a. The client offers suggestions to other clients on the unit b. The client begins to write a book about life c. The client sits and eats with other clients on unit d. The client talks with other clients a group meeting a. The client heart rate is 100 bpm b. The clients blood pressure is 100/60 mmHg c. The clients serum theophylline level is 25 mcg/mL d. The client is sleepy a. “I understand that there is little or no risk associated with this procedure.” b. “I may experience a little pounding sensation in my chest during the procedure.” c. “I will be in and out of the procedure room in about 30 minutes.” d. “I will be able to walk in the hall soon after the procedure is completed.” a. “I will get you a cup of coffee.” b. “It would be best if you stayed here at this time.” c. “Ask your partner if it is acceptable to leave.” d. “Why do you want to leave the room?” a. Assess the patency of the client’s airway b. Determine whether the client is responsive c. Check the client’s carotid pulse d. Reposition the client onto the back a. Works with in the system at the hospital to change the type of client care delivery b. Discuss his thoughts about the type of client care delivery system with the nurses supervisor c. Asks the nurses peers why this type of client care delivery system is used d. Suggests a change in the type of client care delivery system to the director of nursing a. Apply anti-shock trousers b. Assesses the clients level of consciousness c. Remove the tourniquet d. Check the client’s blood pressure and pulse a. “What makes you think your spouse is trying to hide your existence?” b. “Are you saying that you think your spouse doesn’t love you?” c. “I can see that you are frightened about being here but I am a nurse in a hospital.” d. “I’m not conspiring with your spouse. I first met your spouse when you are admitted to the hospital.” a. Below umbilicus, on the mothers right b. Below umbilicus, on the mothers left c. Above umbilicus, on the mothers left d. Above umbilicus, on the mothers right a. A wheel of the medication cart is broken b. The needle disposal unit in unoccupied room is full c. The call light and occupied isolation room is broken d. The ice machine and the visitors lounge is leaking water on the floor a. The NAP enters the room while wearing goggles and a hair covering b. That NAP enters the room while wearing a mask and sterile gloves c. The NAP enters the room while wearing a gown and clean gloves d. The NAP enters the room while wearing a particulate respirator and a gown a. “I should take this medication when I take my antacid.” b. “I should take this medication with orange juice.” c. “I should increase my intake of foods that contain calcium.” d. “I should take this medication at bedtime.” a. “I should make an appointment to have a circumcision.” b. “It will help if I use a scrotal support.” c. “I should restrict my athletic activities for about 6 weeks.” d. “I need to stay in bed for at least 10 days.” a. Legs abducted with the toes pointing upward b. Legs adducted with a bed cradle in place c. Flat on the bed with a foot board in place d. Legs elevated on two pillows with the knees flexed a. Declines lunch at 1200 b. Reports hunger at 0900 c. Experiences confusion at 1600 d. Becomes sleepy at 2100 a. Removes the client from the bathroom and escorts the client to the bedroom b. Stays with the client and continually monitors for self-destructive behaviors c. Initiates a discussion with the client concerning reasons for self-harm d. Distracts the client from trying to hurt self by talking about the family. a. Check this scrotal sac and palpate the testes b. Inspect the position of the urinary meatus c. Obtained a urine sample for analysis d. Measure intake and output hourly a. A story book b. A stuffed animal c. A colorful mobile d. A large yo-yo a. a. Notifies the healthcare provider, and receive new orders b. b. Complete accident report documenting the fall c. c. Stays with the client and calls for assistance d. d. Moves the client back onto the bed providing support to the cervical area a. “I may feel a fluttering sensation in my chest during the test.” b. “I may kill chest pain during the test.” c. “I may have chest pain for several days following the test.” d. “I may have some pain at the catheter insertion site.” a. “We will return in a little while.” b. “We will come back at 1000 hours.” c. “We will return when the sun comes up.” d. “We will come back as soon as we can.” a. a. The NAP massages the