A nurse is assisting with the care of a client

who has a femur fracture and is in skeletal

traction. Whichof the following actions should

the nurse take?

1) Loosen the

knots on the

ropes if the

client is

experiencing

pain.2) Ensure

the client’s

weights are

hanging freely

from the bed.

3) Check the client’s bony prominences

every 12 hr.

4) Cleanse the client’s pin sites with

povidone-iodine.

A nurse in a provider’s office is reinforcing

teaching with a client who has anemia and has

been takingferrous gluconate for several

weeks. Which of the following instructions

should the nurse include?

1) Take this medication between meals.

2) Limit intake of Vitamin C while taking

this medication.

3) Take this medication with milk.

4) Limit intake of whole grains while taking

this medication.

A nurse in a provider’s office is reinforcing

teaching with a client who has anemia and has

been takingferrous gluconate for several

weeks. Which of the following instructions

should the nurse include?

1) Take this medication between meals.

2) Limit intake of Vitamin C while taking

this medication.

3) Take this medication with milk.

4) Limit intake of whole grains while taking

this medication.

A nurse is reviewing the plan of care for a

client who has cellulitis of the leg. Which of

the followinginterventions should the nurse

recommend?

1) Apply topical antifungal agents.

2) Apply fresh ice packs every 4 hr.

3) Wash daily with an antibacterial soap.

4) Keep draining lesions uncovered to air

dry.

A nurse is reinforcing teaching with a client

who is postoperative after having an ileostomy

established.Which of the following instructions

should the nurse include in the teaching?

1) Empty the pouch immediately after

meals.

2) Change the entire appliance once a day.

3) Limit fluid intake.

4) Avoid medications in capsule or enteric

form.

A nurse is caring for a client with severe burns

to both lower extremities. The client is

scheduled for anescharotomy and wants to

know what the procedure involves. Which of

the following statements is appropriate for the

nurse to make?

1) "An escharotomy surgically removes

dead tissue."

2) "A cannula will be inserted into the

bone to infuse fluids and antibiotics."

3) "A piece of skin will be removed and

grafted over the burned area."

4) "Large incisions will be made in the

burned tissue to improve circulation."

A nurse is collecting data from a client who has a possible cataract. Which of the following

manifestations should the nurse expect the client to report?