QUESTION 30 The nurse is caring for the client who has a newly placed colostomy. Which nursing diagnosis is most appropr

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QUESTION 30 The nurse is caring for the client
who has a newly placed colostomy. Which nursing diagnosis is most
appropriate for the client?
a) Risk for sexual dysfunction
b) Disturbed body image
c ) Chronic low self- esteem
d ) Activity intolerance
QUESTION 31 The nurse has provided discharge
teaching to an elderly on ways to prevent recurrent urinary
tract infections. Which statement made by the client demonstrates
an understanding of the teaching?
a) I need to limit my fluid intake each day
b ) I need to call my health care provider to think I'm getting
an infection
c) If I drink orange juice daily, won't get an
infection
d ) I need to clean from front to back after urinating
QUESTION 37 A nurse admitted to the hospital
for appendicitis underwent an appendectomy. The client has
developed a cough. Which type of isolation precautions should be
utilized when caring for this client?
a) Airborne
b) Contact
c) Standard
d) Droplet
QUESTION 42 A nurse is teaching a client's
partner about how to obtain a blood pressure reading. Which of the
following actions by the partner indicates a need for further
instructions?
a) Ensures the instrument gauge is at 0 mmHg prior to inflating
the cuff
b ) Aligns the arrow on the cuff bladder with the client's
brachial artery
c ) Places the client's arm above the level of the client's
heart
d ) Wraps the blood pressure cuff snuggly around the client's
upper arm
QUESTION 73 A nurse is reinforcing instructions
with a client about using transdermal patches at home. Which of the
following statements should the nurse identify as an indication
that the client understands the instructions?
a) “I will press the patch securely in place on my
forearm”
b) “I will wash my skin with mild soap and water and dry it
before applying the patch”
c) “I will remove the old patch and apply a new one in the same
location "
d) “I will change the patch when no longer feel the medication
effects "
QUESTION 74 A nurse is assessing is a client
who is experiencing complications due to immobility Which of the
following findings should the nurse expect(Select all that
apply).
a ) Diarrhea
b ) Polyuria
c)Contractures of the extremities
d ) Pressure ulcers
e ) Crackles in the lungs