med surg 4,5,6
The client is having a Weber test. During a Weber test, where should the tuning fork be placed?
In the midline of the client's skull or in the center of the forehead
A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?
Inform all potential sexual partners about the infection, even if it is inactive.
A nurse is reinforcing teaching with an older adult male client about sildenafil. Which of the following information should the nurse include in the teaching?
Ingestion of the medication with nitrates causes hypotension.
A client comes to the walk-in clinic complaining of a bug in my ear. What action should be taken when there is an insect in the ear?
Instillation of mineral oil
Which nursing goal is a priority when caring for a client newly diagnosed with vertigo?
Patient will remain safe while ambulating in the home
Which nursing instruction is most helpful to prevent autoinoculation of a sexually transmitted infection?
Perform thorough handwashing.
Which nursing suggestion would be most helpful to the client with recurrent otitis externa?
Place ear plugs into the ears before swimming.
You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is important to teach this woman?
Place the container in warm water before instillation.
The nurse is caring for a newly admitted client to an orthopedic unit. Which of the following nursing actions are helpful in reducing client anxiety? Select all that apply.
Provide detailed information. Relieve discomfort as able. Be confident in action and instructions. Be attentive to client needs.
The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which of the following symptoms would indicate to the nurse the need for administration of this drug? Select all that apply.
Slowed or stopped infusion rate Increased bladder pressure and pain
The nurse is caring for a client with a fractured tibia and fibula. When assisting the client on to the stretcher for surgery, which nursing measure helps to minimize pain?
Support the leg by placing a hand under the knee and under the heel.
A client with syphilis did not receive treatment and has now progressed into the tertiary stage of the disorder. Which of the following would the nurse expect the client to exhibit?
Tabes dorsalis, blindness, and Charcot's joints
Which of the following would the nurse expect to assess as the most common finding associated with fibromyalgia?
Widespread chronic pain
A client has a fractured jaw sustained in an automobile accident and has had the fracture surgically reduced and immobilized with a wire loop. What should the nurse ensure is present at the client's bedside in case of vomiting?
Wire cutters
The nurse is providing education to the client newly diagnosed with three different types of sexually transmitted infections. Which of the following does the nurse identify to the client as the most common reportable sexually transmitted infection?
chlamydia
The nurse is gathering objective data for a client at the clinic complaining of arthritic pain in the hands. The nurse observes that the fingers are hyperextended at the proximal interphalangeal joint with fixed flexion of the distal interphalangeal joint. What does the nurse recognize this deformity as?
Swan neck deformity
Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
Painfull swelling
A nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which is an appropriate response by the nurse
Papanicolaou test
A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client?
Patchy flakes clinging to the eyelashes
A client has had a knee replacement and will be discharged in the morning. What does the nurse understand the goal for bending the knee is by discharge?
90 degrees
If an Iv of 1000 mL of NS was started at 0800 and is infusing at a rate of 125 mL/hr, at what time would you expect the infusion to be completed?
1600 (4:00 pm)
You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis?
A progressive, bilateral loss of hearing
The client has been diagnosed with objective vertigo. Which symptom would the nurse relate to the tentative diagnosis?
A sensation of things moving
Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?
Abandon biases that older adults are sexually inactive.
The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery?
Anticoagulation therapy
Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?
Any chronic disorder or recent injury
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Fertilization takes place in the outer third of the fallopian tube."
The client with chronic open-angle glaucoma is receiving timolol (Timoptic) eye drops. Which evaluation finding would indicate to the nurse the treatment is working?
Intraocular pressure 15 mm Hg
A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse?
Keep the client NPO
The nurse is caring for a client who has a deficiency in the formation of cartilage in joints. Which essential substance is absent?
Matrix
The nurse is instructing the client with dried cerumen blocking the ear canal on potential methods to reduce symptoms. Which at home methods of cerumen removal is discouraged?
Removing the cerumen by means of a cotton tip applicator
A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?
Report of dryness with vaginal intercourse
The physician orders an opioid analgesic for a client with a traumatic injury. The nurse would monitor the client closely for which of the following as the priority?
Respiratory depression
A client is diagnosed with systemic lupus erythematosus (SLE). Which of the following would be most appropriate for the nurse to use to evaluate the client's stage of disease?
