A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter numeric value only.)
answer
200ml . 25 ml of full strength feeding mixed with 25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml
question
An elderly male client is experiencing urinary incontinence. What is the best initial nursing action?
answer
Apply an external condom catheter
question
3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to enter his body once he is cleansed for prayer. What action should the nurse implement?
answer
Reschedule administration of the antibiotic until after he completes his prayers
question
UAP using a hand sanitzers that is alcohol for 2 minutes
answer
tell that hand sanitizer use is less > 2min
question
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer
answer
Answer: 800 Rationale: First, convert the child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg
question
6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take next?
answer
Compare current vital signs with previous vital signs
question
A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take?
answer
Have the parent take the child for emergency help
question
Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought processes, secondary to" what condition?
answer
Postpartum psychosis
question
The nurse identifies a priority diagnosis of, "Altered comfort related to menstrual cramps" for a 25-year-old female client. Which self-care activity should the nurse emphasize in the client's teaching plan?
answer
Regular aerobic exercise.
question
Psych/Alcohol/Tylenol overdose antidote
answer
Give Mucomyst
question
Medical Surgical/Laxative abuses
answer
Patient -taking Milk of Magnesium
question
Spiritual/Documentation
answer
Native American - Allow pt's family to stay in the room
question
Leadership- Interpreter informed consent
answer
Pt should sign the consent
question
Geriatrics/Emergency Rib fractures fall
answer
Pulmonary embolism
question
A client diagnosed with major depression is being allowed a weekend pass from the psychiatric unit. Which instruction should the nurse provide to the client's family?
answer
Involve the client in usual at home activities
question
Upon assessment, the nurse discovers that a postpartum client has persistent red lochia.
Which of the following does this assessment finding suggest to the nurse?
answer
Coagulation disorders
question
The healthcare provider performs peritoneal dialysis on a client, after which 2 liters of fluid is drained. What action should the nurse complete first?
answer
Assess vital signs.
question
After administering a medication through a nasogastric tube connected to suction, what action should the nurse take first?
answer
Clamp the tube
question
The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of 8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell count of 15,000. What
should the nurse implement?
answer
Determine if Client B has two units of packed cells available in the blood bank.
question
Triage question with a train wreck The psychiatric nurse is called to a train derailment that was likely caused by a terrorist bomb. In triaging those in need of immediate care, what is the priority ranking for these cases?
(arrange these cases in order or priority with the top item requiring the most immediate care and the bottom item requiring the least priority care)
answer
A mother and father have just arrived on the .
A crying child being held by another passenger. A woman sitting on the ground with a blanket.
A middle-aged man who is wandering around
question
(arrange in order) = middle age woman bleeding- woman w/ blanket- child crying- mother and father. (Mine didn't have a middle age woman bleeding, instead it had an old man wandering and
answer
correct order is: wandering old man, woman w/blanket, man holding baby, and mother & father)
question
The nurse in the emergency department is using the simple triage and rapid transport (START) system to assess victims of a hurricane. Which statement correctly describes a yellow disaster tag?
answer
A yellow disaster tag means critical injuries and require immediate intervention.
question
What makes a baby frontal bulge or rises
answer
crying
question
Which of the following is a nursing intervention for a 3-year-old client who is going in for sugery in 8 hours
that has an order for fluid restriction?
answer
Do not allow the child to drink fluids
question
The ear, where do u pull to give a ear drop
answer
it a picture so look it up online (KNOW CHILD & ADULT) (pull the pinnae top side of ear; u can look at a picture to see exactly where pinnae is) (Mine had a picture of ear and put it on the lobule of the pinnae it is the ear lobe). The eye picture asked to find the macula or the fovea centralis (there are 2 prominent spots on the eye - choose the DARK spot to the left not the spot where the light is)
question
Know your serum levels?
answer
K- 3.5-5.1,
Na - 135-145,
Ca 9-11,
BUN - 10-20
question
When to use drug for motion sickness drug question
answer
Take Zofran 4 hours before going on trip via sea.
question
Pt with DM
answer
she states that she has to eat lunch rite after the gets her insulin to prevent going to hypoglycemia
question
Electrical burn pt
answer
put him in a cardiac telemetry monitor
question
Which discharge instruction has the greatest priority for the mother of a 6-year-old who was diagnosed with
Type 1 diabetes mellitus one week ago?
