A nurse is caring for a client who have a lower extremity fracture and a prescription for crutches. Which of the following client statements indicate that client is adapting to the role of change? -I will need my partner to take over shopping for groceries A nurse is assessing a client who has a new diagnosis of colon cancer. Which of the following findings should the nurse expect? a) hematochezia b) weight gain C) elevated hemoglobin D) Steatorrhea A nurse is caring for a client who is receiving TPN. The prime infusion is almost complete and the new solution is not available. Which of the following actions should the nurse take? Infuse dextrose 10% in water A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect? A saw tooth pattern A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be the greatest concern to the nurse? Glasgow coma scale score changes from 14 to 9 A nurse is completing an assessment of an older adult client and notes redness areas over the bony prominences, but the client’s skin is intact. Which of the following interventions should the nurse include in the plan of care? Support bony prominences with pillows A nurse is caring for a client who is receiving a blood transfusion. The nurse observes the client had bounding peripheral pulses, hypertension, and distended jugular vein. The nurse should anticipate administering which of the following prescribed medications? Furosemide A nurse is caring for a patient who has a sealed radiation implant. Which of the following actions should the nurse take? Limit family member visits to 30 mins/day A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching? I should expect my lesions to heal in 6 weeks A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? Blood glucose Blood pressure I think? Urinary output Motor responses *wrong answer* A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication for receiving heparin? Thrombocytopenia A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room? A client who reports having fever, night sweats, and cough for 2 days A nurse is planning to teach a client whose provider has prescribed a low purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet. SATA -sardines -apricots -nuts -liver -scallops A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax? Diminished breath sounds A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status? Prealbumin A nurse is caring for a client in diabetic ketoacidosis. Which of the following is the priority intervention by the nurse? Check potassium levels A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication? Potassium 3.2 A nurse in the emergency department is preparing a client for emergency surgery. The client’s alcohol level is 180. Which of the following action is the nurse priority? Insert an NG Tube