Description

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care? Position the bedside table on the client’s left side Place the plate guard on the client’s meal tray Provide the client with a short handled reacher Remind the client to use a cane on left side while ambulating A nurse is performing ear irrigation for a client. Which of the following actions should the nurse take? Use a cool fluid for irrigation Insert the tip of the syringe 2.5cm (1in) into the ear canal Tilt the client’s head 45 degrees Point the tip of the syringe toward the top of the ear canal A nurse is providing discharge teaching to a client who has tuberculosis. Which of the following information should the nurse include in the teaching? “You should wear an N95 respirator mask when you are at home” “you will need to return in 2 weeks to provide a sputum specimen” “You can drink alcohol after the first 6 weeks of treatment” “Your provider will discontinue your medications after 3 months of therapy” A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? Flushed skin Frothy sputum/Hacking cough Jugular vein distention Bradycardia A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse first take? Increase the client’s fluid intake Reposition the client in bed Check the client’s urine output Administer PRN pain medication