PEDS106 EXAM QUESTIONS WITH ANSWERS TESTED AND VERIFIED SOLUTIONS PERFECT FOR EXAMS, Exams of Nursing

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PEDS106 EXAM QUESTIONS WITH ANSWERS TESTED

AND VERIFIED SOLUTIONS PERFECT FOR EXAMS

1. A nurse is caring for a client who has Graves’ disease. Which of the following findings should indicate to the nurse that the …… thyroid storm? Respiratory depression Neck pain Hypotension Tachycardia pg 122 2. A nurse is reinforcing teaching about palliative care to a client who has cancer, which of the following statements should the nurse understanding? It includes restriction of nutritional support. It is for clients who have a terminal illness. It is for clients who are given 6 months or less. It enhances quality of life by promoting comfort. 3. A nurse is assisting in providing postmortem care to a client who was a devout follower of Hinduism. Which of the following request should the nurse anticipate from the client’s family? To bury the client’s body within 24hr of their death. To cremate the client’s body pg 25 To stay with the client’s body for 8hr following their death To prohibit medical personnel from touching the client's body 4. A nurse is giving change shift report on a group of clients. Which of the following statements should the nurse make. (select all that apply) The client in room 205 is scheduled for a dressing change at 1800. The client in room 205 has had several visitors today.

The client in room 203 will undergo surgery at 0900 tomorrow. The client in room 204 has a new prescription for IV gentamicin. The client in room 204 received some pain medicine earlier today.

5. A nurse is collecting data from a client who has a urinary tract infection and taking ciprofloxacin. The client reports pain in her calf muscle. Which of the following statements Should the nurse make? Discontinue the medication. I will ask your provider for another antibiotic. This is an allergic reaction. Take the medication with an antihistamine. That reaction means your dose is too high. Cut the pill in half. Continue to take the medication. Calf pain is a minor reaction itself. 6. A nurse is reinforcing with a client who has a new diagnosis of COPD. Which of the following statements by the client indicates understanding of the teaching? I should practice pursed -lip breathing exercises. I should do aerobic exercises once per day. I will consume low protein, low calorie foods. I will increase my fluid intake to 1,700 milliliter per day. 7. A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend including in the plan? Measure the client’s abdominal girth daily. Restrict the client’s sodium intake to 3 g per day. Keep the client’s daily protein intake below o.8g/kg Position the client supine with legs elevated. 8. A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation? The client fell because the assistive personnel did not place non skid slippers on the client.

Client stated, I lost my balance and fell when I got out of bed to go to the bathroom. An incident report has been completed and sent to risk management. The client does not appear to have any injuries resulting from the fall.

9. A nurse is reinforcing teaching with a newly licensed nurse about client privacy. Which of the following information should the nurse include.in the teaching. Unwanted printed health information can be discarded in a trash can. Information regarding client health can be emailed if encrypted. Members of a health care team can share a computer password. A client is restricted from accessing his own medical records. 10. A nurse is assisting with a community health program for caregivers of clients who have Alzheimer’s disease. Which of the following should the nurse include? Use written signs to assist the client with locating the bathroom. Use confrontation to manage the client ’s behavior. Limit the number of choices for the client. Provider a stimulating environment for the client. 11. A nurse is contributing to the pain of care for a client who has COPD. Which of the following interventions should include. Place the client in an orthopedic position. Encourage the client to cough and deep breathe once every 8 hr. Limit fluid intake to 1,00mL daily. Provide the client with three large meals. 12. Charge nurse is observing a newly licensed nurse perform suctioning for a client who has tracheostomy. For which of the following the newly licensed nurse should the charge nurse intervene? Suctions for 30 seconds pg 93 Preoxygenation with 100% oxygen Auscultates breath sounds. Applies suction during catheter removal. 13. A nurse overhears two assistive personnel AP in the nurse station discussing a client who was recently admitted. Which of them should the nurse take? Document athe event in the client’s progress notes.

Tell the APs to stop the conversation. Submit an incident report to the risk manager. Inform the client of the APS actions.

