​Describe the purpose and process of using hydrotherapy for wound care on a client who has a burn injury. Original Answers Only

While assessing a client two hours after a transurethral prostatectomy (TURP), the nurse notes the catheter drainage is bright red in color and contains many clots.  Name the priority nursing intervention.


A nurse is caring for a client who has just been admitted following surgical evacuation of a subdural hematoma. List one (1) priority nursing assessment to be completed. A surgeon has explained an upcoming procedure to the client and the client has signed the informed consent form. An hour later the client tells the nurse, “I’m not really sure if I should have this operation. It sounds like there are a lot of risks”. What is the nurse’s responsibility in this situation? ​
​A client is being discharge to home after a total hip arthroplasty. Identify two (2) supportive equipment items the client will need to prevent strain on the prosthesis, postoperatively. ​​​A nurse is caring for a client with a latex allergy. What steps should the nurse take when initiating an IV line on this client? ​A home care nurse visits a client who has stage 4 metastatic lung cancer. He tells the nurse, “I don’t want any more chemotherapy or surgery. I just want to be made comfortable”. How can the nurse advocate for this client? ​List three (3) teaching points the nurse can provide a client with cholelithiasis on dietary choices for symptom management. ​Describe the goals and interventions of palliative care and provide one example of a client who might benefit from a referral to palliative care services. ​A nurse conducts a health seminar with clients. Identify four (4) risk factors for osteoporosis that should be discussed. ​An older client asks a nurse what she can do to minimize the risk of developing osteoporosis.  Identify 3 (three) health promotion activities the client should implement. ​The nurse is screening a client who has a family history of colorectal cancer. Identify three (3) modifiable risk factors for colorectal cancer to discuss with the client. ​A nurse provides discharge teaching for a client admitted in diabetic ketoacidosis (DKA). Identify four (4) actions the client/family should take to recognize DKA prior to seeking medical attention. ​A school nurse is conducting a health class regarding symptoms of a urinary tract infection.  Identify four (4) expected findings. A nurse is caring for a client in skeletal traction. What guidelines should the nurse observe regarding traction? ​The nurse is assessing a client with peripheral vascular disease. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. ​A community health nurse is conducting a class for senior adults regarding osteoarthritis.  Identify five (5) possible contraindications for taking over-the-counter glucosamine and chondroitin. A nurse is caring for a client who has dysphagia following an ischemic stroke.  The nurse understands that the client must be kept NPO until being evaluated by what member of the health care team? ​A nurse is teaching a client newly diagnosed with multiple sclerosis. Describe management strategies for urinary elimination, diplopia, fatigue and safety. ​Describe the purpose and process of using hydrotherapy for wound care on a client who has a burn injury. ​A nurse swiftly completes an assessment after hearing a high-pressure alarm on the ventilation of a client in respiratory failure. Identify three (3) potential reasons for the alarm to alert the nurse. ​A nurse is caring for a client immediately following a paracentesis for ascites. What is a potential complication of this procedure? What are appropriate interventions for management of this potential complication? A client is experiencing disequilibrium syndrome.  List three (3) manifestations associated with this presentation and three (3) associated nursing actions to manage the syndrome.

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A 54-year-old client has undergone a surgical repair of an abdominal aortic aneurysm. The postoperative orders include to maintain a warm environment. What is the rationale for this order? ​A nurse is providing teaching for a client who has a newly placed colostomy. Describe three (three) teaching points each for nutrition and ostomy care.  To assess for Chvostek’s sign in a client with hypocalcemia, how will the nurse illicit it? A nurse is caring for a client who has hyponatremia.  Identify three (3) complications of hyponatremia.  ​A community health nurse is teaching a class on testicular self-examination (TSE). What findings would need further evaluation for possible testicular cancer. ​The nurse answers a client’s call bell to find the client’s abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. Identify the priority interventions the nurse must perform. ​An occupational health nurse cares for a client who encountered a chemical splash to the eyes.  Identify three (3) nursing actions involving irrigation of the eyes.
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