A nurse is caring for a client who is receiving chemotherapy and requests information
about acupuncture to relieve some of the side effects. which of the following findings
should the nurse identify as a contraindication to receiving this alternative therapy?
a. Urticaria
b. Lymphedema
c. Headaches
d. Mouth sores - ANS-Lymphedema
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200
ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the
nurse set the IV ump to administer? - ANS-33
A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. "I should lie down when I take this medication."
b. "I can keep my medication for 1 year before replacing it."
c. "I should discontinue this medication if I develop a headache."
d. "I can take up to five tablets in 15 minutes before seeking medical attention." - ANS-I
should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following total hip
arthroplasty. Which of the following instructions should the nurse include in the
teaching.
a. "You should use an incentive spirometer every 8 hours."
b. "You can cross your legs at the ankles when sitting down."
c. "Clean the incision daily with hydrogen peroxide."
d. "Install a raised toilet seat in your bathroom." - ANS-Install a raised toilet seat in your
bathroom
A nurse is planning care for a client following a cardiac catheterization. which of the
following actions should the nurse take.
a. Limit the client's fluid intake to 1 L per day.
b. Change the client's dressing every 8 hr.
c. Keep the client on bed rest for 24 hr.
d. Maintain he client's affected extremity in extension. - ANS-Maintain the client's
affected extremity in extension
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