Question

In: Nursing

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which...

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?

Remind the client to use a cane on his left side while ambulating.
Position the bedside table on the client's left side.
Provide the client with a short-handled reacher.
Place a plate guard on the client's meal tray.

A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

Administer IV fluids to the client.
Prepare the client for an intravenous pyelogram.
Initiate beta blocker therapy.
Insert a urinary catheter.

A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

Discard the radioactive device in the client's trash can.
Instruct visitors to remain 3 feet from the client.
Limit time for visitors to 2 hr per day.
Keep so led bed linens in the client's room.

A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?

"I should take my daily aspirin on an empty stomach."
"I should withhold my metoprolol if my heart rate is above 100 beats per minute."
"I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four doses."
"I should lie down before taking a dose of isosorbide dinitrate."

Expert Solution

•ANSWER•1

•Option(d) .option(d)" Place a plate guard on the client's meal tray" is the correct answer because plate gaurd helps the patient at time of eating to prevent food material put down.

•Explanation for option a,b&c

all option are incorrect because patient need to complete bed rest .

•ANSWER•2

•Option(a) administer iv fluid is the correct answer because maintain blood volume in body to prevent acute kideny failure due to hypovolemic shock.

•Explaination for option b,c&d

•option b,c& are incorrect because Prepare the client for an intravenous pyelogram,Initiate beta blocker therapy and Insert a urinary catheter ,thses are not prioity for this patient.

•ANSWER•4

•Option (d) " i should lie down before taking a dose of isosorbide dinitrate." is the correct answer because it can cause hypotension. So lying down before taking it to prevent ftom hypotension.

•Explanation for a,b&c

•option(a). option(a) is "incorrect" option because asprin can cause gastric ulcer on the empty stomuch .

•option(b). option (b) is also incorrect because metoprolol is helpful in case of tachycardia.

•option( c).option (c) is also incorrect answer because continue 4 dose if nitroglycerin at the inerval 10 minute should not be take while not prescribed by the health care provider.it can cause hypotension.

Nightingale answered 1 year ago

A nurse is planning care for a client who has a pulmonary embolism. Which of the...

A nurse is planning care for a client who has a pulmonary embolism. Which of the following interventions should the nurse include? Measure vital signs every 4 hr. Position the client on the left side. Initiate a continuous IV heparin infusion. Instruct the client to massage the lower extremities. A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? Decreased erythrocyte sedimentation rate Elevated serum calcium Decreased...

A nurse is planning care for a client who reports insomnia. Which of the following actions...

A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime? A. offer a wet washcloth for the client to wash her face B. prepare hot cocoa or tea for the client C. provide a late supper D. perform range of motion exercises

A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?

A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include? Turn the client to the lateral position during seizure activity Administer diazepam intravenously to the client Provide the client oxygen at 6 U/min using a nasal Cannula Administer phenytoin IV bolus to the client

In planning the post-procedure care for a client who has a barium enema, the nurse should...

In planning the post-procedure care for a client who has a barium enema, the nurse should include:(Select all that apply.) 1. Position the client on the right side. 2. Maintain bed rest for 12 hours. 3. Observe and record the amount of rectal drainage. 4. Encourage fluids. 5. Monitor the client for a rise in body temperature and abdominal pain. 6. Administer a laxative.

A nurse is planning care to prevent skin breakdown for a client who is immobile and...

A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care? A. Apply cornstarch to the client's skin. B. Arrange for an alternating pressure mattress. C. Reposition the client every 4 hours. D. Request a prescription for an indwelling urinary catheter.

Please answer questions below 1. A nurse is planning care for a client who sustained a...

Please answer questions below 1. A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include is important to support the client’s nutritional requirements? Schedule meals at 6hr Keep a calories amount for foods and beverages Amount of protein, high carbohydrates diet Maintain the calories intake as 1,500 per day 2. A sure at a mental health unit is planning room assignments for four clients....

A nurse is caring for a client who has a drainage evacuator. Which of the following...

A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? A. Discontinue the drainage system when it becomes full. B. Ensure the drainage suction is set on high pressure. C. Measure drainage by emptying into a graduated cylinder. D. Check the volume of the drainage every 24 hours.

A nurse is caring for a client who has malignant melanoma, which of the following findings...

A nurse is caring for a client who has malignant melanoma, which of the following findings should the nurse expect when assessing the lesion A: purplish in color B: purulent drainage C: pruritus D: pain A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood product should anticipate administering to this client A: cryoprecipitates B: albumin C: platelets D: packed RBCs

A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following...

A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following information should the nurse include in the teaching? "You should wear an N95 respirator mask when you are at home." "Your provider will discontinue your medications after 3 months of therapy." You will need to return in 2 weeks to provide a sputum specimen." "You can drink alcohol after the first 6 weeks of treatment." A nurse is providing teaching for a client who...

51. A nurse is planning to discharge a client who has diabetes and a new prescription...

51. A nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the following actions should the nurse plan to complete first? a) Provide the client with a contact number for a diabetes education specialist b) Make a copy of the medication record of the reconciliation for the client c) Determine whether the client can afford the insulin administration supplies d) Obtain printed information about self-administration