answer
"Always carry a quick source of sugar
question
A nurse working on a mental health unit where a diagnosis of bulimia nervosa is being admitted. Which of the following symptoms would the nurse most likely NOT expect to find with this client?
answer
severe over-or under-weight
question
The charge nurse is developing the nursing guidelines for a coronary care unit. Which references is likely to be the most useful in developing these guidelines?
answer
The Scope of Standards of Practice from the American Nurses Association
question
Which assessment finding indicates a client's readiness to leave the nursing unit for a Bronchoscopy?
answer
On-call sedation administered.
question
A nurse-manager is preparing an annual budget for the unit. Nursing salaries should be included in which component of the budget?
answer
Operating budget
question
The nurse has not finished administering routine oral medication because on e client experienced chest pain and another rectal bleeding. It is now dinner time and two clients must be fed. The unlicensed assistive personnel (UAP) is filling water pitchers and the practical nurse (PN) is charting vital signs. Which change in assignments is best for the team leader to make?
answer
UAP feed the two clients, PN finish oral medications and RN monitor clients with chest pain and rectal bleeding
question
What is manntiol drug used for?
answer
To promote diuresis in prevention and treatment of oliguric phase of renal failure, ICP, IOP, edema in CHF.
question
The nurse is caring for a 42 year old male client who is excreting less sodium than he is consuming. If this condition continues, what complication can the nurse expect this client to exhibit?
answer
Edema
question
A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease 6 months ago. Because of secondary complications often associated with this illness the nurse plans to carefully assess for signs of what condition?
answer
Anemia
question
A pt on a trachea/endotrach with gurgling sound
answer
always pick suctioning
question
Know how the chest tube vac machine works - there is a picture of a chest tube vac machine.
answer
this q
is very easy just mark the spot on the tube for the amount of 125 ml of drainage
question
Child w/ hemophila
answer
have parent pad the corners of the furniture due to bleeding.
question
You are preparing a plan of care for a client who is a Jehovah's Witness.The client has been told that surgery is necessary. With consideration to the client's religious preferences in development of the plan of care, you would document what?
answer
The administration of blood and blood products is forbidden
question
A client is admitted with a diagnosis of acute renal failure. The nurse should monitor closely for what?
answer
Drug toxicity
question
A 68-year-old male has been admitted to the hospital with abdominal pain, anemia and bloody stools. He complains of feeling weak and dizzy. He has rectal pressure and needs to urinate and move his bowels.
answer
The nurse should help him onto the bedpan/with the urinal
question
Nurse writes on the chart of Bob Miller that his nurse, Nurse Smith did not take great care of Mr. Miller. Nurse Jones has committed which of the following?
answer
Libel
question
A client is prescribed Zolpidem (Ambien). Which of the following side effects should be monitored while the client is taking this medication?
answer
Daytime drowsiness
question
Translator is working with the nurse who is giving discharge instructions to a non-English client. When the translator restates what the nurse is saying it appears that he is saying much more than what the nurse said. What action should the nurse take?
answer
Ask the translator if there is a reason for the lengthiness of the translation
question
Who is at risk for rib fracture
answer
Elderly pt.
question
Splint
answer
Chest compression or chest splint after surgery - they used it for comfort
question
Metabolic syndrome - high cholesterol &
answer
high cholesterol & high BP (cardiac strip)
question
Know how to prevent SIDS death
answer
Instruct parents to have a firm mattress and avoid laying infant in prone position.
question
Hypertension Diet Teaching- presented with a list of menu choices, the best choice was
answer
Baked pork chops, applesauce,etc
question
Teenager attempted suicide and during group session became upset and left group
answer
Go to client room and ask what happened.
question
Client has rapid speech, flight of ideas, 3hrs of sleep
answer
client experiencing high levels Depakote
question
New RN to Unit
answer
best client to assign is client 4 days post MI
question
Incorrect Delegation
answer
LVN/LPN to remove staples from abdominal wound
question
While the nurse is inserting a nasogastric tube, the client becomes cyanotic. What intervention should the nurse implement?
answer
Withdraw the nasogastric tube
question
One week after client received above the knee amputation, client experiences phantom pain in left foot, what to do
answer
Review causes and sensations of phantom pain
question
The nurse-manager of a perinatal units is notified that one client from the medical-surgical unit needs to be transferred to make room for new admissions. Which client should the nurse recommend for transfer to the antepartal unit?
