1. A nurse is reinforcing discharge teaching with a client who has a new diagnosis of
systemic lupus erythematosus(SLE). which ofthe following statements by the client
indicates an understanding of the teaching?
a. “Ishould take ibuprofen for my joint pain.
2. A nurse is monitoring a clientfollowing a thyroidectomy. Which ofthe following findings
should the nurse identify as an indication of hypoparathyroidism?
a. Involuntary muscle spasms
3. A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which ofthe following statements by the client indicates an understanding
of the teaching?
a. “Ishould check my heart rate each day.”
4. A nurse is reinforcing discharge teaching about improving gas exchange with a client
who has emphysema. Which of the following information to the nurse including that
eating?
a. Use pursed lip breathing during periods of dyspnea
5. In nursesreinforcing teaching with a client who has a new diagnosis of multiple sclerosis
(MS). the client asked the nurse about the usual course of MS. which of the following
responses should the nurse make?
a. “Acute episodes are usually followed by remissions, which can last varying
lengths of time.”
6. A nurse is preparing to administer timolol eye drops for a client who has glaucoma.
When installing the medication, which of the following action should the nurse take?
a. Apply pressure to the bridge of the nose after installation of the medication.
7. A nurse is caring for a client who has stage three pressure ulcer on his heel. When
preparing to irrigate the wound, which of the following action should the nurse take
first?
a. Check the clients pain level
8. A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in the
chair at the bedside. Which of the following action should the nurse take first?
a. Lower the client to the floor
9. A nurse is caring for a client who has type one diabetes mellitus in a capillary blood
glucose reading of 48 mg/dL. which of the following findingsshould the nurse expect?
a. Diaphoresis
10. A nurse is reinforcing teaching with a client who is scheduled for sigmoid: resection with
colostomy. Which of the following statements by the client indicates a need for further
teaching?
a. “My diet will have to change to a soft diet aftersurgery.”
11. A nurse is reviewing the clients laboratory report. The clients ABG levels are pH 7.5, PA
CO2 32 mm HG, and HCO3-24 mEq/L. the nurse had determined the client has which of
the following assets imbalances?
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