client’s leg using long, firm strokes b. b. The NAP massages the client arms using smooth, gentle strokes c. c. The NAP assist the client to put the joints through range of motion exercises d. d. The NAP positions the client side-lying and applies lotion to the back a. Stabilize the clients weight b. Encourage the client to gain insight about body image c. Maintain the clients fluid and electrolyte balance d. Increase the clients caloric intake a. Get another nurse to assist with the client b. Give the client the medications, so the client will calm down c. Admonishes the client, and suggested the client collect self d. Sits down and asks the client what is bothering the client a. Uses another site appropriate for the size of the bailable cost to obtaining reading b. Wait until proper equipment is available before proceeding to check the blood pressure c. Use a smaller blood pressure cuff and checked to reading in both arms d. Uses a larger cost, and add 10 mm Hg to the systolic reading a. Ask a coworker to identify the child before giving the medication b. Ask the parents at the child’s bedside to state their child’s name c. Hold the medication until an identification bracelet can be obtained from the admitting office d. Ask the child to save the child’s first and last name a. Remove the gloves, obtained the missing dressings, and replaces the clubs to continue with the procedure b. Closes the pack, obtained the missing dressing and new gloves, and reopen the pack to continue with procedure c. Presses the call light, ask the nurse assistive personnel to bring the missing dressings to the clients room, and then continues with the procedure d. Remains in place at the clients bedside while the nursing assistive personnel obtains the missing dressings, and then continues with the procedure a. Slows down the PN infusion until the new solution is available b. Hangs a container of 0.9% NaCl until the new solution is available c. Hangs a container of 10% D/W until the new solution is available d. Uses a heparin lock until the new solution is available a. Restrict visitors to minimize environmental stimuli b. Provide a high-calorie, high- protein diet as ordered c. Start a intravenous line of D5W with thiamine as ordered d. Monitor behaviors for documentation of confabulation a. The child’s appetite improves b. The child displays no evidence of infection c. The child manages respiratory secretions without difficulty d. The child’s activity level increases a. The nurse questions a client’s medication order left by a healthcare provider b. The nurse volunteers to “Float” to another unit at the hospital c. The nurse cannot be found on the unit for half an hour during the assigned shift d. The nurse questions a client about paying before administering a narcotic analgesic a. The fluid in that IV tubing becomes pink tinged when the tubing is pinched b. The end of the needle can be palpated in the vein in the left forearm c. The amount of fluid infused through the IV site is a half- hour behind schedule d. The skin on the left arm distal to the IV insertion site is cool and dry a. Ask the client to wiggle the toes b. Observe the foot for edema c. Assess the clients femoral pulse d. Check the skin temperature of the foot a. Require all the nurses at the meeting to verbalize their thoughts about the topic under discussion b. Allow extra time during the meeting for questions and summarize the discussion of the group c. Take the none-native nurse a side after the meeting and restate the major conclusions of the discussion d. Check with the non-native nurse before the conclusion of the discussion to see if the discussion topics were understood a. Inserts the end of the chest tube in a container of sterile saline solution b. Clamps the chest tube near the water- seal drainage system c. Applies a dressing to the chest tube insertion site d. Obtains a new water- seal drainage system a. The client performs straight leg lifts b. The client performs plantar and dorsiflexion exercises c. The client demonstrates quadriceps and gluteal setting d. The client demonstrate active range of motion exercises of the ankle a. There is a leak of fluid onto the dressing in the bed b. The client reports rectal pain on infusion of the dialysate c. More dialysate is returned then was infused d. The clients blood pressure decreases a. Asks the clients health care provider if the client can read the medical record. b. Relays the clients request to read medical medical record