How to Answer Hello Someone Help Questions (Complete Guide)

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Use appropriate theories and support your answer with clear reasoning.

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Original Question

Hello can someone help me with the correct answer please A nurse is collecting data from a client who has a sodium level of 130 MEq/L. The nurse monitor the client for which of the following findings as a manifestation of hyponatremia? (select all that apply.) A) Lethargy B) Hypertension C) Musclecramps D) Headache E) Facial twitching. A nurse is caring for a client who has dysphagia following a stroke. When assisting the client at mealtime. Which of the following actions should the nurse plan to take? A. Schedule physical therapy directly before meals. B. Instruct the client to tilt their head back to facilitate swallowing. C. Encourage the client to use a straw. D. Provide oral care before meals. A nurse is assisting in the plan of care for an older adult client who underwent lithotripsy for a kidney stone. Which of the following should the nurse include in the plan of care? A. Maintain fluid intake of at least 1,000 mL daily. B. Keep the client on bed rest for 24hr. C. Strain the client’s urine after each voiding. D. Change the client’s dressing every 8hr. A nurse in a clinic is reinforcing teaching about foot care with an older adult client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A. “I will inspect my feet every day with a mirror.” B. “I will wear open-toe shoes.” C. “I will soak my feet in warm water daily.” D.”I will wear knee-high support hose during the day.” 33. A nurse is caring for a client who has valvular heart disease and requires assistance with ADLs. Which of the following actions should the nurse plan to take? A. provide a shower chair for the client to use in the bath. B. Use a disposable razor for shaving. C. Administer ibuprofen prior to assisting with ADLs. D. Obtain the client’s vital signs after completing ADLs. 34. A nurse is caring for a client who has developed Clostridium difficile – associated diarrhea. Which of the following actions should the nurse take? (Select all that apply) A. Place a mask on the client when transporting him outside the room. B. Have individuals entering the room wear a gown. C. Require nursing stuff to wear a mask when caring for the client D. Dedicate monitoring equipment for the client. E. Move the client to a private room 35. A nurse is discussing the plan of care for a group of clients with an assistive personal (AP). Which of the following statements by the AP requires intervention by the nurse? A. “I will show a client who is ready for discharge how to use a walker.” B. “I will remind clients to call for assistance before getting out of bed.” C. “I will record vital signs before clients leave the unit for surgery.” D. “I will calculate all of the morning intake and output.” 36. A nurse is caring for a client in hospice care who is dying. The client’s partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse? A. “I can ask the provider to prescribe a medication that will minimize drowsiness.” B. “Sitting quietly near the bedside can provide comfort and support.” C. “Encourage your partner to wake up to interact with family members.” D. “I will call the provider to discuss your concerns.” 37. A nurse is collecting data from a client who is postoperative following an explanatory abdominal surgery. Which of the following physical assessments is the priority? A. Inspect the surgical site. B. Measure the client’s oxygen saturation. C. Determine the client’s pain level. D. Auscultate the client’s bowel sounds. 38. A nurse is reinforcing teaching with a client about heart disease prevention. Which of the following client statements indicate an understanding of the teaching? A. “I will increase my dairy intake by drinking whole milk with every meal.” B. “I will exercise by walking twice a week for 25 minutes.” C. “I will improve my LDL cholesterol by raising it from 100 to 130.” D. “I will try to maintain my blood pressure around 116/72.” 39. A nurse is assisting with the care of a client who has methicillin-resistant staphylococcus aureus (MRSA) and is receiving linezolid IV. For which of the following should the nurse monitor? A. Sedation. B. Polyuria. C. Dry mouth. D. Headache. 40. A nurse is caring for a client who is receiving treatment for a cancer and is experiencing stomatitis. Which of the following actions should the nurse take to help manage the condition? A. Minimize the use of gravies and sauces. B. Recommend consumption of cold items. C. Provide an alcohol-based mouthwash. D. Discourage drinking with a straw. 41. A nurse is reinforcing teaching with a client who is to start therapy with a fentanyl transdermal patch to control cancer pain. Which of the following common adverse effects should the nurse include in the teaching? A. Tachypnea. B. Tinnitus. C. Constipation. D. Paresthesias. 42. A nurse is reinforcing teaching about the care of a client who has tinea corporis with a newly licensed nurse. Which of the following should the nurse include in the teaching? A. Place on airborne precautions. B. Isolate for 24 hr after lesions appear. C. Avoid direct contact. D. Administer a broad-spectrum antibiotic. 