A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? A. Vomiting B. Hypertension C. Epigastric pain D. Contractions - ANSWER-D. Contractions A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? A. Stay in bed at least 1 hr if unable to fall asleep B. Take a 1 hr nap during the day C. Perform exercises prior to bedtime D. Eat a light snack before bedtime - ANSWER-D. Eat a light snack before bedtime A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse take first after determining the client does not have a palpable pulse? A. Assess heart sounds B. Defibrillate C. Establish IV access D. Administer epinephrine - ANSWER-B. Defibrillate A nurse is admitting a client who 1 week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data? A. Have the client's child translate B. Allow the client's partner to translate C. Request a female interpreter through the facility D. Ask a nursing student who speaks the same language as the client to translate - ANSWER-C. Request a female interpreter through the facility A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling? a. Flushing b. Tachycardia c. Restlessness d. Shivering - ANSWER-d. Shivering A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Exhibit) A. Position the client with the affected extremity lower than the heart B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin C. Administer acetaminophen D. Massage the affected extremity every 4 hr - ANSWER-B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin A nurse is reviewing assessment data from several clients. For which of the following clients should the nurse recommend referral to a dietitian? A. An older adult client who has a BMI of 24 B. A client who has a nonhealing leg ulcer C. An older adult client who has presbyopia D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) - ANSWER-B. A client who has a nonhealing leg ulcer 8. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching? a. Eat 1 g/kg of protein per day b. Take magnesium hydroxide for indigestion c. Drink at least 3 L of fluid dailyConsume foods high in potassium- restrict - ANSWER-a. Eat 1 g/kg of protein per day A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? A. Sitting in a high-Fowler's position during the feeding B. A history of gastroesophageal reflux disease C. Receiving a high osmolarity formula D. A residual of 65 mL 1 hr postprandial? - ANSWER-B. A history of gastroesophageal reflux disease