answer
A 35-year-old with lupus erythematosus
question
Decerebrate Positioning
answer
Extension of the upper and lower extremity.
question
Four clients arrive at the labor and delivery nurses' station at the same time. Which pt should the nurse
assess first?
answer
A 38-week multigravida with biophysical profile score of 4 out of 8
question
Teenagers Teaching for Diabetic diet
answer
Teenagers Teaching for Diabetic diet - Teach to look out for restaurant that have healthy food.
question
Pyelonephritis symptoms
answer
elevates temperature
question
Leg cast Assessment
answer
Compartment syndrome
question
Diagnosis of breast cancer
answer
Needle aspiration or biopsy.
question
Risk Osteoarthritis
answer
seen in long distance runner since high school client
question
Client skin integrity for client with chronic venous insufficiency
answer
around the ankle with little pain.
question
IV Line
answer
Flush line before and after compatible IV solution
question
Teaching
answer
Carafate given before and after meal
question
Nurse given a change in drug orders via phone from physician for a client headed to radiology, place in order what steps the nurse should take first to last?
answer
(Place in order) 1- read order back 2-enter verbal prescription 3- administer prn meds 4- prepare client for x-ray procedure
question
Heparin
answer
Hematoma assessment
question
When the nurse auscultates the anterior chest just above the right nipple moderate, pitched breath sounds are heard that are equal on inspiration and expiration. Which statement best describes this finding?
answer
Bronchovesicular breath sounds that are normal in that location
question
Priority pt
answer
Ruptured spleen life threatening
question
Magnesium
answer
Alcohol pt (Magnesium 1.5 to 2.5)
question
Endotrach has slipped into right main bronchus of no breath sounds are heard (Audio/Visual)
answer
Pleaurvac, know how to set vac at 850
question
Chron's disease
answer
decrease intestinal activity
question
Dialysis
answer
educate client of the reality of condition
question
Acute Pancreatitis
answer
withhold food and fluid intake
question
39 to 48 Glucose
answer
Notify healthcare provider of client's status
question
Ankle brachial index
answer
ensure that you provide meticulous foot care to client
question
Anterior Cruciate Ligament injury
answer
crutches
question
Select all that apply) Mantoux test
answer
select all except 45-degree angle
question
Late decelerations
answer
nurse should turn off the Pitocin infusion first
question
Crohn's Disease - Which has lowest Na+- choose
answer
Horseradish (choices are ketchup, steak sauce, pickle relish, horseradish)
question
Disseminated intravascular coagulation (DIC)
answer
best test to diagnose, D-Dimer
question
Septic shock-best class of medicine to give are
answer
Anti infectives
question
Adolescents and drug abuse at 13yrs old-
answer
mostly likely to use, Paint thinners
question
A female client who has been taking the corticosteroid methylprenisolone (Solu-Medrol) for three weeks reports to the nurse that she has gained ten pounds since starting the medication, and she wants to stop taking it. What is the best response by the nurse?
answer
The medication must be disconnected gradually, tapering the dose each day.
question
In preparing assignments for the shift, which client is best for the charge nurse to assign to a practical nurse?
answer
An elderly client with Alzheimer's disease complicated by dysphagia.
question
A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take?
answer
Have the parent take the child for emergency help
question
A nurse who is new to the pediatric unit is positioning a 6 month-old for an injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should the nurse-manager who is supervising this nurse take first?
answer
Instruct the nurse to select another injection site.
question
After diagnosis and initial treatment of a 3-year-old child with cystic fibrosis, the nurse provides home care instructions to the mother. Which statement by the child's mother indicates that she understands home care treatment to promote pulmonary function?
answer
"Cough suppressants can be used four times a day."
question
Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of "Altered thought processes, secondary to" what condition?
answer
Postpartum psychosis
question
The nurse is caring for a client who was admitted two hours ago with confusion, Kussmaul respirations, and warm, flushed skin. The healthcare provider determines the client is in acute renal failure (ARF). Which intervention is most important for the nurse to include in this clients plan of care?
answer
Hourly neurological assessments.
question
The nurse observes a 2cm area of non-blanchable erythema on the sacrum of an immobile client. What documentation of this finding is best for the nurse to enter into the client's record?
answer
Stage 1 pressure ulcer on sacrum.
