17 A nurse is caring for a client following an open colectomy. Which of the following findings places the
client at risk for delayed wound healing?
18 A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn unit.
The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse has
selected. Which of the following actions is appropriate for nurse to take?
19 A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total
body radiation and intense chemotherapy. The client’s sibling comes visit but has obvious manifestations
of an upper respiratory infection. Which of the following nursing actions is appropriate at this time?
20 A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central
venous catheter (CVC). The provider writes a prescription to initiate an IV infusion ringer’s lactate at 150
mL per hr. prior to starting the infusion, which of the following actions should the nurse take?
21 A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription for
pancrealipase. Which of the following should the nurse include in the teaching?
22 A nurse is assessing laboratory values on a client who has taken an overdose of acetaminophen. The
nurse should expect which of the following laboratory values indicative of organ damage from the
23 A nurse on an orthopedic floor is completing morning assessments on several clients. Which of the
following clients has the greatest risk for fat embolism syndrome (FES)?
24 A nurse is caring for a client who has end stage liver disease. The daughter of the client asks about her
father’s do-not-resuscitate request. Which of the following is a therapeutic response by the nurse?