Review the client's medical record.
A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?
Short leg cast
The nurse is caring for a client with symptoms of ototoxicity from aminoglycoside administration. On which structure does the medication produce the ototoxic effect?
The eighth cranial nerve
The nurse is caring for a client who experienced a crushing injury of the lower extremities. Which of the following symptoms is essential to be reported to the physician?
pulselessness
A client arrives at the orthopedic physician's office stating knee pain sustained while playing soccer. A history and physical assessment is completed. The knee appears reddened with edema. Which other diagnostic testing would the nurse anticipate?
An arthroscopy
A client is complaining of severe pain in the left great toe. What lab studies that the nurse reviews indicate that the client may have gout?
Elevated uric acid levels
A client had a surgical amputation of an arm and is having a myoelectric arm applied. What does the nurse understand are the benefits of this type of device? Select all that apply.
Eliminates the need to wear a harness Better function than cosmetic hand Terminal device looks natural
A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?
Escherichia Coli
A client with ankylosing spondylitis has a stooped position and is being positioned in the bed before the nurse takes vital signs. The nurse listens to the client's lungs after positioning. What finding does the nurse hear when listening to lung sounds?
Lung sounds are diminished in the apical area.
A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Luoprolide
A client has just been diagnosed with glaucoma. What teaching should the nurse include with this client?
Maintain regular bowel habits
The nurse is addressing a multidisciplinary panel stating the need for continued education on sexually transmitted infections (STI). One of the points is the fact that the statistics of infection are underreported. Which of the following is the main cause that statistics are underreported?
Only certain STIs are reported to the Centers for Disease Control and Prevention.
The nurse is caring for a client who had an amputation of the left leg above the knee. What position can the nurse place the client in several times per day to promote stump extension and prevent contractures?
Prone
A client with osteoporosis is prescribed a selective estrogen receptor modifier (SERM) as treatment. The nurse would identify which drug as belonging to this class?
Raloxifene
A nurse is assisting with the preparation of an educational program about the use of oral contraceptives. The nurse should include that which of the following herbal supplements reduces the effectiveness of oral contraceptives?
St John's Wort
You are teaching a parent how to instill drops in their 12-year-old son's eyes. Which action would you teach the parent is accomplished first?
Tilt the head slightly backward.
The nurse is caring for a client who underwent surgery for a retinal detachment. The surgery included the injection of an air bubble to promote contact between the retina and choroids. What position should the nurse keep the client in
With the face parallel to the floor
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis?
You must inform all sexual partners.
The client has ovarian cancer and underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy. Postoperative assesssment includes; select all that apply
assess for bowel sounds monitor foley catheter output removing sutures in 4 -5 days
A nurse in a clinic is caring for a client who requires a hysterectomy and states, "I've decided to delay having this surgery for several months." Which of the following statements should the nurse make?
"Can you tell me your reasons for delaying the surgery?"
A nurse is reinforcing teaching with a male client about a semen analysis to be done for suspected infertility. Which of the following information should the nurse include?
"You should abstain from ejaculation for at least 2 to 3 days prior to the test.
A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calcium intake. The participants are high schoolaged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age?
30-5 years
A nurse is reinforcing teaching with a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at which of the following times?
After menstruation begins
A female client is diagnosed with breast abscess. She would like to continue to breastfeed her newborn. Which of the following would be most appropriate in this situation?
Assist the client to pump the breasts to remove breast milk.
Audiometry is testing that measures hearing acuity precisely. Who does the nurse know can perform audiometric testing?
Audiologist
Following cataract removal, discharge instructions will be provided to the client. Which of the following instructions is most important?
Avoid any activity that can increase intraocular pressure.
The nurse is caring for a middle-aged female client who is experiencing premenopausal symptoms. Which client statement indicates the need for further teaching?
Bone resorption slows with aging due to a decrease in estrogen levels.
The nurse is caring for a client who sustained rib fractures in an automobile accident. What symptoms does the nurse recognize as a complication of rib fractures and should immediately be reported to the physician?
Crackles in the lung bases
A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client?
Cutting a cast window
A client is receiving treatment for an acute episode of gout with colchicine. The nurse is administering the medication every 2 hours. What should the nurse be sure the client communicates so that the drug can be temporarily stopped? Select all that apply.
