A nurse is caring for a client who is taking lithium and reports persistent nausea
and vomiting for 2 days. Which of the following laboratory values should the nurse
report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3.
Which of the following actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products. - A. Cleanse the
client's toothbrush with hydrogen peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which
of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the bathroom. - C. Assist the client to a
nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
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