43. A nurse is giving change -of-shift report about the care of four clients. Which of the following client information is the most important for the nurse to report? A. Blood glucose 128 mg/Dl. B. Blood pressure 138/88 mm Hg. C. Increased confusion in the past 4 hr. D. Pain of 4 on a scale of 0 to 10. 44. A nurse at a rehabilitation facility is contributing to the plan of care for a client who has had a below- the-knee amputation. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Instruct the client to ignore phantom pain sensations. B. Suggest that family members bring clothing for the client from home. C. Ask the client to describe her feelings about the loss of the affected limb. D. Encourage the client to talk with another client who completed rehabilitation for amputation. E. Restrict visitors to family members until the client is able to wear a prosthesis. 45. A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to perform first? A) Allow two finger widths under the neck ties. B) Change soiled tracheostomy ties C) Remove the inner cannula D) Place a sterile dressing around the stoma site 46. A nurse in a health clinic is collecting data from an older adult client. Which of the following information in the client’s history increases her risk for osteoporosis? A) The client walks 3.2 km (2 mi) daily B) The client has a glass of red wine every evening. C) The client is lactose intolerant D) The client is a gardener 47. A nurse is monitoring laboratory values for a client who is receiving hemodialysis and has a serum calcium level of 7.2 mg/dl. For which of the following should the nurse monitor? A) Hypoactive bowel sounds B) Lethargy C) Positive Callen’s sign D) Hyperactive deep tendon reflexes 48. A nurse is reinforcing teaching about postoperative nutritional intake with a client who hasd bariatric surgery. Which of the following information should the nurse include in the teaching? A) Use a straw to drink liquids for 6 weeks following surgery. B) Maintain a liquid diet for 8 weeks following surgery. C) Begin by drinking 3 mL (1 oz) of clear liquids D) Increase liquids by 90 mL ( 0z) increments until feeling full 49. A nurse is assisting with the feeding of a client who has had a right-hemispheric stroke. Which of the following actions should the nurse take? A) positive the client in a right lateral position after eating B) Have the client place his chin to his chest when swallowing C) Place food on the left side of the client’s month D) provide the client with lukewarm foods. 50. A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicates the medication has been effective? A) Total calcium 10 mg/dL B) Hemoglobin 11 g/dL C) WBC count 9,/00mm3 D) PT 12 seconds 51. A nurse is reinforcing teaching with client who has a BMl of 32. Which of following statements should the nurse include to help promotes the clients weight loss? A) Limit your meals to no more than three per day. B) Include white rice as a good carbohydrate in your diet C) Eliminate 500 calories each to lose 1 pound per week D) Plan your meals so most of your calories come from protein 52. A nurse is reinforcing teaching about testicular self- examination with a young adult client. Which of the following instructions should the nurse include? A) Complete the examination once per week B) Perform the examinations just after a warm bath or shower. C) Begin performing testicular self-examination at 30 years of age. D) Squeeze each testicle between the thumb and forefinger 53. A nurse is reinforcing teaching with a client who wants to decrease the risk of developing cholelithiasis. Which of the following information should the nurse include? A) Direct the client to decrease their fiber intake B) Advise the client to avoid diary products C) Encourage the client to eat a low-fat diet D) Instruct the client to eat three large meals per day 54. A nurse is reinforcing teaching with a client who has coronary artery disease and is to begin a low-fat diet. Which of the following statements by the client indicates an understanding of the teaching? A) I will eat fish three times a week B) I will include 2 percent milk in my diet C) I will use coconut oil when preparing food. D) I will eliminating egg whites from my diet 55. A nurse is collecting data from an elder adult client who has potassium level of 3.2 mEq/L. which of the following findings should the nurse expect? A) Diarrhea B) Hyperreflexia C) Muscle weakness D) Difficulty swallowing 56. A nurse is evaluating a client’s acceptance of having a new ileostomy. Which of the following statements by the client indicates acceptance? A) I wish my sexual relationship with my partner was like it was before B) I look forward to having normal bowel movements again C) I have my partner empty the bag for me, so I don’t have to look at it. D) I will attend a support group to help me handle difficulties when they occur 57. A nurse is assisting in the care of a client whose cardiac monitor suddenly displays ventricular tachycardia. Which of the following is the priority nursing action? A) Begin chest compressions B) Provide Pulmonary ventilation C) Determine palpable pulse D) Perform immediate defibrillation 60. A nurse is caring