124. The nurse is assigned to provide care for a client who is scheduledfor a laparoscopic cholecys

124. The nurse is assigned to provide care for a client who is scheduledfor a laparoscopic cholecystectomy in two hours, at 0900. What nursing action is most important?a. Offer to assist the client to the restroom to voidb. Review postoperative instruction with the clientc. Determine when the client last had pain medicationd. Confirm that the client has been NPO since midnight  128. In reviewing a client medical record, the nurse notes that a female client left breast is larger that the right and the skin on the larger breast is dimpled. The nipples of both breast are inverted and the client reports cyclic generalized tenderness. Which finding in the client history is indicative of breast cancer?a. Cyclic tendernessb. Asymmetrical breast sizec. Dimpling of the skind. Nipple inversion 131. An adult male is being monitored for an irregular heart rate, which was first noted one week ago. His treatment plan include a calcium channel blocker and an anticoagulant. After two days of treatment, the client reports bleeding gums and new bruises. Which interventions should the nurse include in this client plan of care? SATAa. Encourage client to drink cranberry juiceb. Teach to avoid taking aspirin for headache c. Identify foods that are high in vitamin Kd. Tell the client to sleep with socks on both feete. Give client a soft bristle toothbrush to use 133. A client with chronic kidney disease receives a prescription for darbepoetin alfa 40 mg subcutaneous every 7 days. The darbepoetin alfa vial is labeled, 60 mcg/mL. How many mL should the nurse administer? 140. A female with fibromyalgia asks the nurse to arrange for hospice care to help her manage the severe, chronic pain. Which intervention should the nurse provide to address the client problem?a. Form an interdisciplinary team for evaluationb. Arrange an appointment with a pain specialistc. Ask for a consultation with a psychologist d. Contact a hospice nurse for an evaluation 142. A client with postpartum depression, who is admitted to the behavioral health unit, refuses to leave her room or eat meals. In addition to maintaining physical safety, which short-term goal should the nurse include in the plan of care?a. Attends one group activity per dayb. Consumes 3 meals and 1500 mL of fluid per dayc. Engages in one client-to-client interaction dailyd. Sleeps at least 6 hours per night 144. A client metastasizing breast cancer is recovering from surgery performed to treat spinal cord compression. Which action should the nurse include in the client plan of care?a. Explain the need to limit intake of oral fluids to reduce client discomfortb. Remind the client to practice pelvic floor (Kegel) exercise regularlyc. Provide a bedside commode for immediate use in the client roomd. Teach the client techniques for performing intermittent catheterization 150. Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty breathing. The nurse suspects that the client may have had a pulmonary embolus. What action should the nurse take first?a. Provide supplemental oxygenb. Notify the healthcare providerc. bring the emergency crash cart to the bedsided. Prepare a continuous heparin infusion per protocol    Health Science Science Nursing NUR 502 Share QuestionEmailCopy link Comments (0)

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