A nurse is caring for a client who has hepatic encephalopathy that is being treated with

lactulose. The client is experiencing excessive stools. Which of the following findings is

an adverse effect of this medication? Hypokalemia

A nurse is caring for a client who has emphysema and is receiving mechanical

ventilation. The client appears anxious and restless, and the high-pressure alarm is

sounding. Which of the following actions should the nurse take first? Instruct the

client to allow the machine to breathe for them.

A nurse is teaching a client who has a family history of colorectal cancer. To help

mitigate this risk, which of the following dietary alterations should the nurse

recommend?Add cabbage to the diet.

A home health nurse is assigned to a client who was recently discharged from a

rehabilitation center after experiencing a right-hemispheric stroke. Which of the

following neurologic deficits should the nurse expect to find when assessing the client?

(Select all that apply.) Visual spatial deficits, Left hemianopsia, One-sided neglect

A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter

readings have fluctuated between 79% and 88% for the last 30 min. Which of the

following oxygen delivery systems should the nurse initiate to provide the highest

concentration of oxygen? Nonrebreather mask

A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The

client has dyspnea with a productive cough and is using accessory muscles to breathe.

Which of the following actions should the nurse take first? Place the client in highFowler's position.

A nurse is planning care for a client who has extensive burn injuries and is

immunocompromised. Which of the following precautions should the nurse include in

the plan of care to prevent a Pseudomonas aeruginosa infection? Avoid placing plants

or flowers in the client's room.

An older adult client is brought to an emergency department by a family member. Which

of the following assessment findings should cause the nurse to suspect that the client

has hypertonic dehydration? Urine specific gravity 1.045

A nurse in an emergency department is reviewing the provider's prescriptions for a client

who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions

should the nurse expect? Administer an opioid analgesic to the client.

A nurse is assessing a client who has had a suspected stroke. The nurse should place