Yogurt andor buttermilk 86 several months after a

 Yogurt and/or buttermilk.
86. Several months after a foot injury, and adult woman is diagnosed with neuropathic pain.

The client describes the pain as severe and burning and is unable to put weight on her
foot. She asks the nurse when the pain will “finally go away.” How should the nurse
respond?
 Assist the client in developing a goal of managing the pain
87. One day following an open reduction and internal fixation of a compound fracture of
the leg, a male client complains of “a tingly sensation” in his left foot. The nurse
determines the client’s left pedal pulses are diminished. Based on these finding, what is
the client’s greatest risk?
 Neurovascular and circulation compromise related to compartment syndrome.
88. The nurse is completing a head to be assessment for a client admitted for observation
after falling out of a tree. Which finding warrants immediate intervention by the nurse?
 Clear fluid leaking from the nose.
89. A client with multiple sclerosis (MS) has decreased motor function after taking a hot bath
(Uhthoff’s sign). Which pathophysiological mechanism supports this response?
 Temporary vasodilation
90. While assessing a radial artery catheter, the client complains of numbness and pain distal
to the insertion site. What interventions should the nurse implement?
 Promptly remove the arterial catheter from the radial artery.
91. A client is admitted with an epidural hematoma that resulted from a skateboarding
accident. To differentiate the vascular source of the intracranial bleeding, which finding
should the nurse monitor?
 Rapid onset of decreased level of consciousness.
92. The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation to
cardiopulmonary resuscitation (CPR) should the nurse implement?
 Position a firm wedge to support pelvis and thorax at 30 degree tilt.
93. When preparing a client for discharge from the hospital following a cystectomy and a
urinary diversion to treat bladder cancer, which instruction is most important for the
nurse to include in the client’s discharge teaching plan?
 Report any signs of cloudy urine output.
94. For the past 24 hours, an antidiarrheal agent, diphenoxylate, has been administered to a
bedridden, older client with infectious gastroenteritis. Which finding requires the nurse to
take further action?
 Tented skin turgor.
95. After repositioning an immobile client, the nurse observes an area of hyperemia. To
assess for blanching, what action should the nurse take?
 Apply light pressure over the area.
96. The nurse enters a client’s room and observes the client’s wrist restraint secured as seen
in the picture. What action should the nurse take?
 Reposition the restraint tie onto the bedframe.
97. A female client with acute respiratory distress syndrome (ARDS) is chemically paralyzed
and sedated while she is on as assist-control ventilator using 50% FIO2. Which
assessment finding warrants immediate intervention by the nurse?