1. A nurse is caring for a client who has DKA. Which of the following findings should indicate tothe

nurse that the client's condition is improving?

a. Potassium 3.5 mEq/L

b. H 7.28

c. Glucose 272

d. HC03- 14 mEq/L

2. A nurse is providing discharge instructions to a client who has laryngeal cancer and is

receiving radiation therapy. Which of the following statements by the client indicates an

understanding of the teaching?

a. “l will wear a badge to measure how much radiation I am receiving”

b. "l will remove the markings on my skin after each radiation treatment”

c. “I will avoid direct exposure to the sun

d. "l will rinse my mouth with a commercial mouthwash."

3. A nurse is providing discharge teaching to a client who is to self-administer heparin

subcutaneously. Which of the following statements by the client indicates an understanding ofthe

teaching?

a. "l can expect to have blood in my urine during the first week of injections."

b. "l will floss my teeth after each meal."

c. “I will gently massage the site after I inject my medication.”

d. “I will use an electric razor to shave.”

4. A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The

client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate

16/min, and temperature 36C (96.8F). Which of the following vital signs changes should alert the

nurse that the client might be hemorrhaging?

a. Heart rate 110/min

b. Blood pressure 160/70 mm Hg

c. Respiratory rate 14/min

d. Temperature 38.4C (110.1F)

5. A nurse is caring for a client who has hypothyroidism. Which of the following manifestations

should the nurse expect?

a. Constipation

b. Insomnia

c. Tachycardia

d. Diaphoresis