Hesi PQ's: Evolve

The healthcare provider prescribes the antibiotic cephradine 500mg PO every 6 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat a. Vanilla-flavored yogurt b. Low fat chocolate milk .c. Calcium fortified juice d. Cinnamon applesauce

d. Cinnamon applesauce all the other options have dairy. which is CI for -floxacins

Intermittent vs remittent

Intermittent:An intermittent fever is characterized by fever spikes interspersed with normal temperatures remittent: the body temperature increases and decreases without returning to normal body temperature levels.

Radial pulse vs ulnar pulse

Radial pulse (Thumb side): for assessing HR Ulnar pulse (pinky side): assessing arterial insufficiency

During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate first? a. Respiratory apnea of 30 seconds b. Oxygen saturation rate of 88% c. Eight premature ventricular beats every minuted. d. Disconnected monitor signal for the last 6 minutes.

Respiratory apnea of 30 seconds

thiazides

potassium wasting

Which findings in a client who has had major abdominal surgery indicate a possible venous thrombosis of the leg? Select all that apply. One, some, or all responses may be correct. 1 Edema of the ankle 2 Skin breakdown over the shin 3 Pruritus on the side of the calf 4 Tender area in the posterior lower leg 5 Warmth along the course of the involved vessel

1, 4, 5

An infant with tetralogy of Fallot becomes cyanotic and dyspneic after a crying episode. In which position would the nurse place the infant to relieve the cyanosis and dyspnea? 1 Knee-chest 2 Orthopneic 3 Lateral Sims 4 Semi-Fowler

Knee-chest

What is the best lab value to determine Sepsis?

Serum Lactate

A family member of a frail elderly adult asks the nurse about eligibilityrequirements for hospice care. What information should the nurse provide? (Select all that apply.) a. All family must agree about the need for hospice care. b. Hospice services are covered under Medicare Part B. c. A client must be willing to accept palliative care, not curative care. d. The healthcare provider must project that the client has 6 months or less to live. e. All medications except pain treatment will be stopped during hospice care.

c. A client must be willing to accept palliative care, not curative care. d. The healthcare provider must project that the client has 6 months or less to live.

compartment syndrome

Swelling in a confined space that produces dangerous pressure; may cut off blood flow or damage sensitive tissue.

A client with a peripherally inserted central catheter (PICC) line has a fever. What client assessment is most important for the nurse to perform?

observe the anticubital fossa for inflammation

Spirololactone

potassium sparing

sequestrian crisis (sickle cell) vs vasoocclusive crisis:

sequestrian crisis: blood volume is decreased and s/sx of shock appear vasoocclusive crisis: peripheral ischemia

A client presents in the emergency room with right-sided facial asymmetry. The nurse asks the client to perform a series of movements that require use of the facial muscles. What symptoms suggest that the client has most likely experience a Bell's palsy rather than a stroke? a. Slow onset of facial drooping associated with headache b. Inability to close the affected eye, raise brow, or smile c. A flat nasolabial fold on the right resulting in facial asymmetry. d. Drooling is present on right side of the mouth, but not on the left.

Inability to close the affected eye, raise brow, or smile

A child undergoing medication treatment develops hyperthermia, acidosis, and respiratory depression. The nurse understands which type of medication is responsible for the condition? 1 Salicylates 2 Tetracyclines 3 Phenothiazines 4 Fluoroquinolones

Salicylates

Which activity would the nurse teach clients to avoid after having implantation of a permanent cardiac pacemaker? 1 Having a computed tomography (CT) scan 2 Standing near a microwave 3 Swimming in saltwater 4 Touring a power plant

Touring a power plant Due to the magnets. Pacemaker pts CAN do CT scans... not MRI modern microwaves are safe

The nurse is caring for a client who is taking a macrolide to treat a bacterial infection. Which finding should the nurse report to the healthcare provider before administering the next dose? a. Jaundice b. Nausea c. Fever d. Fatigue

a. Jaundice

Which hospitalized client is likely to have the anteroposterior chest diameter equal to the lateral chest and the slope of the ribs more horizontal to the spine? bronchiectasis cystic fibrosis metabolic acidosis pulmonary edema

cystic fibrosis

Newborn has HR 76 and is gasping. Priority?

initiate + pressure ventilation

26.A client is admitted to an intensive care unit with a diagnosis of acute respiratory distress syndrome (ARDS). The nurse expects which assessment finding? 1 Hypertension 2 Tenacious sputum 3 Altered mental status 4 Slow rate of breathing

Altered mental status

A client with epilepsy reports diffuse redness and large blisters on the buccal mucosa. Administration of which medication could be a possible reason for the client's condition? 1 Pyrazolones 2 Barbiturates 3 Sulfonamides 4 Benzodiazepines

Barbiturates B/c Barbiturates are administered for epilepsy

How to decrease the chances of developing VAP?

