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 of the 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 of the 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 ofthe following action should the nurse take?

a. Apply pressure to the bridge of the nose afterinstallation 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 ofthe 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?

a. Respiratory alkalosis

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