14. A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder. Which of the following instructions should the nurse include in the teaching? Assume responsibility for making the client’s decisions. Limit the client’s social interactions Maintain a verbal no harm contract with the client. Encourage the client to be assertive. 15. A nurse in a mental health facility is caring for a client while who reports palpitation and a sense of impending doom. Which of the following actions should the nurse take first? Explain to the client that anxiety causes physical manifestations. Administer an anti-anxiety medication. Explore behaviors that have helped to reduce the client anxiety in the past. Minimize environmental stimuli in the client surroundings. 16. A nurse is collecting data from a 10-month-old infant during a well child visit. Which of the following findings should the nurse manifestation of torticollis? Feet turn inward Frenulum connected to the tip of the tongue. Asymmetry of gluten folds Neck is in a flexed position 17. A nurse is reinforcing teaching with a client who has a new prescription for warfarin. The nurse should identify which of the following over the counter medications as safe for use. with warfarin? Ibuprofen Omeprazole Aspirin Docusate- stool softer 18. A nurse in a long-term care facility is contributing to the pain of care for a client who

has a new prescription for propranolol. The nurse should plan to monitor the client for which of the following adverse effects of the medication? Headache Hypertension Ringing in the ears. Bradycardia. pg

19. A nurse is reinforcing about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? I should enable the airbag when my baby is in the front seat of the car.

I should place my baby in the car seat at a 90-degree angle. I should keep my baby rear- facing in the car seat until she is 2 years old. I should position the car seat’s retainer clip at the level of my baby belly.

20. A nurse is observing assistive personnel check the tympanic temperature. Which indication that the AP understands how to perform the procedure. The AP pulls the pinna up and back. The AP inserts the probe with a straight, forward motion. The AP points the probe posteriorly. The AP positioned the client facing her. 21. A nurse is assisting with the care of a client following electroconvulsive therapy for the use of the expected finding should the nurse expect 15 min following the procedure.? Paresthesia Tonic- clonic-seizures. Disorientation Sleep apnea 22. A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client’s vagina and vulva purplish color. The nurse should docket this finding as which of the following? Ballottement Chadwick’s sign Chloasma Hagar’s sign 23. A nurse is caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse pain to offer. Bacon and eggs Cheeseburger Shrimp and French fries Chicken sandwich (right)

24. A nurse is assisting with discharge teaching for a client who is postoperative following the repair of a detached retina. Which of the follow instructions should the nurse include in the teaching? You can apply a warm, moist compress to your forehead to reduce. You should bend from the waist to pick up objects. You can take a stool softener to prevent constipation. 157 You can remove your eye patch during the day. 25. A nurse is reinforcing a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching? The client can shower with the cast after 24 hr. The client should use a hair dryer on a warm setting to relieve itching inside the cast. The client’s extremity should be elevated after the cast is applied. The client should keep the cast covered until it is dry. 26. A nurse on a mental health unit is caring for a client who has anorexia nervosa. Which of the following statements by the nurse promotes the ethical principle of client autonomy? It is your choice to share personal information during group therapy. I will only discuss your medical information with the health care team. The nursing staff here will provide you with non judgemental care. I will be truthful when answering questions about your treatment. 27. A nurse is caring for a client who has AIDS. Which of the following solutions should the a nurse used to clean up the blood spill? Hydrogen peroxide Isopropyl alcohol Bleach Chlorhexidine.

28. A nurse is collecting data from a 9 -year-old child during a well - child visit. Which of the following finding should the nurse expect? Expresses conflict over independence and control. Display emotional detachment from parents. Grasps concept of cause and effect Demonstrates self- centered thinking. 29. A nurse is caring for a client who is 2 days postoperative following a total bilateral. mastectomy. The client is tearful and looks away when surgical dressing is removed. The nurse should place the priority on which of the following actions? Providing the client with information on community resources that will strengthen her coping skills. Encouraging the client to write about her feelings in a journal each day. Identify the client's perception of the changes in her physical appearance. Demonstrating a nonjudgmental attitude toward the client when providing care for her surgical wounds. 30. A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following should the nurse use to verify the identities of each client? The names of the clients nearest relatives The telephone numbers of the clients. The room numbers of the clients The diagnoses of the clients 31. A nurse working on a medical - surgical unit is notified about a mass casualty events that recently took place in the community what following assignments should the nurse anticipate? Assist in discharging stable clients to home. Provide informational updates to members of the media. Delegate tasks to emergency health care

specialists Determine the acuity and number of casualties arriving at the facility.

