A nurse is planning care for a client who has extensive burn injuries and is immunocompromised

current medications

ACE inhibitors, beta blockers, theophylline, nifedipine, and glucocorticoids, such as prednisone, that can alter the allergy skin test results. These medications can diminish the client's reaction to the allergens

A nurse is caring for a client who is having a seizure. Which of the following interventions in the nurse’s priority?

Turn the client to the side

A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the

following clients?

A client who is receiving preoperative teaching for a right knew arthroplasty

A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the

testing and report to the provider which of the following findings?

Current medications

A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a

right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the

client? (SATA)

Visual spatial deficits

Left hemianopsia

One-sided neglect

A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions

should the nurse take?

Place a pillow between the client’s legs

A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at

the client’s bedside table?

Suction machine

A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to

establish a ureterostomy. Which of the following statements should the nurse include in the teaching?

You should cut the opening of the skin barrier one-eighth inch wider than the stoma

A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which

of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Heart rate 110

A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial

cancer. Which of the following actions should the nurse include in the client’s plan of care?

Wear a lead apron while providing care to the client

A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at

risk for falls. Which of the following instructions should the nurse include?

Remind the client to scan their complete range of vision during ambulation

A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic

kidney disease. Which of the following interventions should the nurse include in the plan?

Tell the client that it is possible to return to similar previous levels of activity

A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the

following findings indicate that the client is experiencing increased intracranial pressure? (SATA)

Sleepiness exhibited by the client

Widening pulse pressure

Decerebrate posturing