A nurse is caring for a client who is having a seizure. Which of the following interventionsin the nurse’s priority?

Turn the client to the side

A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients?

A client who isreceiving preoperative teaching for a right knew arthroplasty

A nurse isreviewing the health record of a client who isscheduled for allergy skin testing. The nurse should postpone the testing and

report to the provider which of the following findings?

Current medications

A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a righthemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? (SATA)

Visual spatial deficits

Left hemianopsia

One-sided neglect

A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actionsshould the

nurse take?

Place a pillow between the client’s legs

A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client’s

bedside table?

Suction machine

A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a

ureterostomy. Which of the following statements should the nurse include in the teaching?

You should cut the opening of the skin barrier one-eighth inch wider than the stoma

A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the

following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Heart rate 110

A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which

of the following actions should the nurse include in the client’s plan of care?

Wear a lead apron while providing care to the client

A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls.

Which of the following instructions should the nurse include?

Remind the client to scan their complete range of vision during ambulation

A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysistreatments for chronic kidney

disease. Which of the following interventions should the nurse include in the plan?

Tell the client that it is possible to return to similar previouslevels of activity

A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings

indicate that the client is experiencing increased intracranial pressure? (SATA)

Sleepiness exhibited by the client

Widening pulse pressure

Decerebrate posturing

An older adult client is brought to an emergency department by a family member. Which od the following assessment findings

should cause the nurse to suspect that the client has hypertonic dehydration?

Urine specific gravity 1.045

A nurse is caring for client who has a prescription for enalapril. The nurse should identify which of the following findings as an

adverse effect ofthe medication?

Orthostatic hypotension