total cholesterol 175 mg/dl When a nurse reviews lipid laboratory test results with a client, which of the following values is the nurse correct in identifying as falling within a desirable range? when the client was weighed before When the nursing care plan indicates that a client is to be weighed regularly, what is the most important to consider? soy sauce, cheddar cheese, smoked salmon A nurse is most accurate in identifying which items in the following list that a client on a low sodium diet should avoid? Select all that apply. What initial nursing recommendation is best? the client gains weight Which of the following is the best evidence that a client with anorexia as a result of cancer is responding to the nutritional regimen developed by the nurse and dietitian? chicken broth, lime gelatin, apple juice When a client on a clear liquid diet asks for some nourishment, which of the following is appropriate for the nurse to provide? Select all that apply. tomato soup When caring for a client whose oral mucous membranes are irritated and sore, which of the following items is best for the nurse to withhold from the dietary tray? tell the client to chew his or her food very thouroughly A nurse notes that a client coughs and chokes while eating. place the client in a lithotomy position, provide the examiner with a vaginal speculum, hand the examiner a brush applicator, deposit the applicator in a chemical fixative solution, lubricate the examiners gloved fingers When assisting with a pelvic exam during which a pap smear will be obtained, place the following steps the nurse should follow in the order in which they are performed. the client says an anesthetic will be given before the examination Following the nurse's preparation of a client who is scheduled for a sigmoidoscopy, which of the following indicates that a client needs for teaching? remove a clients metal necklace Which nursing action is essential before performing a chest roentgenogram(xray)? do not douche for several days before your appointment Which of the following nursing instructions is most appropriate if a specimen for a pap test will be obtained at the time of a pelvic examination? check that the test strip code matches the one programmed in the glucometer, have the client wash his or her hands with soap and water before the test, pierce the central pad of the thumb of fingers with the lancet Which of the following nursing actions are correct when measuring a client's capillary blood glucose? Select all that apply. the appearance of respiratory secretions When assessing a client with a cough, besides documenting the characteristics of the cough what other assessment information is essential? vesicle Which one of the following terms in the most accurate when documenting the appearance of a skin lesion that is elevated, round, and filled with serum? snellen chart, mark at 20 feet When the nurse assesses a client's distant visual acuity, which of the following is requires? Select all that apply. a muffled sound with a blowing quality is first detected When assessing Korotkoff sounds sounds which of the following description best describes the sound the nurse identifies as an adult's diastolic blood pressure measurement? rise slowly from a lying or sitting position If the nurse detects that a client has symptoms associated with orthostatic hypotension, what is the best instruction the nurse can offer the client? inspection, auscultation, palpation, percussion Place the following assessment techniques in the sequence that should be used when assessing a client's abdomen. Which other options are appropriate? Select all that apply. ![]() cover the client with a light blanket What nursing action is best when a client with a temperature of 103.6 is shivering? use a doppler stethoscope over a peripheral artery, count the rate at the apex of the heart A nurse finds it difficult to palpate a radial pulse. assess the clients oral temperature in 30 mins, inform the client when a temperature will be reassessed When delegating the task of taking an oral temperature on a client who has just finished eating breakfast, what instructions are best for the nurse to give the nursing assistant? Select all that apply. ![]() ![]() ![]() Rectal, temporal, axillary When assessing the temperature of a toddler who is 20 months old, which of the following methods are appropriate? Select all that apply.
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