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A nurse is caring for a client who have a lower extremity fracture and a prescription for crutches.
Which of the following client statements indicate that client is adapting to the role of change?
-I will need my partner to take over shopping for groceries
A nurse is assessing a client who has a new diagnosis of colon cancer. Which of the following
findings should the nurse expect?
a) hematochezia
b) weight gain
C) elevated hemoglobin
D) Steatorrhea
A nurse is caring for a client who is receiving TPN. The prime infusion is almost complete and
the new solution is not available. Which of the following actions should the nurse take?
Infuse dextrose 10% in water
A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the
following findings should the nurse expect?
A saw tooth pattern
A nurse is caring for a client admitted with a skull fracture. Which of the following assessment
findings should be the greatest concern to the nurse?
Glasgow coma scale score changes from 14 to 9
A nurse is completing an assessment of an older adult client and notes redness 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?
Support bony prominences with pillows
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes the client
had bounding peripheral pulses, hypertension, and distended jugular vein. The nurse should
anticipate administering which of the following prescribed medications?
Furosemide
A nurse is caring for a patient who has a sealed radiation implant. Which of the following actions
should the nurse take?
Limit family member visits to 30 mins/day
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes.
Which of the following statements by the client indicates effectiveness of the teaching?
I should expect my lesions to heal in 6 weeks
A nurse is caring for a client who has a traumatic brain injury. The client, who has been quietÂÂ
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