A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? A.Prepare the client for electroconvulsive therapy. B.Weigh the client twice per day. C.Encourage the client to participate in family therapy. D.Set a weight gain goal of 2.2 kg […]

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse? A.Assessing a client who experiences unilateral calf pain when ambulating B.Reassuring the partner of a client who sustained a closed head injury C.Taking a telephone prescription about a client who is

A nurse is reinforcing teaching with a client who is taking oxybutynin. The nurse should tell the client that the medication will have which of the following effects? A.Relaxes the muscles of the bladder B.Increases tissue perfusion in the lungs C.Increases venous return to the heart D.Relaxes the muscles of the colon The Correct Answer

A nurse is assessing a client who has a possible right pneumothorax.Which of the following findings should the nurse expect?A.Paradoxical chest movement. B.Reduced right-sided breath sounds. C.High-pitched stridor. D.Intercostal retractions. The Correct Answer and Explanation is: The correct answer is B. Reduced right-sided breath sounds. A pneumothorax occurs when air accumulates in the pleural space,

The patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification. Which foods should the nurse suggest for this patient? A.Romaine lettuce. B.Lean red meat. C.Almonds. D.White rice. The Correct Answer and Explanation is: The correct answer is C. Almonds. Explanation: A serum magnesium level of 1.4 mg/dL indicates

A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation. Which of the following statements should the nurse include? A.“You should increase your daily calorie intake by 750 calories.”. B.“You should increase your folic acid intake during your pregnancy.”. C.“You should limit your iron intake during your first trimester.”.

The unlicensed assistive personnel (UAP) tells the practical nurse (PN) that a male client is angry because the night shift took over 2 hours to bring him the pain medication, he had to request three times. Which action should the PN implement first? A.Ask the client to describe what happened B.Inform the charge nurse of

Time orientation within cultures can vary quite a bit. The client receiving a transplant will need to maintain a strict schedule of antirejection medications. The client states that he has never used a watch before, and his people do things when they know they should be done. An appropriate response by the nurse would be

A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation? A.Location of the identification tag on the client’s body B.Cause of the client’s death C.Last set of the client’s vital signs D.Copy of the client’s advance directives The Correct Answer and Explanation is: Correct

A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation? A.Cause of the client’s death B.Last set of the client’s vital signs C.Copy of the client’s advance directives D.Location of the identification tag on the client’s body The Correct Answer and Explanation is: The