1. A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent


  1. Encourage the client to lean forward when attempting to stand.

  2. Elevate the knees higher than the hips when sitting

  3. Place to bed pillows between the legs when in bed

  4. Remove the wedge device when turn



  1. A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings suspicion?


  1. Increased urine output

  2. Kussmaul respiration

  3. Acetone breath

  4. Cool, clammy skin


  1. A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results pH 7.24, PaC02 44mm Hg, PaO2 84 mm Hg, HCO3 18 mEq/L, base excess -2, and O2 sat 95%. The nurse should conclude that the client has which of the following acid-base imbalance?


  1. Metabolic acidosis

  2. Metabolic alkalosis

  3. respiratory acidosis

  4. respiratory alkalosis


  1. A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered dose inhaler which of the following client statements indicates an understanding of the teaching?


  1. “I should clean the cap of the inhaler once per week”

  2. “I should wait 15 seconds between puffs”

  3. “I should shake the inhaler before I use it”

  4. “I should inhale the medication quickly”

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