1. What instruction should the nurse include in the discharge teachingplan

of a client who had a cataract extraction today?

a. Sexual activities may be resumed upon return home

b. Light housekeeping is permitted but avoid heavy lifting

c. Use a metal eye shield on operative eye during the day

d. Administer eye ointment before applying eye drops

2. A male adult comes to the urgent care clinic 5 days after being diagnose

with influenza. He is short of breath, febrile, and coughing greencolored

sputum. Which intervention should the nurse implement first?

a. Obtain a sputum sample for culture

b. Check his oxygen saturation level

c. Administer an oral antipyretic

d. Auscultate bilateral lung sound

3. An elder male client tells the nurse that he is loosing sleep because he

has to get up several times at night to go to the bathroom that he has

trouble starting his urinary stream and that he does not feel like his

bladder is ever completely empty. Which intervention should thenurse

implement?

a. collect a urine specimen for culture analysis

b. obtain a fingerstick blood glucose level

c. palpate the bladder above the symphysis pubis

d. review the client fluid intake

4. An adult client is admitted with diabetic ketoacidosis (DKA) and aurinary

tract infection (UTI) Prescriptions for intravenous antibiotics and insulin

infusion are initiated. Which serum laboratory value warrants the most

immediate intervention by the nurse?

a. blood ph of 7.30

b. glucose of 350 mg /dl

c. white blood cell count of 15000mm

d. potassium of 2.5 meq/l

5. A client with sickle cell anemia develops a fever during the last hourof

administration of a unit of packed red blood cell. When notifying the

healthcare provider what information should the nurse provide first

using the SBAR communication process?

a. explain specific reason for urgent notification