Elevate HOB at least 30 degrees

Sildenafil can cause:

Hypotension. its a Nitrate= vasodilation= hypotension

Which clinical finding would the nurse expect when assessing a 4-year-old child with suspected mucocutaneous lymph node syndrome (Kawasaki disease)? 1 Strawberry tongue 2 Copious discharge from the eyes 3 Insidious onset of low-grade fever 4 Maculopapular rash on the extremities

Strawberry tongue

pt has not been taking the prescribed medication because the drugs make him "feel bad". In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? a. Blindness secondary to cataracts b. Acute kidney injury due to glomerular damage c. Stroke secondary to hemorrhage d. Heart block due to myocardial damage

Stroke secondary to hemorrhage

Which finding led the nurse to conclude that a client has experienced postoperative complications as a result of a medical error after undergoing a permanent tracheostomy? The client is unable to talk. The client is unable to swallow fluids. The client has a hole in front of the neck. The client has a hole in the thyroid gland.

The client has a hole in the thyroid gland. not supposed to be operating on the thyroid or any other surrounding tissues or organs. JUST the trach

Pt has bleeding esophageal varices. What drug to they need?

Vasopressin (vasoconstrictor to control the bleeding)

The nurse is interacting with a female client who is diagnosed with postpartum depression. Which finding should the nurse document as an objective signs of depression? (Select all that apply) a. Report feeling sad b. Interacts with a flat affect. c. Avoids eye contact. d. Has a disheveled appearance e. Express suicidal thoughts.

b. Interacts with a flat affect. c. Avoids eye contact. d. Has a disheveled appearance the other options arent OBJECTIVE

After changing to a new brand of laundry detergent, an adult male reports that he has a fine itchy rash. Which assessment finding warrants immediate intervention by the nurse?

bilateral wheezing

The charge nurse is making assignment on a psychiatric unit for a practical nurse (PN) and newly license register nurse (RN). Which client should be assigned to the RN? a. An adult female who has been depress for the past several months and denies suicidal ideations. b. A middle-age male who is in depressive phase on bipolar disease and is receiving Lithium. c. A young male with schizophrenia who said voices is telling him to kill his psychiatric. d. An elderly male who tell the staff and other client that he is superman and he can fly.

c. A young male with schizophrenia who said voices is telling him to kill his psychiatric.

A young adult client is admitted to the emergency room following a motor vehicle collision. The client's head hit the dashboard. Admission assessment include: Blood pressure 85/45 mm Hg, temperature 98.6 F, pulse 124 beat/minute and respirations 22 breath/minute. Based on these data, the nurse formulates the first portion of nursing diagnosis as " Risk of injury" What term best expresses the "related to" portion of nursing diagnosis? a. Infection b. Increase intracranial pressure c. Shock d. Head Injury.

c. Shock

The public nurse health received funding to initiate primary prevention program in the community. Which program the best fits the nurse's proposal?a. Case management and screening for clients with HIV. b. Regional relocation center for earthquake victims c. Vitamin supplements for high-risk pregnant women. d. Lead screening for children in low-income housing.

c. Vitamin supplements for high-risk pregnant women.

