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After the nurse has taught a client with asthma about use of a peak flow meter, which client statements indicate that the teaching has been effective? Select all that apply

1. Readings in the green zone mean that my asthma is under control." 2. "If I get a reading in the red zone, then I need to use the quick relief inhaler and have my family take me to the hospital. "I 3. should check the peak flow readings at least twice a day until my baseline is established." Rationale: Peak flow meters are used to measure how well the clients asthma is controlled.

Which information would the nurse provide about what the client can expect after surgery for a transurethral resection of the prostate?

An indwelling urinary catheter is required for at least a day." Rationale: n indwelling urethral catheter is used, because surgical trauma can cause edema and urinary retention, leading to additional complications, such as bleeding.

A client receiving morphine is being monitored by the nurse for adverse effects of the drug. Which clinical findings warrant immediate follow up by the nurse?

Bradypnea, unconscious, bradycardia Rationale: The CNS depressant effects morphine. If severe can cause unconscious, bradycardia and bradypnea.

The nurse starts a new job and recognizes that the client population is very diverse. What action will help the nurse to provide culturally competent care

Increase self-awareness of cultural identity, cultural knowledge, and potential biases.

The nurse is caring for a client with an abdominal aortic aneurysm before surgery. Which nursing care is essential preoperatively?

Maintaining a reduced blood pressure Rationale: Maintaining the blood pressure reduces the risk of aortic rupture

Prolong vomiting with assessment finding of shallow, respirations, dry and flushed skin, weakness, and lethargy. Which is the primary nursing concern?

Metabolic alkalosis

The nurse is caring for a client with suspected appendicitis. Which assessment finding would the nurse determine would further support the diagnosis?

Pain in right lower quadrant reason: Pain shifting to the right lower quadrant between the anterior iliac crest and the umbilicus is McBurney point and is indicative of appendicitis

After surgery, an adolescent has a patient controlled analgesia (PCA) pump that is set to allow morphine delivery 6 minutes. Which statement indicates to the nurse that the family understand instructions about the PCA pump?

She needs to push the PCA button whenever she needs pain med Morphine is an opioid analgesic, relieves pain, when control of pain is given to the adolescent resulting in a decreased need for analgesia, anxiety, and pain are usually dimishes only the adolescent should press the button

Which would the nurse consider the most significant influence on a clients perception of pain?

cultural and values and previous experienced

Morphine is an opioid analgesic, relieves pain, when control of pain is given to the adolescent resulting in a decreased need for analgesia, anxiety, and pain are usually diminishes only the adolescent should press the button

determine the integrity of the intravenous delivery syste

why should midazolam be administered before surgery?

to induced sedation Rationale: Midazolam is a benzodiazepine, reduces anxiety and induced sedation.

which finding would the nurse expect when assessing a client admitted for elective endovascular repair of a large aortic aneurysm?

visible pulsating abdominal mass Rationale: with a large abdominal aortic aneurysm, the pulsation of the aorta may be visible.


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