A nurse is caring for a client who had a total hip
arthroplasty. Which of the following actions should the
nurse take to prevent hip dislocation?
a) Elevate the knees higher than the hips when sitting
b) remove the wedge device when turning
c) encourage the client to lean forward when
attempting to stand
d) place two bed pillows between the legs when in
bed - ...ANSWER...d) place two bed pillows between
the legs when in bed
A nurse is caring for a client who is receiving Total
parenteral Nutrition (TPN) The crane infusion is
almost complete and the new solution is not available
which of the following actions should the nurse take?
a) Infuse dextrose 10% in water b) decrease that tpn
infusion rate
c) disconnect and flush the IV access line
d) administer lactated ringers through the peripheral
IV site - ...ANSWER...a) Infuse dextrose 10% in water
A nurse is caring for a client who is 6 hours
postoperative following application of an external
fixator for a tibial fracture. Which of the following
actions should the nurse take?
a) Adjust the clamps on the fixator frame
b) maintain the affected extremity in a dependent
position
c) palpate the dorsalis pedis pulse
d) rap sterile gauze on the sharp point of the pins -
...ANSWER...c) palpate the dorsalis pedis pulse
A nurse is caring for a client in the emergency
department who experienced a full thickness burn
injury to the lower torso 1 hour ago. Which of the
following findings should the nurse expect?
a) Hypotension
b) Bradycardia
c) decrease respiratory rate
d) urinary diuresis - ...ANSWER...a) Hypotension
A nurse is planning care for an older adult client who
has Meniere's disease. Which of the following
interventions should the nurse include in the plan?
a) Perform range of motion exercises to the client's
neck every 4 hours
b) limited clients fluid intake to 1500 ml / day
c) administer aspirin if the client reports a headache
d) encourage the client to change position slowly -
...ANSWER...d) encourage the client to change position
slowly
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