A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse? Correct Ans - The infusion pump for administering contimuous feeding is turned off. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect? Correct Ans - Hypotension A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? Correct Ans - Egg whites A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take? Correct Ans - Use a designated stethoscope when caring for the toddler. A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following findings requires intervention by the nurse? Correct Ans - 1 cm of water present in the water seal A nurse is reviewing the medical history of a client who is taking garlic supplement. The nurse should identify that which of the following findings is a contraindication for taking this supplement? Correct Ans - The client takes aspirin daily. A nurse is planning to provide community education about viral hepatitis. Which of the following should the nurse plan to include in the teaching? Correct Ans - series of four hepatitis vaccines is recommended to prevent viral hepatitis. A nurse is reviewing the history and physical of a client who has right ventricular heart failure. Which of the following is an expected finding? Correct Ans - Elevated pulmonary artery pressure A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client has two school-age children and a limited support system. Which of the following is the priority nursing action? Correct Ans - Inform the client of available community resources. A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective? Correct Ans - "I will use my cell phone on the ear opposite of my pacemaker." A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication? Correct Ans - Decreased reflexes