A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make? A.“You should eat three large meals and two snacks per day.” B.“You should lay down for 1 hour following a meal.” C.“You should elevate the head of the bed while sleeping.” D.“You […]

A nurse enters a client’s room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following interventions should the nurse take? A.Insert a padded tongue blade into the client’s mouth. B.Keep the client in a supine position. C.Gently restrain the client’s extremities. D.Place a pillow under

A nurse is caring for a client who underwent a transurethral resection of the prostate (TURP) for BPH. Which intervention should the nurse include in the postoperative care plan?A.Encourage the client to resume normal activities immediately. B.Monitor for signs of urinary tract infection (UTI). C.Instruct the client to avoid all fluid intake for 24 hours.

A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which instruction should the nurse emphasize? A. Wear padding to protect from bruising if a fall occurs.B. Take measures to avoid dehydration and over-heating.C. Avoid crowds to

A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect? A.Peripheral edema B.Chest pain C.Heart murmur D.Crackles in lungs The Correct Answer and Explanation is : The correct answer is A. Peripheral edema. Explanation: Right-sided heart failure, also known as right ventricular failure, occurs when

A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect? A.Elevated platelet count. B.Decreased total bilirubin. C.Hypertension. D.Generalized rash. The Correct Answer and Explanation is : The correct answer is: D. Generalized rash. Explanation: Toxic Shock Syndrome (TSS) is a rare but serious

A nurse is teaching a client about preparation for barium enema. What client statement indicates the client requires further reinforcement of the teaching? A.“l will eat my breakfast prior to coming in for the study.” B.“l may need to have laxatives to expel the barium.” C.“l will receive the barium prior to the study by

A client says to a nurse. “I’m afraid of radiation therapy.’ The nurse replies, “Radiation kills the cancer cells.” Which statement best describes the nurse? A.She is able to confront a painful subject. B.She needs to learn more from the client. C.She recognizes that the client needs information. D.She perceives that the client is ready

A nurse is providing teaching to an assistive personnel (AP) about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching? A.Secure the client’s restraints with a square knot B.Attach the restraints to the fixed portion of the frame of the client’s bed C.Remove the

A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment? A.Urine specific gravity 1.005 to 1.030 B.Decreased pulse pressure C.Lightheadedness D.Urine output 75 mL in 1 hr The Correct Answer and Explanation is : Correct Answer: A. Urine specific gravity 1.005 to