to the nurses supervisor c. Gives the medical record to the client, and remains with the client while the client reads it d. Tells the client the medical record is the property of the hospital a. Decreased sodium and glucose; increased potassium b. Decrease sodium and potassium; increased glucose c. Increased sodium and potassium; decreased glucose d. Increased sodium and glucose; decreased potassium a. “I know I can stop drinking if I put my mind to it.” b. “For the sake of my family, I will never drink again.” c. “I know this is a lifelong problem, and I’ll need continued support.” d. “I know that Alcoholics Anonymous (AA) is available in case the problem gets worse.” a. Encourage family involvement in clients treatment. b. Involve the local international community and the clients care c. Set limits on family visits until the client is stable d. Assign the client to structured group activity a. Contact the nursing supervisor in the hospital to report the discrepancy b. Contact the home health nurse who has been caring for the client to report the discrepancy c. Contact the home health supervisor to report the discrepancy d. Document the discrepancy between what was ordered and the condition of the dressing a. “Morphine 10mg given IM into left ventrogluteal area for report of a domino pain. Healthcare provider notified.” b. “Morphine 10 mg given IM for reports the pain. Hydromorphone 4 mg IM ordered. Incident report completed.” c. “Morphine 10 mg given IM for reports of abdominal pain instead of hydromorphone 4mg IM. Incident reported to healthcare provider.” d. “Morphine given for report of incisional pain. Vital signs unchanged. Client resting resting comfortably. States pain is relieved.” a. 0.45% NaCl IV and isophane insulin IV b. D5 0.9% NaCl IV and isophane insulin SQ c. D5W IV and regular insulin SQ d. 0.9% NaCl IV and regular insulin IV a. The child begins to cry when the nurse approaches b. The child can sit unsupported c. The child uses a Palmer grasp to hold objects d. The child can clap the hand when asked to do so a. Hyperbilirubinemia b. Cold stress c. Hypoglycemia d. Neurological impairment a. Expose the residual limb to air 30 minutes daily b. Elevate the residual limb on pillows at night c. Wrap the residual limb with an elastic bandage during the day d. Inspect the residual limb daily a. Arranges for one of the parents to stay with the client b. Pads the rails of the clients crib c. Places the client and they use bed d. Remove equipment from the bedside table a. Involve the family members as translators b. Utilize both verbal and nonverbal communication c. Write out all information on an erasable board d. Focus efforts on reducing the clients frustration when communicating a. The collection container contains 100 mL of serosanguineous fluid b. There is continuous bubbling in the section control chamber c. There is continuous bubbling in the water-seal chamber d. The fluid in the chest tube fluctuates with the clients respirations a. The client walks with a slow, staggering gate b. The client cannot remember what the client had for breakfast that morning c. The client reports generalized body aches d. The client cannot remember the clients children’s names a. Protect the client from injury b. Accurately document any seizures the client might have c. Monitor the client from medication side effects d. Provide for client assessment and teaching a. The client’s nose and mouth are covered by the rescuers mouth b. The clients neck is hyperextended c. The depth of chest compressions is about 1 1/2 inches deep d. The rate of chest compressions is 100 per minute a. Maternal anxiety causing peripheral vasoconstriction b. Postural hypotension resulting from a change of position c. Inappropriate Leopold’s maneuvers compressing blood flow to the fetus d. Hypotensive syndrome causing a reduction in cardiac output a. “You may damage the tissues causing erratic absorption of insulin if you don’t rotate sites.” b. “You may develop an infection if you use the same area too frequently c. “You may damage to the superficial nerves in the skin and lose sensation if you use the same area to frequently.” d. “your thighs will eventually becomes sore if you don’t change injection sites.” a. Pierces the skin and the vein in one swift motion b. Inserts the catheter through the skin and the 30° angle c. Releases the tourniquet after cleaning the skin alcohol d. Insert the catheter through the skin with the devil down a. “When I was in the