32. A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking lispro. and insulting glargine. Which of the instructions should the nurse include in the teaching? Take an extra dose of insulin lispro prior to aerobic exercise. Expect insulin glargine to be cloudy. Draw up the insulin lispro and insulin glargine in separate syringes Anticipate that the insulin glargine wi hi ll peak in 3 hours. 33. A nurse is assisting with the care of a client who has hearings loss and has questions regarding their medication. Which of the following should the nurse take? Ask a few questions at a time. Choose a room that is well lit. Exaggerate lip movement while speaking. Sit on the client’s right side. 34. A nurse is caring for an older adult who is postoperative following a total hip arthroplasty. The client is incontinent of should of the following actions should the nurse take to prevent skin breakdown? Clean the client’s skin with soap and hot water. Massage the area around the client’s coccyx. Use a moisture barrier on the client’s skin. Limit the client’s fluid intake. 35. A nurse is reviewing the medical record of a client who has COPD. Which of the following findings should the nurse report to the provider? BP 112/64, Temp 100.4F, Heart rate 100/ min, Respiratory rate 24/min, fluid intake 2,200 ml/ 24 hr. Temperature Sputum color Platelet count Fluid intake

36. A nurse is reinforced teaching about home safety precautions with the parents of a 3 month old infants. Which of the following instructions should the nurse include in the teaching? Place no more than one small pillow in the crib. Start using a highchair for feedings. Make sure the crib mattress is soft Remove bibs when the infant is going to sleep. 37. A nurse overhears two assistive personnel discussing a client’s medical history in the hallway. Which of the following actions should the nurse take first? Participate in an insert about client confidentiality. Tell the staff members to stop their discussion. Speak to the staff members in a private about client confidentiality. Report the incident to the charge nurse. 38. A nurse in a family practice office routinely reviews client’s immunization stays at their annual physical examination visit. For which of the following clients should the nurse recommend a human papillomavirus immunization? A middle adult man An older adult woman A teenage boy A preschool- age girl 39. A nurse is assisting with staff education about hand hygiene. Which of the following instructions should the nurse included the teaching? Use alcohol- based cleanser when hands are visibly soiled. Artificial nails can be worn when performing direct client care. Wash hands with soap and water for 20 seconds Wear sterile gloves when in contact with body fluids. 40. A nurse is reviewing the pain of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures? Administration of an iron injection using Z- track technique. Placement of a central venous catheter.

Insertion of a nasogastric tube. Irrigation of a wound with antibiotic solution.

41. A nurse is monitoring a client who has received external radiation for throat cancer. Which of the findings should the nurse expected? Increased appetite Loss of taste Bladder infection Loose stool 42. A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement? Administer aspirin if the client develops a fever. Assign the client to a negative pressure airflow room. Initiate contact precautions for the client. Have visitors remain at least 0.91 m (3feet) away from the client 43. A nurse is assisting with the care of a group of clients. Which of the following actions should the nurse take to manage her time effectively? ( select all that apply) Make a priority to do list at the beginning of the shift. Plan a time at the end of the shift to document nursing interventions. Complete activities with one client before moving to another client. Delegate collection of vital signs to the assistive personnel on the team. Keep track of how long it takes to complete certain tasks. 44. A nurse is preparing a vitamin K injection to give to a newborn. The newborn’s mother questions the purpose of the medication, the nurse following responses should the nurse make? This medication will decrease the risk of hemorrhage in your newborn. This medication will increase the absorption of nutrients in the intestines. This medication will decrease the possibility of your newborn developing jaundice. This medication will increase the immunity of your newborn.

