A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Order a lunch tray for the client.

Offer the client apple juice.

Auscultate the client's abdomen.

Elevate the client's head of bed.

Answer and Explanation

The Correct Answer is C

A. Order a lunch tray for the client. Before advancing the diet, it is important to assess the client's readiness, particularly bowel sounds.
B. Offer the client apple juice. Providing liquids is appropriate only after assessing the client's gastrointestinal function.
C. Auscultate the client's abdomen: This assessment checks for the return of bowel sounds and gastrointestinal function, indicating whether the client can tolerate clear liquids.
D. Elevate the client's head of bed. While positioning is important, the primary first step is to assess the client's gastrointestinal status

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Correct Answer is D

Explanation

A. Discontinue the TPN infusion: Discontinuing TPN is not appropriate unless specifically indicated by a healthcare provider.
B. Administer glucagon IM: Glucagon is used for severe hypoglycemia, not for low potassium.
C. Check the client for a positive Chvostek's sign: Chvostek's sign is associated with hypocalcemia, not hypokalemia.
D. Request a potassium replacement: The client's potassium level is low (3.0 mEq/L), so potassium replacement is necessary.

A. 45 B. 75° C. 90° D. 60°

Correct Answer is C

Explanation

A. 45°: This angle is typically used for subcutaneous injections, not intramuscular injections.
B. 75°: This angle is not standard for any type of injection.
C. 90°: Correct. Intramuscular injections should be administered at a 90-degree angle to ensure the medication reaches the muscle tissue.
D. 60°: This angle is not standard for intramuscular injections.

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A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dl, chloride 100 mEq/L. sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

Correct Answer is C

Explanation

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