1. The nurse instructs a client who had a subtotal gastrectomy. Which statement should be included in the
instructions?
-Eat a low carbohydrate diet every day
2. The nurse is caring for a client who had a tracheostomy performed the previous day. Which finding most
concerns the nurse?
-The client’s secretions are thick, yellow and dry
3. The nurse cares for a client with a diagnosis of acute adrenal insufficiency (adrenal crises). What will the nurse
expect to observe?
-Muscle cramps, fatigue and hypotension
4. A client reports that the migraine headaches have become more severe. Which clinical manifestations will the
nurse expect the client to report?
-Pain in one eye and one side of the face
5. The nurse instructs a client diagnosed with systemic lupus erythematosis (SLE). Which statement by the client
indicates understanding of the instructions?
-“Stress and fatigue may make my symptoms worse.”
6. The nurse cares for a client 24 hours after a cast application to the right leg from the groin to the foot. Which
findings require an immediate intervention by the nurse?
-The client reports the right toes are tingling
7. The nurse cares for a client recently diagnosed with a tumor in the frontal lobe of the brain. Which statement
would the nurse expect the client to make?
-“I feel like my concentration is not very good.”
8. The nurse cares for a client diagnosed with asthma. The client is taking 20mg of oral prednisone daily. Which
statements should be included in the teaching? (select all that apply)
-You may experience some stomach upset when taking prednisone
-The medication will need to be slowly decreased before it is disconnected
-You are at greater risk for infection while you are taking this medication
9. The nurse cares for a client in the emergency room diagnosed with a traumatic amputation of the leg and
hypovolemic shock. What is the most appropriate action the nurse should take?
-Administer Lactated Ringer’s solution intravenously
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