Hard level adapt quiz fund
A nurse in a provider's office is teaching a client about foods that are in high in fiber. Which of the following food choices made by the client can't understanding of the teaching?
-black beans -whole-grain bread
A nurse is caring for a client who has a prescription for acetaminophen 325 MGPO for an oral temperature above 38.4 Celsius. Above what Fahrenheit temperature should the nurse administer acetaminophen to the client?
101.1
A nurse is caring a client who is receiving dextrose 5% in water IV at 150 mL/hr. and has ingested 4oz of water and ½ pint of milk. What is the total 8-hr fluid intake in milliliters that the nurse should document for this client? (round the answer to the nearest whole number and fill in the blank with the numeric value only.)
1560
sodium chloride infusing at 125mL/hr., gentamicin 150 mg in 100mL at 1400, ranitidine 50mg in 50mL at 1000 and 1600, 250 mL of blood over 2hr. What is the total intake in milliliters that the nurse should document for this client for this 12-hr period? (fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero).
2130
A nurse is caring for a client who intake and output flow sheet for 0700 to 1500 indicates the following: voided x3: 350 mL, 200mL, 150mL; wound drainage 2 tsp; and emesis 2 oz. What total output in milliliters should the nurse document for this 8hr period?
770
A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen and physical therapy which of the following muscle groups is responsible for movement at the knee joint?
Antagonistic
A nurse in and urgent-care center is caring for a 15-year-old client was symptoms just a sexually transmitted infection (STI). The client's parent is unavailable, but the client's grandmother accompanied the client to the clinic. Which of the following actions should the nurse take?
Ask the adolescent to sign the consent form.
A nurse is collecting a specimen for culture from a client infected wound. Which of the following actions should the nurse perform?
Cleanse the wound with 0.9% sodium chloride irrigation.
A nurse is caring for a middle-age adult client. The nurse should evaluate the client for progress toward which of the following developmental tasks?
Ceasing to compare personal identity with others.
A nurse is preparing to insert an NG tube for a client. Which of the following actions will facilitate the insertion of the tube?
Coat the tip of the tube with a water-soluble lubricant, ask the client to swallow water while the tube enters her throat, tell the client to tilt her head backward as insertion begins.
A nurse is talking with a client whose provider recently informed him of terminal pancreatic cancer. When the client reports that he understands the full impact of this diagnosis, the nurse should identify that the client is in which of the following stages of dying?
Depression
A nurse is caring a client who is hospitalized and has a new tracheostomy. Which of the following actions should the nurse take when performing tracheostomy care for the client?
Soak the inner cannula of the tracheostomy tube in normal saline.
A nurse is assisting a client who has right-sided weakness while ambulating using a cane. Which of the following client actions should indicate to the nurse that the client understands the procedure of the cane walking?
The client keeps 2 points of support on the ground.
A nurse is preparing to irrigate a client's wound which of the following actions should the nurse take?
Warm the irrigating solution to 37c (98.6F).
A nurse is planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following interventions should the nurse include?
limit drinking liquids with food
A nurse is preparing to change a dressing on a client who is receiving negative pressure wound therapy (NPWT). Which sequence of action should the nurse plan to take?
-Turn off the vacuum on the NPWT device and administer the prescribed analgesic. -Remove the soiled dressing and perform hand hygiene -Apply sterile or clean gloves and irrigate the wound. - Apply a skin protectant or a barrier film to the skin around the wound. - Please prepared foam into the wound bed and covered with a transparent dressing. - Connect the tubing to transparent film and turn on the NPWT unit.
A nurse is caring for a semiconscious client who had a small-bore NG tube placed yesterday for the administration of internal feeding. Which of the following message to the nurse use to verify correct to placement?
-Verify the initial X-ray examination -measure the length of the exposed tube -determine the pH of aspirated fluid.
A nurse is assessing a client. Which of the following findings should the nurse identify as an indication of protein-calorie malnourishment? (select all that apply).
-dry -brittle hair -poor wound healing
During a physical examination of a client, the nurse suspects strabismus. Which of the following test should the nurse use to collect additional data?
Corneal light reflex
A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as a source of this sound?
Excessive wax in the ear canal
A nurse is teaching a middle-aged female client about disease prevention and health maintenance. Which of the following diagnostic test should the nurse recommend us part of the client's routine health screening?
Eye examination every 2 years
A nurse is caring for a client who has cut endotracheal tube in place the nurse should identify that the purpose of inflating the cuff includes which of the following?
-Stabilizing the position -preventing aspiration of secretions - preventing air leaks
A nurse is caring for a client who has a methicillin-resistant staphylococcus aureus (MRSA) infection. A dietary assistant asks the nurse what the precautions are necessary for entering the client's room with the lunch tray. Which of the following instructions should the nurse give to the dietary assistant?
Don gloves when entering the room and use hand sanitizer when exiting.