45. A nurse is collecting data from a client who uses a continuous positive airway (CPAP) machine at night for sleep apnea. Which action identify which of the following findings an as indication of proper CPAP use? There is one finger width between the strap on the mask and the client’s face. The mask fits loosely so air can escape from underneath. The therapeutic dose of albuterol is being inhaled. The mask is secured over the client’s mouth and the client’s nose is uncovered. 46. A nurse is reviewing the medical records of a client who is at 37 weeks of restate and has HELP syndrome. Which of the following findings should the nurse expect? WBC count 18,000/ mm Hemoglobin 12g / dl Platelets count 77,000/ mm BUN 20 mg/dl 47. A nurse is reinforcing teaching with a client about advance directives and a health care poxy. Which of the following client statement an understanding of the teaching? Once my health care poxy is in place. I relinquish my right to make my own decision. I Do not need to name a relative as my designee in my health care proxy. My health care proxy designee is not able to sign a consent form on my behalf. If I have a health care proxy, then I do not need to have a living will. 48. A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client of the following which of the following contains the least amount of caffeine? Instant coffee Hot cocoa Brewed green tea Cola soft drink 49. A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statement indicate understanding of the teaching? I have to take this medication on an empty stomach.

I will need to remain upright for 1 hour after taking the medication. I can take antacids at the same time as this medication.? I should expect to have diarrhea while taking this medication.

50. A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting starting the medication. Which of the following recommendations should the nurse make? Take the medication with crackers. Take the medication with an antacid. Take the medication with calcium fortified orange juice. Take the medication and then lay down for 30 min. 51. A nurse is caring for a client who is confused and is trying to pull out their IV catheter. After attempting other measure is prevent the client from self-harm, the nurse places wrist restraints on the client. Which of the following actions should the nurse take? Remove the restraints from the client’s wrists every 2 hr. Contact the provider within 48 hr. to obtain a prescription for the restraints. Check the one finger will fit between the client’s wrists and the restraints. Fasten the restraints ties to the bed’s side rails. 52. A nurse is making client care assignment for an assistive personnel AP. Which of the following tasks should the nurse assign to the AP? Complete postmortem care for a client who has died. Evaluate the need to suction the airway of a client who has a new tracheostomy. Feed a client who has difficulty swallowing liquids following a stroke. Inspect the incision of a client who is postoperative following a leg amputation. 53. A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and been prescribed erythromycin ophthalmic ointment. Which of the following actions should the nurse take? Gently massage the eyelid to facilitate absorption of the medication. Place an occlusive dressing on the affected eye to prevent the spread of infection.

Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days.

Wipe any excess medication from the inner cannula outward.

54. A nurse is providing preoperative care to a client who reports he has no one to help him after his outpatient surgery. Which of the following actions should the nurse take? Contact the next of kin to assist the client at home. Assist with a referral to a home health care agency. Call the provider about admitting the client to the facility overnight. Give the client a list of home care assistants to contact. 55. A nurse is reinforcing with a client who is takin allopurinol about the risk for developing Stevens - Johnson syndrome. Which following manifestations should the nurse instruct the client to monitor and report? Hyperreflexia Tinnitus with ear pain Skin rash with fever. Diplopia 56. A nurse is caring for a client who has a terminal illness. The client states, I wish I would die now, which of the following responses should the nurse make? We should talk about the treatment plan your provider has suggested. You wish you were no longer alive? It is common for people who have a terminal illness to feel that way. Why do you wish you weren’t alive any longer? 57. A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration. Which of the following should the nurse take? Hold gentle, direct pressure on the protruding organ. Place the client’s knees in an extended position. Raise the head of the bed to a 45 angle. Cover the wound with sterile, saline- soaked gauze. 58. A nurse is collecting data from a client who is taking tranylcypromine and reports ingestion of Tyramine rich foods. The nurse should monitor client for which of the following findings as an adverse effect of the medication?

Tinnitus Hematuria Hyperglycemia Hypertension.