for a client who was admitted with type 2 diabetes mellitus. Which of the following findings indicates hyperglycemia? A) Absence of Chvostek’s sign B) Absence of urinary ketones C) Presence of diaphoresis D) Presence of kussmaul respirations 61. A nurse is monitoring a client who is receiving warfarin for thrombophlebitis. Which of the following findings should the nurse report to the provider? A)INR2 B) Platelets 200,000.mm3 C) Sedimentation rate 10 mm.hr D) PT 20 seconds 62. A nurse is reviewing laboratory values for a client who is receiving long-term NSAID therapy for rheumatoid arthritis. Which of the following values should the nurse report to the provider? A) Total bilirubin 0.8 mg/dL B) BUN 40 mg/dL C)PaO290mmHg D) Hematocrit 45% 63. A home health nurse is caring for a client who has end-stage renal disease and is receiving peritoneal dialysis. Which of the following findings requires intervention by the nurse? A) The client has hyperactive bowel sounds in four quadrants B) The client takes a stool softener for constipation C) The client reports that the outflow fluid is cloudy D) The clients warm the dialysate prior to insertion 65. A nurse is reinforcing teaching about dietary modifications to help control blood pressure with a client who has hypertension. Which of the following food choices by the client indicates an understanding of the teaching? A) Pork sausage with sautéed peppers B) Beef bouibon with crackers C) A ham sandwich on rye bread D) Broiled cod with broccoli 66. A nurse is reinforcing teaching with a client who has a family history of cancer. Which of the following dietary instructions should the provided the clients to help minimize his risk for cancer? A) limit whole-grain foods such as cereals and bread B) Eat fatty fish once per week C) Eat two servings of fruit and vegetables per day D) Limit red and processed meat intake 67. A nurse is assisting with the plan of care for a client who has botulism poisoning. Which of the following interventions should the nurse include in the plan? A) Place in contact isolation B) Check for increased salivation C) Administer clindamycin hydrochloride D) Monitor for muscle paralysis 70. A nurse is caring for an older adult clients who is exoereincing urinary icontinence. Which of the following clients statements indicates the clients has overflow incontinence? A) ” Its seems like mu bladder empties without warning” B) ” I have urine incontinence whenever I take a diuretic.” C) ” My urine comes out whenever I sneeze.” D) ” My urine seems to dribble out frequenctly.” 71. A n urse is caring for a client who had a subclavian central line inserted. The nurse should prepare the client for which of the following diagnostic tests? A) Upper endocoscpy B) Echocardiogram C) Intravenous pyelogram D) Chest X-ray 72. A nurse is reinforcing teaching with a client who will ne collecting stool to perform a guaiac focal occult blood test. Which of the following statements made by the clients idicatesan understamding fof the teaching? A) ‘ I will apply stool from different parts if the speciment to the windows on the card.” B) I will only have to do one test if the first one is positive for blood.” C) ” I can continue taking coumadin before I collect the sample.” D) ‘ I can eat raw fruits or vegatables during week nbefore I collect the sample.” 73. A nurse on a medical-surgical unit is collecting data from a clients who is expereincing alcohol withdrawal. Which of the following findngs should the nurse expect? A) Hypertension B) Hyperglycdemia C) Somnolence D) Constipation 74. A nurse is rviewing the plan of care for a client who has a urinary tract infection. Which of the following tasks should the nurse assign to an assisstive personnel? A) Change the clients peripheral IV dressing B) Check the client’s urine for clarity C) Collect a clean-voided urine speciment from the client D) Instruct the client about the importance of increasing fluid intake 75. A nurse is assisting with the preparation of a client who is scheduled for a thoracentesis. In which of the following posiitons should the nurse place the client during the procedure? A) Knees elevated B) Uthotomy C) Prone D) Learning forward 76) A nurse is assisting in a group research study. Six months into the trail. One of the participating clients tells the nurse. ” I don’t think I will be able to continue with the study.” Which of the following statements is an appropriate response by the nurse? A) ” I willask the lead researcher to speak with you about the benefits of the study” B) ” You may withraw from the research project at any time.” C) ” if you discontinue the trial now, the study results will be invalid” D) ” You must continue now that the study has begun.” 