A nurse is caring for a client who has a traumatic

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27. A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? a. Urinary output b. Motor responses – pg.75 c. Blood pressure d. Blood glucose
28. 61. A nurse is providing discharge teaching to a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
CLIENT EDUCATION ●● Avoid UV and prolonged sun exposure. Use sunscreen when outside and exposed to sunlight. ●● Use mild protein shampoo and avoid harsh hair treatments. ●● Use steroid creams for skin rash. ●● Report peripheral and periorbital edema promptly. ●● Report evidence of infection related to immunosuppression. ●● Avoid crowds and individuals who are sick, because illness can precipitate an exacerbation. ●● Educate client of childbearing age regarding risks of pregnancy with lupus and treatment medications 29. A nurse is reviewing the laboratory results of a client who has COPD and severe dyspnea. Which of the following ABG values should the nurse expect?
30. A nurse is caring for a client who has atrial fibrillation. Which of the following should the nurse expect to administer?
31. A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the nurse’s priority? a. Bladder distention b. Weakness to lower extremities c. Hypotension – pg. 626 d. Hypoactive bowel sounds
32. A nurse is planning care for a client who has chest drainage system set to low suction following a thoracotomy. Which of the following nursing actions is appropriate to include in the plan of care?
33. A nurse is caring for an older adult client who is prescribed packed RBCs. Which of the following actions is appropriate for the nurse to take?

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