A nurse is assisting with the care of a client who has a femur fracture and is in skeletal

traction. Which of the following actions should the nurse take >>ANS>> Ensure the

client's weights are hanging freely from the bed.

A nurse in a provider's office is reinforcing teaching with a client who has anemia and

has been taking ferrous gluconate for several weeks. Which of the following instructions

should the nurse include? >>ANS>> Take this medication between meals

A nurse in a provider's office is reinforcing teaching with a client who has anemia and

has been taking ferrous gluconate for several weeks. Which of the following instructions

should the nurse include? >>ANS>> Take this medication between meals.

A nurse is reviewing the plan of care for a client who has cellulitis of the leg. Which of

the following interventions should the nurse recommend? >>ANS>> Wash daily with an

antibacterial soap.

A nurse is reinforcing teaching with a client who is postoperative after having an

ileostomy established. Which of the following instructions should the nurse include in

the teaching? >>ANS>> Avoid medications in capsule or enteric form.

A nurse is caring for a client with severe burns to both lower extremities. The client is

scheduled for an escharotomy and wants to know what the procedure involves. Which

of the following statements is appropriate for the nurse to make? >>ANS>> "Large

incisions will be made in the burned tissue to improve circulation."

A nurse is collecting data from a client who has a possible cataract. Which of the

following manifestations should the nurse expect the client to report? >>ANS>>

Decreased color perception

A nurse is contributing to the plan of care for a client who has an intestinal obstruction

and is receiving continuous gastrointestinal decompression using a nasogastric tube.

Which of the following interventions should the nurse include in the plan of care?

>>ANS>> Maintain the client in Fowler's position.

A nurse is caring for a client who has Cushing's syndrome. Which of the following

clinical manifestations should the nurse expect to observe? (Select all that apply.)

>>ANS>> 1) Buffalo hump 2) Purple striations 3) Moon face

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of

the following actions should the nurse take? >>ANS>> Monitor intake and output hourly

A nurse is reinforcing teaching about an esophagogastroduodenoscopy with a client

who has upper gastric pain. Which of the following statements should the nurse include

in the teaching? >>ANS>> "You will remain NPO for 8 hours before the procedure."