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1.
A nurse observes that a client who has leftsided paralysis related to a cerebrovascular accident (CVA) eats only the food on the right half of her meal tray. Which of
these actions should the nurse take?
2.
A nurse in a fertility clinic discusses the early signs of pregnancy with a client, which include
3.
Four adolescent girls who have scoliosis are attending the clinic. They have been wearing Milwaukee braces for periods of 1-3 months. Each of the girls makes a
comment about her situation as indicated below. Which girl needs further instruction about her care?
4.
Which of these observations of a child post tonsillectomy should the nurse report to the physician immediately?
5.
A woman is found to have a twin pregnancy at eighteen weeks. Which of these findings would be consistent with the diagnosis?
6.
A physician tell a 30-year-old client who had an above the knee amputation that he will not be able to return to his construction work. Which of these long-term
goals would be an appropriate expectation of the client?
7.
An infant has a ventriculoperitoneal shunt inserted to control her hydrocephalus. At the time of discharge, the parents are given home care instructions. Which of
these comments by the infant's mother indicates a need for further instruction?
8.
A newborn develops jaundice shortly after birth and receives phototherapy. While the newborn is receiving phototherapy, which of these measures should be
included in the newborn's care plan at regular intervals?
9.
A client who has ulcerative colitis does not respond to the prescribed therapy and is admitted to the hospital for a total colectomy and ileostomy. Which of these
measures should be given priority in the client's preoperative care plan?
10.
A client is to be transfused with a unit of whole blood. If the client were to develop an allergic reaction, the nurse should expect to administer which of these drugs?