question
A client diagnosed with major depression is being allowed a weekend pass from the psychiatric unit. Which instruction should the nurse provide to the client's family?
answer
Involve the client in usual at home activities
question
A 14-year-old male client arrives at the emergency room in status epilepticus. He was diagnosed with a seizure disorder in childhood. What is the most likely cause of his present condition?
answer
Acute withdrawal from anticonvulsant medication.
question
A client with gestational diabetes at 39-weeks gestation is in the second stage of labor. After delivery of the fetal head, the nurse recognizes that shoulder dystocia is occurring. What intervention should the nurse implement first?
answer
Assist the client to sharply flex her thighs up against the abdomen
question
The nurse is teaching a childbirth education class t prospective parents and describing possible signs of labor. Class participants should be taught that which sign should be reported to the healthcare provider immediately?
answer
Leaking of fluid from the vagina
question
During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir (Zovirax) prior to this pregnancy tells the nurse that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?
answer
The highest priority in this situation is to determine if the client has taken the drug Zoviarax, because Acyclovir has been associated with birth defects.
question
. The nurse is obtaining a medication history for a client with a new prescription for paroxetine (Paxil). The client reports current use of the MAO inhibitor isocarboxazid (Marplan). What intervention is most important for the nurse to implement?
answer
Notify the healthcare provider that the client is currently taking Marplan.
question
After administering a medication through a nasogastric tube connected to suction, what action should the nurse take first?
answer
Clamp the tube
question
What action should the nurse implement first when delegating nursing activities to an unlicensed assistive personnel (UAP)?
answer
Evaluate the experience of the UAP.
question
The nurse is caring for four clients: Client A 94% o2 saturation, Client B, hemoglobin of 8.;
Client C, potassium level of 3.8 and Client D appendectomy who has a white blood cell count of 15,000. What
should the nurse implement?
answer
Determine if Client B has two units of packed cells available in the blood bank.
question
A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease 6 months ago. Because of secondary complications often associated with this illness the nurse plans to carefully assess for signs of what condition?
answer
Anemia
question
A client diagnosed with acute epididymitis secondary to a sexually transmitted disease receives a prescription for ceftriaxone (Rocephin). Prior to administering the prescription, which question should the nurse ask the client?
answer
"Have you ever had an allergic reaction to any other antibiotics?"
question
A client at 38 weeks gestation is in active labor, and a vaginal birth after Cesarean section (VBAC) is planned. Vaginal exam indicates that the client is 6cm dilated, 90% effaced, and the station 0 with intact membranes. As the client's contraction become stronger, the fetal heart rate decelerates during the contraction but returns to baseline. What action should be taken?
answer
Continue to monitor the client's labor progress.
question
An elderly client with limited mobility reports frequent episodes of nocturia. To reduce the risk for urinary incontinence, what action should the nurse implement?
answer
Keep the call bell button within the client's reach.
question
Which diagnosis tests are most important for the nurse to monitor when providing care for a client with a bowel movement?
answer
Serum electrolytes.
question
While assessing a client with wrist restraints the nurse first slides two fingers under the restraints and then notes that the ties are secured to the side rail using a quick-release tie. What action should the nurse implement?
answer
Reposition the restraints ties, securing them to the bed frame
question
After administering the first dose of newly prescribed medications to four clients within a thirty minute time frame, the nurse evaluates each client for therapeutic responses or any adverse reactions. Which medication should the nurse evaluate first?
answer
Hydromorphone (Dilaudid)
question
What is the most important symptom the nurse should monitor the client for while assisting with the insertion of a subclavian central venous catheter?
answer
Shortness of breath.
question
A client admitted to the hospital is suspected of having meningitis. The nurse should plan to prepare the client for which diagnostic test?
answer
Lumbar puncture
question
The nurse is performing an intake interview at a prenatal clinic. Which planned activities described by the client who is at 6 weeks gestations will the nurse investigate first?
answer
Supervision of the renovation of an old house the family just purchased due to teratogen defect.
question
The nurse notes that a postoperative adult client's respiratory rate is 10 breaths/minute. Which factor in the client's history is the most likely explanation for this finding?
answer
The PCA pump containing morphine sulfate was discontinued 15 minutes before vital signs were taken.
question
The nurse is assessing a client with hypothyroidism and knows that these clients are at risk for myxedema coma. What symptoms indicate that the client is developing this condition?
answer
Hypothermia, decreased cardiac output, and decreased respiratory functioning
question
While the nurse is inserting a nasogastric tube, the client becomes cyanotic. What intervention should the nurse implement?
answer
Withdraw the nasogastric tube
question
Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mother's vaginal bleeding and finds that she has saturated two pads in 30 minutes and has a boggy uterus.