hospital right after the accident, the nurse who took care of me showed me what the skin graft with look like on a doll.” b. “The first thing I am going to do when I finish with this operation is begin saving for my own car.” c. “I’m scared that my face will look worse after the surgery than it does now. This operation sounds horrible.” d. d. “The healthcare provider talked to me about the different techniques involved and the risk of the skin graft being rejected.” a. “Your baby is demonstrating the dance or step reflex. It will be replaced by deliberate movement in about 2 to 3 weeks.” b. “Your baby won’t start to walk until the baby is about a year old. The baby is just performing random movements.” c. “Your baby is advanced for two weeks of age. This type of movement is not usually seen into the baby is two months old.” d. “Your baby is not trying to walk. That is physically impossible at this age.” a. The client rest win the client become short of breath or diaphoretic when walking b. The tips of the crutches rest 8 to 10 inches in front into the side of the clients toes when the client stands c. The clients arms are flexed when the client rests the hands on the hand pieces of the crutches d. The clients weight is supported by the foam-rubber pad on the under arm peace a. a. Turn the client every 2 hours b. Maintain an intravenous intake of 125 mL per hour c. Put all joints through a range of motion every 4 hours d. Perform skincare every 2 hours a. The client is having difficulty speaking b. There is a moderate amount of serosanguineous drainage on the neck dressing c. The nasogastric (NG) tube attached to intermittent section is draining a moderate amount of translucent fluid d. The client reports moderate pain at incision site a. Regular contractions are noted on a monitor tracing b. The client says the water broke this morning c. The presenting part is engaged d. The client reports intermittent lower abdominal pain a. 4th or 5th intercostal place on the right side a. X-a. Teaches the client to use pads rather than tampons during the menstrual period b. b. Sits with the client and let her know that she is not alone c. c. Administers ciprofloxacin 400 mg q 12 hours via IV infusion over 60 minutes d. d. Administers 0.9% NaCl at hundred and 150 mL/hr into the clients ri
ght forearm a. Remind the client to stay in the room b. Escort the client back to the clients room c. Restraining the client in an armchair in the hall d. Allow the client to assist the staff in distributing the clean linen a. The client washes the hand in cool water before the procedure b. The client elevates the hand on a pillow before the procedure c. The client sticks the center of the proximal phalanx d. The client allows a large drop of blood to touch the test strip a. Dysrhythmias and edema b. Fever and hypotension c. Increased urinary output and dehydration d. Nystagmus and photophobia a. a. Abruptio placentae b. b. Placenta previa c. c. Missed abortion d. d. Hdatidiform mole a. a. “When I start to feel better, I can adjust my dosage of amitriptyline.” b. b. “Amitriptyline works best when taken in the morning before breakfast.” c. c. “It maybe 3 to 4 weeks before I’ll see a change due to amitriptyline.” d. d. “I can’t eat food such as age cheese, beer, red wine, and yogurt.” a. a. The client is behaving rebelliously because the client is in a structured setting b. b. The client is using attention-getting behaviors because the client is unhappy c. c. The client’s physical needs are not being met d. d. The client is responding to the change in body image a. a. “Dilate the stoma every day with your little finger.” b. b. “Drink at least 2000 mL of fluid every day.” c. c. “Change the appliance several times each day to prevent odors.” d. d. “Abstain from sexual intercourse for two weeks while the incision heals.” a. a. The client rings the hands and says, “I am a prisoner because of my past sins.” b. b. The client sits in the bathroom and turned the water faucet on full force c. c. The client has a noticeable body odor, and the hair and skin are oily d. d. The client is accompanied to the hospital by a sibling who leaves immediately a. The client takes 20 units of intermediate acting insulin each morning, which maintains blood glucose within normal limits b. Results of the complete blood count (CBC) reveal red blood cells (RBC) 4.9 million/mm3 (4.9 x 10^12/L), hematocrit 45% (0.45 the volume fraction), hemoglobin 15 g/dL (150 g/L) c. The client is 41 years old