Which of these instructions should a nurse include in the teaching plan for a client who had 

removal of a cataract in the left eye?

a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."

b. "Perform the prescribed eye exercises each day to strengthen your eye muscles."

c. "Rinse your eyes with saline each morning to prevent postoperative infection."

d. "Take the prescribed stool softener to avoid increasing intraocular pressure."

d. "Take the prescribed stool softener to avoid increasing intraocular pressure."

A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding 

and take which of these actions?

a. Suction the nasogastric tube.

b. Flush the tube with 30 mL of sterile water.

c. Remove the nasogastric tube.

d. Check the residual volume.

d. Check the residual volume.

Which of these actions best demonstrates cultural sensitivity by a nurse?

a. The nurse talks in a slow-paced speech.

b. The nurse asks clients about their beliefs and practices toward pregnancy.

c. The nurse uses charts and diagrams when teaching pregnant clients.

d. The nurse can speak several different languages.

b. The nurse asks clients about their beliefs and practices toward pregnancy.

Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is 

diagnosed with dehydration?

a. Hyperreflexia.

b. Tachycardia.

c. Bradypnea.

d. Agitation.

b. Tachycardia

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