Which problem is indicated by a positive contraction stress test (CST)? 1Preeclampsia 2Placenta previa 3Fetal prematurity 4Uteroplacental insufficiency

CST= Uteroplacental insufficiency and a compromised fetus

Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect? 1Decreased cardiac output 2Decreased stroke volume of the heart 3Increased contractile force of the myocardium 4Increased electrical conduction through the atrioventricular (AV) node

Increased contractile force of the myocardium

Which treatment would the nurse anticipate when caring for an infant with heart failure? 1Open heart surgery 2Cardiac stress test 3Aggressive intravenous fluid infusions 4Medications that are prescribed for both children and adults

Medications that are prescribed for both children and adults. B/c the medications are the same. the DOSES will be different

A female client with breast cancer who completed her first chemotherapy treatment today at an out-patient center is preparing for discharge. Which behavior indicates that the client understands her care needs

Rented books and movies to use while passing the time prevent infection/ crowds/ppl

The mother of a 7-month-old brings the infant to the clinic because the skin in the diaper area is excoriated and red, but there are no blisters or bleeding. The mother reports no evidence of watery stools. Which nursing intervention should the nurse implement? a. Instruct the mother to change the child's diaper more often. b. Encourage the mother to apply lotion with each diaper charge c. Tell the mother to cleanse with soap and water at each diaper change d. Ask the mother to decrease the infant's intake of fruits for 24 hours.

a. Instruct the mother to change the child's diaper more often.

An older client is admitted to the intensive care unit with severe abdominal pain, abdominal distention, and absent bowel sound. The client has a history of smoking 2 packs of cigarettes daily for 50 years and is currently restless and confused. Vital signs are: temperature 96`F, heart rate 122 beats/minute, respiratory rate 36 breaths/minute, mean arterial pressure(MAP) 64 mmHg and central venous pressure (CVP) 7 mmHg. Serum laboratory findings include: hemoglobin 6.5 grams/dl, platelets 6o, 000, and white blood cell count (WBC) 3,000/mm3. Based on these findings this client is at greatest risk for which pathophysiological condition? a. Multiple organ dysfunction syndrome (MODS) b. Disseminated intravascular coagulation (DIC) c. Chronic obstructive disease. d. Acquired immunodeficiency syndrome (AIDS)

a. Multiple organ dysfunction syndrome (MODS) This client has evidence of several organ systems that require intervention, such as blood pressure, hemoglobin, WBC, and respiratory rate. DIC may develop as a result of MODS.

A child is admitted to the pediatric unit diagnosed with sickle cell crisis. When the nurse walks into the room, the unlicensed assistive personnel (UAP) is encouraging the child to stay in bed in the supine position. Which action should the nurse implement? a. Reposition the client with the head of the bed elevated. b. Commend the UAP for implementing the proper position c. Tell the UAP that this position is harmful to the client d. Encourage the child to ambulate in the room

a. Reposition the client with the head of the bed elevated.

When implementing a disaster intervention plan, which intervention should the nurse implement first? a. Initiate the discharge of stable clients from hospital units b. Identify a command center where activities are coordinated c. Assess community safety needs impacted by the disaster d. Instruct all essential off-duty personnel to report to the facility.

b. Identify a command center where activities are coordinated

Which problem, noted in the client's history, is important for the nurse to be aware of prior to administration of a newly prescribed selective serotonin reuptake inhibitor (SSRI)? a. Bulimia nervosa b. Obsessive compulsive disorder c. Aural migraine headaches d. Erectile dysfunction.

c. Aural migraine headaches

A client at 30 week gestation is admitted due to preterm labor. A prescription of terbutaline sulfate 8.35 mg is gives subcutaneously. Based on which finding should the nurse withhold the next dose of this drug? a. Maternal blood pressure of 90/60 b. Fetal heart rate of 170 beats per minute for 15 mints c. Maternal pulse rate of 162 beats per min d. Serum potassium of 2.3 mg/dl

c. Maternal pulse rate of 162 beats per min

Which change in blood pressure (BP) would the nurse anticipate after a client has an aldosteronoma surgically removed? 1 Rise quickly above preoperative levels 2 Fluctuate greatly during this entire period 3 Gradually return to expected levels for an adult 4 Drop very low before increasing rapidly to expected levels

3. Gradually return to expected levels for an adult

Which intervention would the nurse use first for a client with the diagnosis of Guillain-Barré syndrome who is having difficulty expectorating respiratory secretions? 1 Auscultate for breath sounds. 2 Suction the client's oropharynx. 3 Administer oxygen via nasal cannula. 4 Increase enteral feeding fluids to thin secretions.

Suction the client's oropharynx. airway is the priority

Early deceleration are indicative of:

head compression as the fetus descends in the birth canal, which is a normal patter during active labor, so labor progression should continue to be monitored

Gullian-Barre Syndrome (GBS): concerned for what?