59. A nurse in a long term care facility is caring for a client who has methicillin - resistant Staphylococcus aureus MRSA. Which of the following actions should the nurse take? Restrict the client client’s visitors. Remove personal protective equipment after leaving the client’s room. Ensure that the negative air pressure is active for the client’s room. Wear a gown when assisting the client with personal hygiene. 60. A nurse is administering pancrelipase to a child who a child who has cystic fibrosis. Which of the following outcomes should the nurse expectation effect of the treatment? Improved respiratory function. Improved absorption of vitamin B and C. Reduced fat in the stools. Decrease sodium excretion. 61. A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation? Cause of the client’s death. Location of the identification tag on the client’s baby Copy of the client’s advance directives. Last set of the client’s vital signs. 62. A nurse is reinforcing discharge teaching with a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the following? I should throw away my used tissues in a closed plastic bag. My family will need to wear a mask around me at home. I will no longer be infectious after 30 days of treatment. I will need to take medication for this condition for the rest of my life. 63. A nurse is reinforcing teaching with a female client about contraception. Which of the

following statements by the client indicates an understanding of the teaching? I will be able to remove my contraceptive sponge Immediately after intercourse. My partner and I will both use condom during intercourse. My partner will use condoms with spermicides. My partner and I will use petroleum jelly with latex condoms.

64. A nurse reinforcing teaching with a client who has primary open- angle glaucoma and a new prescription for timolol eye drops following statements indicates an understanding of the teaching? This medication will darken the color of my eyes. This medication will dilate my eyes. I should take a zinc supplement while taking this medication. I should check my heart rate while taking this medication. 65. A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following fall precautions should the nurse plan to implement first? Determine the client ability to use the call light. Create a schedule with assistive personnel to do hourly rounding for the client. Apply rubber soled slippers before ambulation. Move the bedside table with the client’s personal items close to the bed. 66. A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a history of dysphasia. Which of the following instruction should the nurse include in the teaching? Place oral suction equipment next to the client’s bedside. Give the client a straw to use for drinking Provide thin liquids to help the client swallow Use a needless syringe to instill feedings. 67. A nurse is collecting data from a client whose partner died 1 year ago. Which of the following finding indicates that the client is experience complicated grief? The client reports he has no interest in dating.

The client develops chest pain each time he talks about his partner. The client keeps a framed picture of his partner on the wall. The client attends a grid support group twice each month.

68. A nurse is reinforcing teaching with a parent of a preschooler about immunizations. Which of the following statements by the parents understanding of the teaching? It is recommended that my child receive his first flu immunization at the age of 6. My child will need to start the human papilloma virus series when he enters kindergarten. I can make several office visits, so my child does not get so many immunizations at once Understand that immunizations will be withheld if my child has lactose intolerance. 69. Nurse is an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve sleep. Which of the following instructions should the nurse include? Conduct change of shift report near the client’s room. Wear shoes with rubber soles. Turn on the overhead lights briefly when checking IV lines. Open curtains between clients in semiprivate rooms. 70. A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg. 1 tablet every 3 to 4 hr PRN for pain inadvertently administer 2 tablets to the client. In which of the following locations should the nurse document this client care incident? Incident report Nursing care plan Controlled substance inventory record. Provider’s progress notes 71. A community health nurse is developing a brochure about hypertension. Which of the following actions should the nurse take? Use a 12- point front size Write the information at an 8th grade reading level. Present information from complex to simple. Explain medical terminology using basic, one -syllable words.

72. A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should include? You should lay down for 1 hour following a meal You should elevate the head of the head of the bed while sleeping. You should only drink 2 cups of coffee per day. You should eat three large meals and two snack per day. 73. A nurse is reinforcing teaching with a client who has an ankle injury and requires crutches. Which of the following instructions should the nurse provider? Maintain your head and neck erect when walking with crutches. Wash the tips of your crutches daily. Support your body weight by leaning on the crutches. Keep your elbows flexed at a 35 angle when the crutches. 74. A nurse is caring for a client who has end stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take? Tell the client she should discuss this decision with her family. Ask the facility chaplain to visit the client. Support the client’s decision to stop the treatment. Discuss alternative treatment methods with the client. 75. A nurse at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include? Wash hands under running water for at least 10 seconds. Dry hands thoroughly from fingers to wrist. Clean hands with alcohol- based hand gel for 15 seconds. Hold the hands slightly higher than the elbows when using running water. 76. A nurse is talking with a client who refuses a blood transfusion for religious reasons. Which of the following responses should the nurse make. I am sure that everything will be all right, regardless of your decision. Making this decision is wrong.