What action should the nurse take first?
answer
Perform fundal massage until firm
question
The nurse-manager of a perinatal units is notified that one client from the medical-surgical unit needs to be transferred to make room for new admissions. Which client should the nurse recommend for transfer to the antepartal unit?
answer
A 35-year-old with lupus erythematosus 121. Who is at risk for rib fracture - Elderly pt.
question
The nurse is assessing a client with hypothyroidism and knows that these clients are at risk for myxedema coma. What symptoms indicate that the client is developing this condition?
answer
Hypothermia, decreased cardiac output, and decreased respiratory functioning
question
A client is receiving a continuous infusion of normal saline at 125ml per hour. The nurse prepares to change the primary IV tubing and hang a new bag of normal saline to maintain the prescription. In which sequence should the nurse implement the procedure?
answer
(Arrange with first on top and last on bottom.) Spike a new bag- open the clamp-close the clamp-place the pumpattach the distal end-open all tubing clamps
question
A client who is wheelchair-bound demonstrates a positive Thomas test after admission to the rehabilitation unit. The health care provider prescribes positioning the client prone for 30minutes three times each day to prevent further contractures. Based on this finding, what change in the client's plan of care should the nurse expect?
answer
There may be a delay in the rehabilitation process.
question
While the nurse is inserting a nasogastric tube, the client becomes cyanotic. What intervention should the nurse implement?
answer
Withdraw the nasogastric tube
question
A client with a general anxiety disorder is pacing the hallway. The client tells the nurse, "My heart is just racing and sometimes it feels like it's fluttering. I'm feeling short of breath and dizzy." What action should the nurse implement first?
answer
Obtain the clients vital signs.
question
. Translator is working with the nurse who is giving discharge instructions to a non-English client. When the translator restates what the nurse is saying it appears that he is saying much more than what the nurse said. What action should the nurse take?
answer
Ask the translator if there is a reason for the lengthiness of the translation
question
An Elderly man is having trouble urinating and unsteady he uses a wheelchair to walk to the bathroom what should the nurse implement?
answer
provide a raised toilet seat
question
The nurse tests a client's visual acuity and determines that the uncorrected vision is 20/100 in the right eye and 20/80 in the left eye. What does this finding indicate?
answer
Difficulty visualizing objects at a distance also known as myopia.
question
Client has a Lithium Rx level of 0.54 (know Lithium ranges
answer
Low, so the answer is to ask client if they have been taking their medication everyday
question
(Select all that apply) Determining pain level for 3mo old infant
answer
infant will clinch fists, increase pulse, restlessness, increased respiratory effort
question
5yr old burn victim has pot of hot liquid fall on him, what should nurse tell mother to do first-
answer
nurse should tell mother to remove clothing and place in cool bath
question
The Nurse recognizes that the primary purpose of recommending a yearly digital rectal examination (DRE) for all men over the age of 40 is to help detect the early stages of which type of cancer?
answer
Prostate cancer.
question
A client with carpal tunnel syndrome is in the out-patient surgical unit after an endoscopic carpal tunnel release. What instructions should the nurse provide the client regarding postoperative care?
answer
After carpel tunnel release, measure to promote circulation, comfort, and to prevent complications should include positioning the hand above the heart to reduce edema.
question
Which client should the nurse assist first?
answer
An inguinal hernia who has developed abdominal distention and fever in the last 8 hours.
question
A client with a chest tube develops sepsis and dyspnea. Based on findings in the client's medical record, which prescription should the nurse implement first?
answer
(Click on each chart tab for additional Information. Please be sure to scroll to the bottom right corner of each tab to view all information contained in the clients medical record)
question
The nurse is teaching a client with COPD about health promotioin activities. What is the most important advice the nurse should give this client?
answer
"If you have not already done so, quit smoking"
question
A client at 38-weeks gestation complains of abdominal pain. The nurse notes that her abdomen is rigid. What is the probable cause of these findings?