Concerned for: respiratory exchange. Its an upward moving paralysis

After the nurse witnesses a preoperative client sign the surgical consent form, the nurse signs the form as a witness. What are the legal implications of the nurse's signature on the client's surgical consent form? (Select all that apply) a. The client voluntarily grants permission for the procedure to be done b. The surgeon has explained to the client why the surgery is necessary. c. The client is competent to sign the consent without impairment of judgment d. The client understands the risks and benefits associated with the procedure e. After considering alternatives to surgery, the client elects to have the procedure.

ACD Voluntarily without impaired judgement understands risks and benefits

Which action will the nurse take when caring for a client who has just returned from having a femoral angiogram? 1 Provide passive range of motion (ROM) to all extremities. 2 Elevate the foot of the bed for 12 hours post-procedure. 3 Assist the client to stand at the bedside if unable to void. 4 Assess the catheter insertion site at frequent intervals.

Assess the catheter insertion site at frequent intervals Catheter from the angiogram. not urinary

The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of registered nurses will be working that shift. In planning assignments, which client should receive the most care hours by a registered nurse (RN) a. A 34-year -old admitted today after an emergency appendendectomy who has a peripheral intravenous catheter and a Foley catheter. b. A 48-year-old marathon runner with a central venous catheter who is experiencing nausea and vomiting due to electrolyte disturbance following a race. c. A 63-year-old chain smoker admitted with chronic bronchitis who is receiving oxygen via nasal cannula and has a saline-locked peripheral intravenous catheter. d. An 82-year-old client with Alzheimer's disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied

An 82-year-old client with Alzheimer's disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied

The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days. What assessment is most important for the nurse to complete? a. Auscultate the client's bowel sounds b. Observe for edema around the ankles c. Measure the client's capillary glucose level d. Count the apical and radial pulses simultaneously

Auscultate the client's bowel sounds opioids often cause constipation

The nurse assesses the integumentary system of four clients. Which client has the least chance of a false-positive result while undergoing assessment of capillary refill time? 1 Client with shock 2 Client with anemia 3 Client with epilepsy 4 Client with peripheral vascular disease

Client with epilepsy. They do not have circulatory inadequacy

A female client reports she has not had a bowel movement for 3 days, but now is defecating frequent small amount of liquid stool. Which action should the nurse implement?

Digitally check for fecal impaction

Several minutes after a client receives an infusion of oxytocin for induction of labor, the uterine monitor indicates contractions lasting 100 seconds with a frequency of 130 seconds. Which action would the nurse take next? 1 Discontinuing the infusion 2 Checking the fetal heart rate 3 Slowing the oxytocin flow rate 4 Turning the client on her left side

Discontinuing the infusion Could cause hypoxia to the baby if contractions are too long

A client is receiving mechanical ventilation. When condensation collects in the ventilator tubing, which action would the nurse take? 1 Notify a respiratory therapist. 2 Drain the fluid from the tubing. 3 Decrease the amount of humidity. 4 Record the amount of fluid removed from the tubing.

Drain the fluid from the tubing.

After a sudden loss of consciousness, a female client is taken to the ED and initial assessment indicate that her blood glucose level is critically low. Once her glucose level is stabilized, the client reports that was recently diagnosed with anorexia nervosa and is being treated at an outpatient clinic. Which intervention is more important to include in this client's discharge plan? a. Describe the signs and symptoms of hypoglycemia. b. Encourage a low-carbohydrate and high-protein diet c. Reinforce the need to continue outpatient treatment d. Suggest wearing a medical alert bracelet at all time.

Encourage a low-carbohydrate and high-protein diet prevent hypoglycemic episodes with this diet and dint wait to recognize the signs of hypogycemia...prevention is key

After administering an antipyretic medication. Which intervention should the nurse implement?

