1. The nurse obtains intravenous access on a client who is admitted… 1. The nurse obtain
1. The nurse obtains intravenous access on a client who is admitted… 1. The nurse obtains intravenous access on a client who is admitted with an acute exacerbation of inflammatory bowel disease. to promote bowel rest which inrtervention should the nurse implement next?a. Auscultate the clients bowel sounds in all four quadrantsb. Encourage the client to call for assistance before ambulatingc. Measure and document any liquid diarrhea as fluid d. Educate the client regarding the need to maintain NPO status 2. which client assessment should the nurse perform duringnasopharyngeal suctioning?a. Auscultate the bowel sounds in all four quadrantsb. Observe the clients skin and mucus membranesc. Determine the elasticity of the clients skin turgord. Palpate the clients pedal pulse volume bilaterally 3. A client with a history of hepatitis C is admitted with increased ascites related to cirrhosis and is experiencing shortness of breath. The client on a transplant list and expresses fear that a donor will not be matched. which action is most important for the nurse to implement next?a. Re-enforce importance of fluid restrictionb. Maintain 45 degree head to bed elevation c. Intruct family to use standard precautionsd. Administer a PRN antianxiety medication. 4. When teaching a client newly diagnosed with multiple scerosis. whic approach should the nurse emphasize as mostly likely to prevent an exacerbation of symptoms?a. focus on positive aspects if living and avoid situations that induce emotional upset.b. Obtain assistance when performing astivities of daily living to avoid relapse.c. Schedule frequent follow up visits for monitoring disease progressiond. develop preplanned strategies to avoid or minimize the effects of triggers. 5. An adult client, a smoker, has had chronic obstructive pulmonary disease (COPD) for twelve years. When conducting discharge teaching what should the nurse advise the client to avoid in order to prevent exacarbation of COPD?a. excessive physical exertion and respiratory tract infections’b. Overdose of albuterol and alcohol consumptionc. Excessive bedrest and lack of exercise d. Exposure to persons with pneumonia or chickenpox 6. An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with rales and wheezing. when assessing the client which additional finding is the nurse likely to obtain?a. Jugular vein distensionb. Lower extremity edemac. Hepatomegalyd. Fatigue 7. A woman who is 36- weeks pregnant spills hot grease on her right arm. the clients hand and arm are swollen with partial and full-thickness burns from her elbow to her wrist. Which intervention is most important for the nurse to implement in the first 24-hours post-burn?a. Determine the clients sensation distal to burn in the right armb. Provide passive range of motion exercises every 4 hoursc. Monitor the clients distal pulses in the right arm every 2 hoursd. Report the presence of exudate on the burned arm. 8. The nurse is teaching a female client techniques to prevent further episodes of chronic lower back pain. which outcome statement best measures that the teaching was effective?a. She correctly identifies the adverse effects of NSAIDs b. The client exercises on a regular daily basis.c. The client takes 1000 mg of supplemental calcium dailyd. She demonstrate use of a TENS unit correctly Health Science Science Nursing NUR 1211 Share QuestionEmailCopy link Comments (0)
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