Page 2585 - Saunders Comprehensive Review For NCLEX-RN

2. “I can go back to work right away.”
3. “My partner should get the vaccine.”
4. “A condom should be used for sexual intercourse.”
933. The nurse should include which interventions in the plan of care for a client
with hypothyroidism? Select all that apply.
1. Provide a cool environment for the client.

2. Instruct the client to consume a high-fat diet.
3. Instruct the client about thyroid replacement therapy.

4. Encourage the client to consume fluids and high-fiber foods

in the diet.
5. Inform the client that iodine preparations will be prescribed
to treat the disorder.

6. Instruct the client to contact the primary health care provider
(PHCP) if episodes of chest pain occur.
934. The nurse is preparing to care for a client who will be weaned from a cuffed
tracheostomy tube. The nurse is planning to use a tracheostomy plug and
plans to insert it into the opening in the outer cannula. Which nursing action
is required before plugging the tube?
1. Deflate the cuff on the tube.
2. Place the inner cannula into the tube.
3. Ensure that the client is able to speak.
4. Ensure that the client is able to swallow.
935. A client is diagnosed with glaucoma. Which piece of nursing assessment
data identifies a risk factor associated with this eye disorder?
1. Cardiovascular disease
2. Frequent urinary tract infections
3. A history of migraine headaches
4. Frequent upper respiratory infections
936. A client with retinal detachment is admitted to the nursing unit in
preparation for a repair procedure. Which prescription should the nurse
anticipate?
1. Allowing bathroom privileges only
2. Elevating the head of the bed to 45 degrees
3. Wearing dark glasses to read or watch television
4. Placing an eye patch over the client’s affected eye
937. The nurse is caring for a client who is on strict bed rest and creates a plan of
care with goals related to the prevention of deep vein thrombosis and
pulmonary emboli. Which nursing action is most helpful in preventing these
disorders from developing?
1. Restricting fluids
2. Placing a pillow under the knees
3. Encouraging active range-of-motion exercises
4. Applying a heating pad to the lower extremities
938. The nurse is caring for a client who is at risk for suicide. What is the priority

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