Encourage liberal fluid intake

Which priority nursing action would the nurse implement for an infant recently admitted with a diagnosis of diarrhea caused by a Salmonella infection? 1 Monitoring oral fluid intake 2 Establishing a play schedule 3 Obtaining a recent food history 4 Establishing a skin care routine

Establishing a skin care routine

When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease (COPD), which approach should the nurse use? a. Perform the drainage immediately after meals b. Instruct the client to breath shallow and fast c. Obtain arterial blood gases (ABG's) prior to procedure d. Explain that the client may be placed in five positions

Explain that the client may be placed in five positions

A client who has been admitted to the hospital with chest pain complains of shortness of breath, weakness, and vomiting. The nurse suspects cardiac arrest. Which site is correct to check the client's pulse rate? 1 Ulnar 2 Radial 3 Brachial 4 Femoral

Femoral

Which task regarding the care of a client with Buck's traction is appropriate to delegate to the unlicensed assistive personnel (UAP)? 1 Check body positioning. 2 Check the distal pulses and capillary refill. 3 Teach the client about potential complications. 4 Help the client with range-of-motion (ROM) exercises.

Help the client with range-of-motion (ROM) exercises. UAP: cannot teach or assess ROM assistance is the only thing within scope of practice

The nurse is planning care for a client admitted with a diagnosis of pheochromocytoma. Which intervention has the highest priority for inclusion in this client's plan of care? a. Record urine output every hour b. Monitor blood pressure frequently c. Evaluate neurological status d. Maintain seizure precautions

Monitor blood pressure frequently pheochromocytoma can cause high blood pressure

An older male adult resident of long-term care facility is hospitalized for a cardiac catheterization that occurred yesterday. Since the procedure was conducted, the client has become increasingly disoriented. The night shift nurse reports that he attempted to remove the sandbag from his femoral artery multiple times during the night. What actions should the nurse take? (Select all that apply.) a. Recommend a 24-hour caregiver on discharge to the long-term facility. b. Notify the healthcare provider of the client's change in mental status. c. Include q2 hour's reorientation in the client's plan of care. d. Request immediate evaluation by Rapid Response Team e. Apply soft wrist restraints so that the operative site is protected.

Notify the healthcare provider of the client's change in mental status. Include q2 hour's reorientation in the client's plan of care.

Following a motor vehicle collision, an adult female with a ruptured spleen and a blood pressure of 70/44, had an emergency splenectomy. Twelve hours after the surgery, her urine output is 25 ml/hour for the last two hours. What pathophysiological reason supports the nurse's decision to report this finding to the healthcare provider a. This output is not sufficient to cleat nitrogenous waste b. Oliguria signals tubular necrosis related to hypoperfusion c. Low urine output puts the client at risk for fluid overload d. An increased urine output is expected after splenectomy

Oliguria signals tubular necrosis related to hypoperfusion

During an annual physical examination, an older woman's fasting blood sugar (FBS) is determined to be 140 mg/dl or 7.8 mmol/L (SI). Which additional finding obtained during a follow-up visit 2 weeks later is most indicative that the client has diabetes mellitus (DM)? a. An increased thirst with frequent urination b. Blood glucose range during past two weeks was 110 to 125 mg/dl or 6.1 to 7.0 mmol/L(SI) c. Two-hour postprandial glucose tolerance test (GTT) is 160 mg/dL or 8.9 mmol/L (SI) d. Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI).

Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI).

How will the nurse position a client who presents to the emergency department with severe epistaxis? 1 Trendelenburg position 2 Semi-Fowler position on a stretcher 3 Sitting in a chair with head tilted back 4 Sitting with head tilted slightly forward

Sitting with head tilted slightly forward

A client who recently underwent a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? a. Explain how to use communication tools. b. Teach tracheal suctioning techniques c. Encourage self-care and independence. d. Demonstrate how to clean tracheostomy site.

Teach tracheal suctioning techniques

A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a chemotherapy (CT) protocol that includes methotrexate (Mexate, Trexal, MIX), an antimetabolite. Which information should the nurse provide the parents about caring for their child?

Use sunscreen or protective clothing when outdoors

The nurse administers an antibiotic to a client with respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the nurse monitor? Select all that apply (2)

WbC count sputum culture and sensitivity

Which information would the nurse include when teaching a client with coronary artery disease about aspirin therapy? Select all that apply. One, some, or all responses may be correct. 1 Take aspirin with food. 2 Report ringing in the ears. 3 Monitor and report excessive bleeding and bruising. 4 Do not mix aspirin with medications for erectile dysfunction. 5 Avoid over-the-counter pain medications that contain aspirin.

