A.) Ask the Caller for verification of their identity - A nurse working on a medical-surgical unit

receives a telephone call requesting the status of a client from an individual who identifies

themself as the client's parent. Which of the following actins should the nurse take?

A.)Ask the caller for verification of their identity

B.) Give the caller limited information about the client

C.) transfer the phone call to the client's room

D.) Inform the caller that they should obtain permission from the client's provider

D.) The client's heel is reddened and tender - A nurse is caring for a client who has a fractured

femur and has had a fiberglass leg cylinder cast for 24 hr. Which of the following assessment

findings should the nurse identify as the priority?

A.) the client reports leg itching under the cast around the mid-upper thigh area

B.) The client reports increased pain when the leg is lowered below the level of the heart

C.) The client's cast became wet during a sponge bath

D.) The client's heel is reddened and tender

B.) Complete a serum pregnancy test before taking the medication - A nurse is teaching a client

who is to start taking misoprostol and currently is on long-term therapy with NSAIDs for

arthritis. The nurse should provide the client with which of the following information?

A.) Increase intake of fluids and fiber to prevent constipation

B.) Complete a serum pregnancy test before taking the medication

C.) This medication coats stomach ulcers so that they can heal

D.) Take a magnesium-containing antacid along with this medication

B.) Nausea - A nurse is teaching a client who has a new prescription for digoxin about

manifestations of toxicity. Which of the following findings should the nurse include in the

teaching?

A.) Constipation

B.) Nausea

C.) Wheezing

D.) Muscle rigidity

C.) Hypertension - A nurse is assessing a client who has obstructive sleep apnea. For which of

the following complications should the nurse monitor?

A.) weight loss

B.) urinary retention

C.) hypertension