43. A client has returned from having a transurethral resection of the prostate. The client is complaining of bladder discomfort and a feeling of urgency to void. Which nursing action should be taken first?
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49. A nurse is assisting with the care of a client who 1 day…
49. A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
27. A nurse is assisting with the food tray for a client who…
27. A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?
17. A nurse is caring for a client on the psychiatric unit i…
17. A nurse is caring for a client on the psychiatric unit involuntarily admitted after attacking a neighbor. To keep the client in the hospital when the 72-hour hold is over, which of the following must be determined?
30. A nurse is caring for a client who is difficult to arous…
30. A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
29. A nurse is reinforcing teaching for a client who is to h…
29. A nurse is reinforcing teaching for a client who is to have a myelogram. Which of the following statements indicates the client understands the teaching?
31. A nurse is reinforcing teaching with the family of a cli…
31. A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?
21. A school nurse is screening an 11-year-old child for idi…
21. A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination?
24. The nurse is caring for a child who has a cast on the le…
24. The nurse is caring for a child who has a cast on the left forearm due to a recent bone break. During the routine medication pass the child is noted to be crying inconsolably and points to the face picture pain guide of a crying face. Which of the following interventions is priority?
40. The nurse is assessing the patency of an arteriovenous f…
40. The nurse is assessing the patency of an arteriovenous fistula in the left arm of a client who is receiving hemodialysis for the treatment of chronic kidney disease. Which finding indicates that the fistula is patent?