1, 2, 3, 5

A client who has hypofunction of the adrenal gland is prescribed oral hydrocortisone. Which clinical finding indicates the need for dosage adjustment in the client? Select all that apply. One, some, or all responses may be correct. 1 Fever 2 Fluid retention 3 Severe diarrhea 4 Rapid weight gain 5 Increase in blood pressure

2, 4

Which roommate would the nurse manager assign to a 4-year-old boy who has been admitted to the pediatric unit with nephrotic syndrome? 3-year-old boy with impetigo 2-year-old boy with pneumonia 5-year-old boy with thalassemia 4-year-old boy with conjunctivitis

5-year-old boy with thalassemia: The child with thalassemia is noninfectious and therefore an appropriate roommate.

Which factor would elevate the oxygen saturation during an assessment? 1. Nail polishes 2. Carbon monoxide 3. Intravascular dyes 4. Skin pigmentation

Carbon monoxide

A client in the emergency center demonstrates rapid speech, flight of ideas, and reports sleeping only three hours during the past 48h. Based on these finding, it is most important for the nurse to review the laboratory value for which medication? a. Olanzapine b. Divalproex c. Lorazepam d. Fluoxetine

Divalproex 1st line for BPD

CAD (coronary artery disease) in an older patient. What are some s/sx tht we'd look at in them tht are abnormal?

SOB and gastric discomfort

Two days after admission a male client remembers that he is allergic to eggs, and informs the nurse of the allergy. Which actions should the nurse implement? (Select all that apply) a. Notify the food services department of the allergy. b. Enter the allergy information in the client's record. c. Document the statement in the nurse's notes d. Note the allergy on the diet intake flow sheet e. Add egg allergy to the client's allergy arm band.

a. Notify the food services department of the allergy. b. Enter the allergy information in the client's record. e. Add egg allergy to the client's allergy arm band.

The nurse is assessing a 3-month-old infant who had a pylorotomy yesterday. This child should be medicated for pain based on which findings? Select all that apply: a. Restlessness b. Clenched Fist c. Increased pulse rate d. Increased respiratory rate. e. Increased temperature f. Peripheral pallor of the skin

a. Restlessness b. Clenched Fist c. Increased pulse rate d. Increased respiratory rate

After several hours of non-productive coughing, a client presents to the emergency room complaining of chest tightness and shortness of breath. History includes end stage chronic obstructive pulmonary disease (COPD) and diabetes mellitus. While completing the pulmonary assessment, the nurse hears wheezing and poor air movement bilaterally. Which actions should the nurse implement? (Select all that apply.) a. Apply oxygen via nasal cannula b. Administer PRN nebulizer treatment. c. Obtain 12 lead electrocardiogram. d. Monitor continuous oxygen saturation. e. Give PRN dose of regular insulin

b. Administer PRN nebulizer treatment. c. Obtain 12 lead electrocardiogram. d. Monitor continuous oxygen saturation.

An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is irritable and diaphoretic with jugular vein distention. Which prescription should the nurse administer first? a. Spironolactone b. Potassium c. Ampicillin sodium parental d. Digoxin.

d. Digoxin to increase cardiac contractility

An adult male is admitted to the emergency department after falling from a ladder. While waiting to have a computed tomography (CT) scan, he requests something for a severe headache. When the nurse offers him a prescribed does of acetaminophen, he asks for something stronger. Which intervention should the nurse implement? a. Request that the CT scan be done immediately b. Review the client's history for use of illicit drugs c. Assess client's pupils for their reaction to light. d. Explain the reason for using only non-narcotics.

d. Explain the reason for using only non-narcotics.

The nurse is teaching a postmenopausal client about osteoporosis prevention. The client reports that she smokes 2 packs of cigarettes a day and takes 750 mg calcium supplements daily. What information should the nurse include when teaching this client about osteoporosis prevention? a. Family history is more important than calcium intake in determining the occurrence of osteoporosis b. Calcium should be taken once a day, preferable at the same time of day c. Smoking cessation is more important than calcium intake in preventing osteoporosis. d. Postmenopausal women need an intake of at least 1,500 mg of calcium daily.

d. Postmenopausal women need an intake of at least 1,500 mg of calcium daily.