77) A nurse is assisting with the café of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood tranfusion? A) Distended neck veins B) Vomiting C) Polyuria D) Hypertension 78) A nurse is assisting in the planof care for a client who is scheduled to undergo a bronchoscpy. Which of the following interventions should the nurse include in the plan? A) Infrom the client that no sedation is administered during the procedure B) Check for return of gag reflex after the procedure C) Instruct the client to remain NPO for 12 hr before tha procedure D) Place the cleint in a supine position following the procedure 79) A nurse is reinforcing teaching about environmental modifications in the home with a family member of a clinet who has Alcheimer’s disease. Which of the following information should the nurse include in the teaching? A) Place throw rugs on the floor B) Schedule alternate caregivers C) Leave the television on D) Install locks at the top of doors 80) A nurse is examinign the abdominal wound of a client who is 3 days postoperative following a mecocolectomy. Which of the following findings indicates a wound infection? A) Bruising around the wound B) Redness around the incision line C) Serous wound drainage D) Crusting along the incision 81) A nurse is collecting data from a female clinet who is perimenopausal. Which of the fowllowing findgs is the prioprity for the nurse to report to the provider? A) Hot flashes B) Difficult sleeping C) Dysuria D) Presbyopia 82. A nurse is reinforcing skin care teaching with who has systemic lupus erythematosus. Which of the following statements by the client indictes an understanding of the teaching? (Select all that apply) A) “I should apply lotion to my skin twice daily.” B) ” I should cleanse reddened area of my face with an astringent.” C) ” I wil limit time time on tanning beds to 10 minutes.” D) ” I will apply an SPF 30 sunblock before gardening.” E) ” I will gently pat my skin dry after bething.” 83) A nurse is reinforcing teaching with aa client who is newly diagnosed with dumping syndome. Which of the following instrctions should the nurse include in the teaching? A) Drink water with meals B) Eliminate simple sugears C) Remain upright for 30 min after eating D) Eat three large meals per day. 85) A nurse is assisting in the care of a clint who has dementia. The cleints adult daugter requests to make health care decisions for her father. Which of the following documents should the nurse check to verify the daughters request? A) The clients durable power of attoney for health care B) The clients living will C) An informed consend form signed by the client D) A do-not- resuscitate order signed by the clients provider 86) A nurse is caring for a young adult client who has testicular cancer and expresses concetn about his sexual function following an orchiectomy of the involved testicle. Which of the following responses should the nurse make? A) ” The removal of a single testicle will not prevent you from having an eraction.” B) ” I’m sure any partner will understand that you have no control over this.” C) ” There are other ways to express intimacy besides intercourse.” D) ” You should focus on recovering from your cancer right now.” 87) A nurse is assisting with teaching a group of newly licensed nurses about medication administeretion. The nurse should include that which of the following medications is administered using that Z-track method? A) Vitamin B12 B) Iron dextran C) Folic acid D) Epoetin alfa 88) A nurse is revieiwng vital signs obtained by an assistive peronnel on a group of cleints. The previous vital signs for each of the clients were obtained 4 hr earlier. Which of the following changes should the nurse identify as the priority findings? A) Respiratory rate change from 12/min to 20/min B) Heart rate change from 110/min to 68/min C) Blood Pressure change from 118/78 mm Hg to 86/50 mm Hg D) Tempretaure change from 36.6 C (97.8*F) to 38.8 C ( 101.9* F) 90) A nurse is caring for a client who has diabetic neuropathy of the lower extremities and has a new prescription for a heating pad. The prescription reads. ” Apply to the left calf for 20 min.” Which of the following actions should the nurse take? A) Observe the skin 10 min after the start of treatmen. B) Check pedal pulses with Droppler before applyig the heating pad. C) Apply the heating pad as prescribed by the provider D) Clarify the prescription with the provider 91) A nurse administered a dose of penicillin to a client 30 min ago. The cleint reports she has hives and is itching. Which of the following statements by the nurse is the highest priority? A) “Are you having diffuclty breathing?” B) “Do you any allergies to medicationa?” C) ” I need to give you diphendydremine.” D) “I’m going to take your heart rate.” 92) A nurse is caring for four clients. For which of the following clients should the nurse intitiate airborne precautions? A) A cleints who has herpes simplex B) A cleints who has pneumonia C) A cleints who has rubecola D) A cleints who has pediculosis 93) A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instrcutions should the nurse include in the teaching? A) perform range of motion by adducting the hip B) Cleanse the surgical incision with hydrogen peroxide C) Apply moist heat to the incision while in bed D) Sit in a straight- backed chair 94) A nurse is reinforcing dietary teaching with an cleint who has newly diagnosed diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? A) ” I can wait to eat until after I’ve exercised.” B) ” I should limit my consumption of dietary fiber to 10 grams each day.” C) ” I can have an alcoholic drink in between meals.” D) ” I should limit protein to 20 percent of m y daily intake.”

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