answer
Unknown
question
Family members of a client who is in hospice care discuss with the nurse their fears that their loved one's death will be painful. Which intervention should the nurse implement?
answer
Although the client may or may not experience pain as death approaches, the nurse should provide teaching that pain control methods will be used, and are helpful in managing pain that may occur.
question
Which nurse's behavior is a breach of clients confidentiality according to the Health Insurance Portable Accountability Act (HIPAA) regulations?
answer
Take home a daily report sheet with the information of the team's client.
question
A male client with cancer is admitted to the oncology unit and tells the nurse that he is in the hospital for palliative care measures. The nurse notes that the client's admission prescription include radiation therapy. What action should the nurse implement?
answer
Consult with the client about his expected goals for his hospitalization and current treatment plan
question
An Elderly man is having trouble urinating and unsteady he uses a wheelchair to walk to the bathroom what should the nurse implement?
answer
provide a raised toilet seat.
question
The nurse completes the Leopold maneuvers for a primipara who is admitted in active labor and determines that the fetus is in the right sacral anterior (RSA) position. On which quadrant should the nurse place the external fetal heart transducer?
answer
(Click the chosen location. To change, click on the new location.)
question
The nurse is caring for a 5 year-old child with Reye's syndrome. What goal has the highest priority in caring for this child?
answer
Reduce cerebral edema and lower intracranial pressure.
question
The nurse is preparing a discharge plan for an older client who was recently diagnosed with Alzheimer's disease. Which intervention should the nurse suggest to the spouse if the client becomes uncooperative at home?
answer
Ensure a calm and predictable environment.
question
A mother brings her 15-month old son and 6 year-old daughter to the clinic for immunizations. Both children are fretful and obviously have upper respiratory infections. The mother tells the nurse that the younger child ran a fever of 100.2oF following his last immunization. What plan is best for the nurse to implement?
answer
Administer the boosters and instruct the mother to call the clinic if either child's temperature exceeds 101oF.
question
Pregnancy Induced Hypertension
answer
high blood pressure, blurred vision, headache, Proteinuria, Abdominal pain
question
A client with endometrial carcinoma is receiving brachytherapy and has radioactive Cesium (Cs) loaded in a vaginal applicator. What action should the nurse implement?
answer
Wear a dosimeter film badge when in the client's room
question
A client who has localized eczematous eruptions on both hands is diagnosed as having contact dermatitis. What instructions should the nurse include on the clients discharge teaching plan?
answer
Take prescribed antihistamine near bedtime.
question
The community health nurse is attempting to address the issue of child abuse in a large metropolitan area. A primary prevention program for child abuse might include which program?
answer
High school child development and parenting classes.
question
Risk management: pt fell while using some equipment... charge nurse trying to find out what happened- how?
answer
hospital polices
question
A client has a history of chronic atrial fibrillation. Which instruction should the nurse include in the teaching plan for this client?
answer
Be sure to take the prescribed daily aspirin.
question
Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mother's vaginal bleeding and finds that she has saturated two pads in 30 minutes and has a boggy uterus. What action should the nurse take first?
answer
Perform fundal massage until firm
question
It is most important for the nurse to use an IV pump and/or Buretrol, an in-line volumecontrol device, when initiating IV therapy for a client following which surgical procedure?.
answer
Craniotomy
question
. Which strategy is most important for the nurse to use when assisting a client with myasthenia gravis to devise a daily routine?
answer
Female with a head injury whose pupils are fixed and dilated.
question
A male infant born at 30-weeks gestation at an outlying hospital is being prepared for transport to a level IV neonatal facility. His respirations are 90/min, and his heart rate is 150 beats per min. Which drug is the transport team most likely to administer to the infant?
answer
Beractant (SURVANTA) 100mg/kg per endotracheal tube.
question
A 60 year-old female client takes NPH insulin each morning. What would necessitate holding this clients usual morning NPH insulin dose?
answer
The client is NPO for surgical debridement of a leg ulcer at 11.00am.
question
Which finding should the nurse expect a client to exhibit who is newly diagnosed with fibromyalgia?
answer
Disrupt in sleep patherns.
question
Chest tube disconnect
answer
( Put the end of the tube in a sterile bottle fill with Normal saline and connect back to patient)
Haven't found what you need?
Search for quizzes and test answers now
Quizzes.studymoose.com uses cookies. By continuing you agree to our cookie policy
