Question

47. A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?

1. Remind the client to use a cane on his left side while ambulating.
2. Position the bedside table on the client's left side.
3. Provide the client with a short-handled reacher.
4. Place a plate guard on the client's meal tray.

48. A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

1. Administer IV fluids to the client.
2. Prepare the client for an intravenous pyelogram.
3. Initiate beta blocker therapy.
4. Insert a urinary catheter.

49. A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

1. Discard the radioactive device in the client's trash can.
2. Instruct visitors to remain 3 feet from the client.
3. Limit time for visitors to 2 hr per day.
4. Keep so led bed linens in the client's room.

50. A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?

1. "I should take my daily aspirin on an empty stomach."
2. "I should withhold my metoprolol if my heart rate is above 100 beats per minute."
3. "I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four doses."
4. "I should lie down before taking a dose of isosorbide dinitrate."

Answer 1

•ANSWER•1

•Option(d) .option(d)" Place a plate guard on the client's meal tray" is the correct answer because plate gaurd helps the patient at time of eating to prevent food material put down.

•Explanation for option a,b&c

all option are incorrect because patient need to complete bed rest .

•ANSWER•2

•Option(a) administer iv fluid is the correct answer because maintain blood volume in body to prevent acute kideny failure due to hypovolemic shock.

•Explaination for option b,c&d

•option b,c& are incorrect because Prepare the client for an intravenous pyelogram,Initiate beta blocker therapy and Insert a urinary catheter ,thses are not prioity for this patient.

•ANSWER•4

•Option (d) " i should lie down before taking a dose of isosorbide dinitrate." is the correct answer because it can cause hypotension. So lying down before taking it to prevent ftom hypotension.

•Explanation for a,b&c

•option(a). option(a) is "incorrect" option because asprin can cause gastric ulcer on the empty stomuch .

•option(b). option (b) is also incorrect because metoprolol is helpful in case of tachycardia.

•option( c).option (c) is also incorrect answer because continue 4 dose if nitroglycerin at the inerval 10 minute should not be take while not prescribed by the health care provider.it can cause hypotension.