A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take?
a. Increase sodium in the client’s diet
b. Administer hypotonic IV fluids to the client
c. Restrict the client’s oral fluid intake
d. Administer a beta blocker
A nurse is providing dietary education to a client who has type 2 diabetes mellitus. Which of the following statements made by the client indicate an understanding of the teaching?
a. I will adjust my meal plan to include 60% of calories from carbohydrates
b. I will adjust my meal plan to include 40% of calories from carbohydrates
c. I will adjust my meal plan to include 30% of calories from carbohydrates
d. I will adjust my meal plan to include 20% of calories from carbohydrates
A nurse is preparing to administer thrombolytic therapy to a client who had an ischemic stroke. Which of the following is an appropriate nursing action?
a. Start the therapy within 8 hr
b. Insert an indwelling urinary catheter after therapy begins
c. Monitor blood pressure every 30 min during the infusion
d. Elevate the head of bed between 25 and 30
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?
a. Position the bedside table on the client’s left side
b. Provide the client with a short-handled reached
c. Remind the client to use a cane on his left side while ambulating
d. Place a plate guard on the client’s meal tray
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
a. I’m going to include more cantaloupe in my diet
b. I will try to limit foods that contain salt
c. I will check my pulse before I take the medication
d. I’ll check my blood pressure, so it doesn’t get too high
A nurse is teaching a client how to use a quad cane for ambulation following a right- hemispheric stroke. Which of the following client actions indicates an understanding of the teaching?
a. Client takes a step before advancing the cane
b. Client holds the cane with the left hand
c. Client moves the cane 2 feet ahead
d. Client advances the weaker leg forward first
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?
a. I should place a nitroglycerin tablet under my tongue every 10 minutes for up to four doses
b. I should take my daily aspirin on an empty stomach
c. I should withhold my metoprolol if my heart rate is above 100 beats per minute d. I should lie down before taking a dose of Isosorbide dinitrate
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