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55.A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first?1) Establish IV access.2)Feel for a carotid pulse.3) Establish an open airway.4) Auscultate for breath sounds.56.A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?
57.A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?58.A nurse is assisting with the care of a client who is postoperative and has a closed-wound drainage system in place. Which of the following actions should the nurse take?59.A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching?1) "I will not eat fried foods."2) "I will abstain from sexual intercourse."3) "I will refrain from international travel."4) "I will not order a salad in a restaurant."60.A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?