and unmarried d. The client smokes 15 cigarettes a day and drink a glass of red wine with dinner a. Roast beef, glazed carrots, and pudding b. Turkey, asparagus, and blueberries c. Frankfurter, fried potatoes, and sherbet d. Macaroni and cheese, yams, and Jell-O a. Auscultate breast sounds b. Position the client and an upright position in the bed c. Administer oxygen via nasal cannula d. Administer analgesics as prescribed a. prevent infection b. promote oral hydration c. Promote rest d. Prevent injury a. “Estrogen decreases your testosterone production.” b. “Estrogen delays the onset of menopause.” c. “Estrogen may make your menses regular again.” d. “Estrogen helps prevent the development of osteoporosis.” a. Continues to monitor the situation into the housekeeping person wakes up b. Wake the housekeeping person, and tells the person to leave the client room c. Reports the situation to the nurses supervisor d. Reports the situation to the housekeeping supervisor a. Protect the client from manipulative impulses and mood swings b. Provide rest, food, and liquids for the client c. Structure a routine to use the client energy in acceptable outlets d. Isolate the client from interaction with other clients a. The client walks with an unsteady gait b. The client states, “Things I can’t see are touching me.” c. The client states, “My feet feel glued to the floor.” d. Pupils are dilated, appears diaphoretic a. Encourage early in frequent ambulation b. Apply warm soaks for 20 minutes every four hours to the right leg c. Check the areas for warmth and edema d. Perform passive range of motion exercises three times daily a. a. Causes an increase in the secretion of progesterone b. b. Causes testosterone to be secreted by the pituitary gland c. c. Enhances the action of the female hormones d. d. Acts as an estrogen antagonist a. Help the client and adjust to changes in self-concept b. Reduce the clients pain and inflammation c. Maintain optimal joint mobility, and prevent further deformity d. Promote increased activity tolerance a. “An intensive exercise program is important in regaining my strength.” b. “I should drink fluids with all my meals and in between meals.” c. “My outside activity should be limited to one hour each day.” d. “Cold weather will help my breathing problems.” a. Dark green, sticky, and odorless b. Light brown, firm, with a characteristic bowel movement odor c. Yellow, pasty, with a sour milk odor d. Greenish brown, thin, containing milk curds a. Checks the appliance for leaks b. Provides additional ventilation in the room c. Suggests foods that are not gas-forming d. Offers a room deodorant a. “I know what you mean. I’ll arrange for your family to stay with you.” b. “Many clients feel frightened when first admitted to hospital. It will seemed better soon.” c. “A hospital can be a frightening place. I will stay with you.” d. “You don’t need to feel alone. There are many nurses here to help you.” a. “You will be given a general anesthetic before the biopsy.” b. “You will drink a special dye so that x-rays may be taken.” c. “You will be asked to exhale and hold your breath.” d. “You will change position several times during the procedure.” a. The nurse compares the reflexes on both sides of the body to see if they are symmetrically equivalent b. The nurse asked the client to clinch the fist before checking the biceps reflex c. The nurse positions the arm in an extended position before checking the triceps reflex d. The nurse checks all the reflexes on one side of the body and then checks the contralateral side a. Prevent rupture of esophageal varices by decreasing irritation of portal blood vessels b. Prevent infection caused by decreased production of white blood cells c. Convert ammonia levels in the blood to urea d. Reduce bacterial production of ammonia in intestine and blood a. “Do your ankle becomes swollen at the end of the day?” b. “How do you feel after you eat dinner?” c. “Do you have chest pain when you inhale?” d. “Where do you sleep at night?” a. Instructs the client to breathe into a paper bag help tightly against the mouth and nose a. Instruct client to take a cleansing breath and refocuses the concentration b. Tell the client to pants three times and then at scale against pursed lips c. Encourages the client to pan and blow with the next contraction a. There is a 10 mm area of erythema on the dorsal aspect of the left forearm b. There is a 5 mm area at induration on the inner aspect of the left forearm c. There