A client is receiving total parenteral nutrition (TPN). To determine
the client's tolerance of this treatment, the nurse should assess
for which of the following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ans4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would
determine that the medication is appropriate if the client displays
which of the following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ans3
The home care nurse is instructing a client recently diagnosed
with tuberculosis. It is MOST important for the nurse to include
which of the following as a part of the teaching plan?
1. During the first two weeks of treatment, the client should cover his
mouth and nose when he coughs or sneezes.
2. It is necessary for the client to wear a mask at all times to prevent
transmission of the disease.
3. The family should support the client to help reduce feeling of low selfesteem and isolation.
4. The client will be required to take prescribed medication for a
duration of 6-9 months. - ans4
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