1. What instruction should the nurse include in the discharge teaching plan 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 green colored 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 the nurse 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 a urinary 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 hour of

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

b. preface the report by stating the clients name and admitting diagnosis

c. communicate the pre-transfusion temperatures