1.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 ( blindness in the left half of the visual field)
One-sided neglect
2.A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The
nurse should postpone the testing and report to the provider which of the following findings?
Current medications
3. A nurse is caring for a group of clients. The nurse should plan to make a referral to physical
therapy for which of the following clients?
A client who is receiving preoperative teaching for a right knee arthroplasty
4.A nurse is caring for a client who is having a seizure. Which of the following interventions is
the nurse’s priority?
the client to the side Turn
5.A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Which of the following actions should the nurse take?
Place a pillow between the client’s leg
6. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place
which of the following items at the client’s bedside?
Suction machine
7.A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following statements
should the nurse include in the teaching?
“You should cut the opening of the skin barrier one-eight inch wider than the stoma”
lOMoAR cPSD|19500986
8.A nurse in an emergency department is caring for a client who reports vomiting and diarrhea
for the past 3 days. Which of the following findings should indicate to the nurse that the client is
experiencing fluid volume deficit?
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