is a 6 mm area of erythema on the medial aspect of the left arm d. There isn’t 8mm area of induration on the lateral aspect of the left arm a. Intermediate acting insulin is drawn up first. Then the short acting insulin is added to the syringe b. Either short acting insulin or intermediate acting insulin can be drawn up first if there is no mixing of the solutions c. Short acting insulin is drawn up first. Then the intermediate acting is added to the syringe d. Intermediate acting insulin and short acting insulin must be drawn up in separate syringes a. “this imaginary sensation is caused by your inability to deal with the changing your body image.” b. “You are denying that you have lost her leg, and that causes you to feel as though it is still there.” c. “The brain sends signals to the residual land that cause it feel like your leg is still there.” d. “The trauma to your leg causes the neuronal network to send messages to your brain that your leg is still there.” a. Aerobic dance class twice a week b. Isometric exercise daily c. Swimming one mile three times each week d. Walking 1 mile daily a. Encourage a diet high in fiber b. Insert a Foley catheter, as ordered c. Prepare the area for surgery d. Elevate the scrotum on towels a. The nurse tips the client’s head toward the otoscope before beginning examination b. The nurse warms the speculum before inserting it into the canal c. The nurse pulls the auricle upward and backward to straighten the canal d. The nurse watches through the otoscope as it is advanced into the canal a. Inspects the test site area for the presence of erythema b. Palpate the injection site to assess front area of induration c. Measures the diameter of any reddened areas at the injection site d. Compares the skin appearance at the test site with the surrounding skin a. They’ve reassure the child there are no such things as monsters and bogeymen b. They tell the child these fears will go away c. They leave a night light on in the child’s room d. They let the child sleep with them occasionally a. “When your child walks, the child would appear on court needed and unsteady on the feet.” b. “Your child may appear belligerent and be looking for a fight.” c. “Your child would be hungry, especially for junk food.” d. “Your child would be talkative with slurred speech.” a. After a low level is obtained b. During dialysis c. every 12 hours d. Before dialysis a. The client grasps the front bar of the walker with both hands and stands in the middle of the walker b. Client tips the walker toward the client and then take several steps c. The client sets the walker away from the client and then take several steps d. The client grasps the sides of the walker and stands between the back legs a. Rifampin b. Amphotericin B c. Cyclophosphamide d. Mafenide a. The infant has course rhonchi and a respiratory rate of 20 b. The infant has find crackles and a respiratory rate of 44 c. The infant has periods of apnea lasting 40 seconds any respiratory rate of 26 d. The infant has grunting restorations any respiratory rate of 60 a. The client newly diagnosed with type I diabetes mellitus b. The client diagnosed with a left femur fracture and being treated with traction c. The client diagnosed with emphysema and schedule to be discharged later today d. The client diagnosed with low back pain is scheduled for a myelogram in the afternoon a. Performs a tracheostomy care, assign the catheterization to the LPN/LVN, and ask that NAP to check the blood glucose level b. Perform the catheterization, ask the LPN/LVN to do the tracheostomy care, and ask the NAP to check the blood glucose level c. Performed a tracheostomy care, I signed the LPN/LB in to check the blood glucose level, and ask the NAP to place the client with urinary retention on a bedpan d. Obtain a blood glucose level, assign the tracheostomy care to the LPN/LVN, And asked the NAP to perform the catheterization a. A five-year-old child with croup and who has respirations of 35 b. A four-year-old child with pneumonia and who has a temperature of 10 1°F (38.3°C) c. a three-year-old child receives parenteral nutrition (PN) through a peripherally inserted central catheter (PICC) d. A two days after surgical repair of a strangulated abdominal hernia a. Apply suction each time the client inhales b. Apply suction as the catheter is both inserted and withdrawn for no more than 10 seconds c. Apply suction as the catheter is withdrawn from no more than 10 seconds d. Apply suction at the