If I were you, I would contact your spiritual director. You have a right to change your mind.

77. A nurse is collecting data from a client about risk factors for cardiovascular disease. The nurse should identify that which of the following is modifiable risk factor? Cholesterol 240mg/dL Age 65 Family history of cardiovascular disease Sex 78. A nurse is caring for a client who has just died. Which of the following actions should the nurse take? Close the client’s eyes before the family views the body. Turn the lights up in the client’s room. Leave noninvasive equipment on the client’s body. Remove the client’s dentures. 79. A charge nurse is reinforcing teaching with a newly licensed nurse about the nurse’s role in obtaining informed consent. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? It is my responsibility to obtain informed consent from the client prior to the procedure. I will provide the client with an explanation of the procedure before I sign the consent form. When I sign the consent form. I am stating that the client appears to the competent to give consent. I will sign the consent form to indicate that the client has received written materials explaining the procedure. 80. A nurse is collecting data from a client who has acute cholecystitis. Which of the following findings should the nurse expect? Discomfort with urination Pain in the right upper abdomen. Pain radiating to the jaw. Increased abdominal discomfort prior to meals.

81. A nurse is collecting data from a client who is receiving magnesium sulfate via continuous IV infusion for preterm labor. Which of the following findings should the nurse expect? Tachycardia Hyperthermia Hypotension Tachypnea 82. A nurse is reinforcing teaching about toilet training with the guardians of a toddler who has a cognitive impairment. Which of the following instructions should the nurse include? Wake the toddler every 2 hr in the night to prevent bed wetting. Have the toddler remain on the toilet for a minimum of 20 min. Give the toddler a sticker after each successful toiling attempt. Encourage the toddler to flush the toilet while still seated. 83. A nurse is reviewing the medication administration record of a client who taken atenolol PO and applies a nitroglycerin transdermal patch, For which of the following interactions should the nurse monitor this client? Hypotension Hyperglycemia Dry cough Thrombocytopenia 84. A nurse is contributing to the plan of care for a client who has potassium level of 2.9 meq/ L. Which of the following actions should to take? Administer furosemide. Give a dose of alendronate. Apply a cardiac monitor. Monitor for Chvostek’s sign 85. A nurse is reinforcing teaching with a newly licensed nurses about transcribing medication prescriptions. Which of the following prescription should the newly licensed nurse identify is an accurate transcription?

MgSO4 10 g PO daily

Doxazosin .5 mg PO at bedtime Lorazepam 0.5 mg PO PRN at bedtime Heparin 5000 U subcutaneous every 8 hr.

86. A nurse is making a follow- up call to a client who has a new prescription for an ACE inhibitor to track hypertension. The client reports lightheadedness upon standing. Which of the following statements should the nurse make? Sit back down for a few minutes when this occurs. Discontinue this medication if this occurs again. Take a daily potassium supplement. Restrict your daily fluid intake. 87. A nurse is caring for a client who has a new prescription for a fentanyl transdermal patch. Which of the following actions should the nurse when administering a transdermal patch? ( Select all that apply) Remove the old transdermal patch before applying a new one. Apply the patch to a clean, hairless area of the client’s skin. Apply the transdermal patch to either of the client’s forearms. Use sterile gloves to apply and remove transdermal patches. Dispose of old transdermal patches in a childproof container. 88. A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statement indicates an understanding of the teaching? I do not need to sign a consent form before this procedure. I will feel a warming sensation after the injection of the dye. I can have a meal up to 2 hours before the procedure. I should limit my fluid intake for 2 days after the procedure. 89. A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take? Instruct the client to hold the drainage bag at waist height when ambulating.