A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify a... s a contraindication to receiving this alternative therapy? (Ans- Lymphedema A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 mL/hr. The IV tubing has a drip factor of 10/drops/mL. How many gtts/min should the nurse set the IV pump to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) (Ans- 33 A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following client statements indicates an understanding of the teaching? (Ans- "I should lie down when I take this medication." A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching? (Ans- "Install a raised toilet seat in your bathroom." A nurse is planning care for a client following a cardiac catherization. Which of the following actions should the nurse take? (Ans- Maintain he client's affected extremity in extension. A nurse is caring for a client who has a lower extremity fracture and prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? (Ans- I will need to have my partner take over shopping for groceries and cooking the meals for us A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching? (Ans- "Change your pet's litter box daily." A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications? (Ans- Desmopressin A nurse in a clinic receives a phone call from a client who recently started therapy with an ACE inhibitor and reports a nagging dry cough. Which of the following responses by the nurse is appropriate (Ans- Sucking on a lozenge may reduce the frequency of your cough." A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's? (Ans- Using a nicotine transdermal patch A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? (Ans- Turn the client to his left side. A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care? (Ans- Support bony prominences with pillows. A home health nurse is making an initial visit to a client who has multiple sclerosis. Which of the following actions is the priority for the nurse to take? (Ans- Discuss recommendations for eating and swallowing techniques. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) (Ans- Administer ondansetron. A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client risk? (Ans- History of Crohn's disease A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, "I'm not sure want to have a mastectomy." Which of the following statements should the nurse make? (Ans- "I can give you additional information about the procedure." [Show More]
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