catheter is inserted for no more than 20 seconds a. The client reports pain at incision site b. There is 200 mL of blood in the Hemovac drain c. The client cannot move the toes of the right foot d. There is a small amount of blood on the clients dressing a. Hypoxemia b. Hypokalemia c. Hypovolemia d. d. Hyponatremia a. Winks b. Paper and pencil c. The foot d. Gestures a. The child secretions become tenacious b. The child’s color worsens c. The child’s respiratory rate decreases d. The child’s lung sounds are congested a. Semi Fowler’s b. Supine c. Left side lying d. Right side lying a. Ask the client, “Why have you refused pain medication?” b. Administer the fentanyl 100 mcg intravenously as ordered c. Explain that taking medication will not lead to medication addiction d. Question the client, “Are you experiencing any pain?” a. After two weeks of age b. After a source of protein has been ingested c. After a source of fat has been ingested d. After the danger of hyperbilirubinemia has passed a. Check the signs of hypertension and albuminuria b. Gently massage the fundus every four hours c. Observed for signs of hemorrhage and infection d. Encourage direct contact with the infant to facilitate bonding a. The child is able to sit erect if propped with a pillow b. The child grasp objects with both hands c. The child’s drools frequently d. The child has slight head lag when pulled to sitting position a. The woman reports a moderate amount of abdominal pain and cramping b. The woman’s vital signs change from blood pressure (BP) 136/78 mm Hg, polls 76 bpm to BP 124/66 mm Hg, pulse 90 bpm c. The woman voices ambivalent feelings about becoming a mother at her age d. The woman saturates a peripad with sanguinous drainage in one hour a. My child has become very picky about the food choices b. My child seems to get feet tangled and fall c. My child has started to wet the bed at night d. My child has only one close friend at school a. The LPN/LVN instills the irrigating solutions with flows away from the wound b. The LPN/LVN remove the old dressing and then discard the gloves c. The LPN/LB inputs on sterile gloves and pours the irrigating solution into the sterile container d. The LPN/LVN warms the irrigating solution to 90 – 95°F (32.2 – 35°C) a. Lying on the unoperated side with legs adducted b. Lying on the operated side with legs adducted c. Lying on the operated side with legs abducted d. Lying on the unoperated side with legs abducted a. Hypotension, restlessness, and increased respirations b. Course motor tremors, increased pulse, and increased anxiety c. Blackouts, hallucinations, and convulsions d. Loss in inhibition, drowsiness, and impaired judgment a. “I should notify the healthcare provider if my stools get light for my urine turns dark.” b. “I should avoid eating a lot a fat in my diet.” c. “I will need weekly injections of vitamin K for six weeks.” d. “I should not lift heavy objects for 4 to 6 weeks.” a. Admit a 45 year old client diagnosed with graves disease b. Resume teaching a recently diagnosed diabetic client about insulin injections c. Change the dressing on a client with a stasis ulcer d. Witness the signing of a consent form for a bronchoscopy a. “I can’t put the ointment on my chest because I am so hairy.” b. “I should place the ointment on the skin near my heart.” c. “I should wipe away the ointment from the last dose before applying a new does.” d. “I should wash my hands after applying the ointment.” a. A 17 year old client who delivered a 5 lbs. 9 oz. baby two hours ago and he plans to breast feed b. An 18 year old client who had a C-section one hour ago and who has saturated three peripads c. A 26-year-old client three hours after a normal badge in all delivery and he was experiencing hematuria d. A 20 year old client who delivered a full term infant six hours ago and who has not voided a. Bilateral reduction in breath sounds b. Crackles and wheezes on inspiration bilaterally c. gh pitched expiratory wheezes on the right side d. Reduction of breast sounds on the right side a. Document the partners wishes in the medical record b. Ask the family if they want the client resuscitated c. Determine if the partner understands the consequences of this decision d. Respect the wishes of the partner a. Free wraps the BKA, and gives the report to the next shift, and then teaches the clients adult child about medications b. Teaches the clients adult child about the medications, give the report to the next shift, and then rewra