client who is
post-op following the repair of a detached retina. Which
statements by the client indicate understanding of the
teaching?
a. I can go jogging after 2 weeks
b. I should bend at the waist when putting on my shoes
c. I can lift objects that are less than 10 lbs
d. I can resume activities, such as sewing - ...ANSWER...c. I
can lift objects that are less than 10 lbs
A nurse is giving discharge teaching about home care of a
surgical incision to a client who speaks a different language.
The nurse communicating using an interpreter. Which action
should the nurse take?
a. Speak slowly when talking to the interpreter
b. Pause in the middle of sentence
c. Speak directly to the client
d. Use gestures to convey meaning - ...ANSWER...c. Speak
directly to the client
A nurse is teaching a client who has new prescription for
enoxaparin. Which pain med should the nurse include that
can be taken concurrently with enoxaparin?
a. Ibuprofen
b. Naproxen sodium
c. Acetaminophen
d. Aspirin - ...ANSWER...c. Acetaminophen
A nurse is receiving report for a group of clients. Which
clients should the nurse assess first?
a. A client who has epidural analgesia and weakness in the
lower extremities
b. A client who has a hip fracture and a new onset of
tachypnea
c. A client who has sinus arrhythmia and is receiving cardiac
monitoring
d. A client who has DM and an HbA1c of 6.8% -
...ANSWER...b. A client who has a hip fracture and a new
onset of tachypnea
A nurse is assessing skin of a client who has dark skin.
Which locations should the nurse observe to assess for
cyanosis?
a. Sacrum
b. Palms of the hands
c. Shoulders
d. Area of trauma - ...ANSWER...b. Palms of the hands
A charge nurse is teaching new staff about factors that
increase a client's risk to become violent. Which factors
should the nurse include as the best predictor future
violence?
a. A history of being in prison
b. Male gender
c. Experiencing delusions
d. Previous violent behavior - ...ANSWER...d. Previous
violent behavior
A nurse is assessing a client who is in active labor. which
findings should the nurse report to provider?
a. Temp 37.4 (99.3)
b. Early decelerations in FHR
c. FHR baseline 170/min
d. Contractions last 80 secs - ...ANSWER...c. FHR baseline
170/min
A quality control control nurse is reviewing med
prescription for a group of clients. Which prescription is
correct?
a. Tetracycline 200 mg PO
b. Epoetin alfa 150 units/kg three times weekly
c. Digoxin 0.25 mg PO daily
d. Cimetidine PO twice daily - ...ANSWER...c. Digoxin
0.25 mg PO daily
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