The nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?

Questions 38

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Fundamentals of Nursing Oxygenation NCLEX Questions Questions

Question 1 of 5

The nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?

Correct Answer: C

Rationale: Calf swelling. Bladder distention is from urinary retention, bed rest can cause postural hypotension, and a decrease in bowel sounds is a sign of peristalsis which can lead to constipation.

Question 2 of 5

A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?

Correct Answer: C

Rationale: Compare the client’s home medications with the provider’s prescriptions. Verify the client’s name when administering medication, the nurse should call the pharmacy when medications are not available, and a client’s home meds should be secured.

Question 3 of 5

A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse’s priority?

Correct Answer: B

Rationale: Determine the reasons why the client is refusing to use the incentive spirometer.

Question 4 of 5

A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client?

Correct Answer: D

Rationale: Wear a gown when caring for the client. Shigella requires contact precautions.

Question 5 of 5

A nurse is assessing a client’s readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

Correct Answer: A

Rationale: I can concentrate best in the morning.

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