Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left eye?

1. "Forcefully cough and take deep breaths every two hours to keep your airway clear."

2. "Perform the prescribed eye exercises each day to strengthen your eye muscles."

3. "Rinse your eyes with saline each morning to prevent postoperative infection." d. "Take the prescribed stool softener to avoid increasing intraocular pressure."

A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these actions?

1. Suction the nasogastric tube.

2. Flush the tube with 30 mL of sterile water.

3. Remove the nasogastric tube. d. Check the residual volume.

Which of these actions best demonstrates cultural sensitivity by a nurse?

1. The nurse talks in a slow-paced speech.

2. The nurse asks clients about their beliefs and practices toward pregnancy.

3. The nurse uses charts and diagrams when teaching pregnant clients.

4. The nurse can speak several different languages.

Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration?

a. Hyperreflexia. b. Tachycardia.

c. Bradypnea.

d. Agitation.

When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential entry portals, which include:

1. the urinary meatus.

2. vomitus.

3. contaminated water.

4. sexual intercourse.

A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a nurse take if the client is agitated?

1. Encourage the client to verbalize feelings.

2. Lock the client in a secluded room.

3. Ask the other clients to give feedback regarding the client's behavior.

4. Ignore the client's inappropriate behavior.

Which of these measures should a nurse include when planning care for a school-aged child during a sickle cell crisis episode?

a. Monitoring for signs of bleeding. b. Providing pain relief.

c. Administering cool sponge baths to reduce fevers.

d. Offering a high calorie diet.