Diarrhea Nausea and vomiting Intestinal cramping
Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.
Do not delay the urge to void. Assist bladder emptying by using the Valsalva maneuve
A nurse is doing preoperative and postoperative teaching with a client who is undergoing cataract surgery. What is an important teaching point the nurse should teach the client about?
Eat soft, easily chewed food until healing is complete
The nurse is caring for a client who just returned from a trip requiring an airline flight. The client commented on how his ears hurt upon descent. The nurse is correct in stating which site as being the pressure equalizer in the ear?
Eustachian tube
The nursing student hopefuls are taking a pre-nursing anatomy and physiology class. What anatomical structure equalizes air pressure in the middle ear?
Eustachian tube
Which of the following assessment findings is least helpful in identifying a cause of Ménière's disease?
Food intolerance
The nurse is providing client education on growth and development throughout the life span. When stating periods of most rapid bone growth, which period is the nurse most correct to state?
From birth through puberty
Which type of sexually transmitted infection is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time?
Herpes
The nurse is instructing an adolescent female on potential vaccinations available. Which vaccination would the nurse state that decreases the risk of cervical cancer?
Human papilloma viral (HPV)
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?
Human papilloma virus
A client is having problems with dizziness and complains of the room spinning. The physician performs the caloric stimulation test. The nurse knows that a diminished response in one eye during the caloric stimulation test is indicative of what?
Inner ear disorder
When describing sexually transmitted infections and testing, the nurse explains that a client is typically tested for chlamydia, gonorrhea, and syphilis at the same time for which reason?
It is not unusual for clients to have concurrent infections with more than one sexually transmitted infection (STI).
A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in in the teaching? (Select all that apply.)
It typically occurs between ages 15 to 40. Close male relatives are at increased risk for the disease.
The nurse is assisting with the administration of a caloric stimulation test. Which client response would the nurse document as an expected response?
Nystagmus
A nursing student is presenting a report on Ménière's disease to other members of the class. What symptom would the student list?
Nystagmus of the eyes
A nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?
Obtain information about the client's recent sexual partners.
When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?
Prepuce
A nurse is evaluating client laboratory findings. The nurse should identify that an increase in a client's prostate-specific antigen (PSA) level can indicate which of the following conditions?
Prostatitis
A nurse is reinforcing teaching with a client who reports urinary urgency and frequency. The nurse should identify that the client can use which of the following herbal supplements to treat the symptoms of an enlarged prostate?
Saw palmetto
The nurse is caring for clients with spinal deformities. Which type of deformity would the nurse prioritize as having the most significant consequences on the respiratory system?
Scoliosis
A client is diagnosed with osteomyelitis. This is most commonly caused by which of the following?
Staphylococcus aureus
A nurse is assessing a client for a fracture to the bony orbit. What would the nurse document if her assessment for fracture was positive?
The Tinnea
A client is having traction applied to a fractured left lower extremity prior to surgery. What outcomes does the nurse expect from the application of the traction for the client? Select all that apply.
The bones of the left leg will be aligned. Immobilization of the left leg will be maintained. Muscle spasms will be relieved.
The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fracture tibia. What should the nurse inform the client prior to the cast being removed?
The skin may be covered with a yellowish crust that will shed in a few days.
The nurse is caring for a female diagnosed with a sexually transmitted infection (STI). The client states that her sister also has an STI. Which instruction, by the nurse, provides the rationale for females obtaining infections more frequently than males?
The vagina is more conducive to microbial growth.
"A nurse is caring for a client who is scheduled for a transurethral resection of the prostate (TURP). Which of the following statements by the client indicates that informed consent was provided?
There is a chance I may become impotent."
During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?
Tinnitus and sensorineural hearing loss
The nursing is caring for a client who will be having artificial implants for breast reconstruction. The client is arriving at the physician's office for which procedure completed before the surgery can be done?
Tissue expansion
A client is having problems with dizziness and complains of the room spinning. The physician performs the caloric stimulation test. The nurse knows that a diminished response in one eye during the caloric stimulation testis indicative of what?
inner ear
Which of the following would the nurse expect a physician to use on a short-term basis for a client with an injured body part that does not require rigid immobilization?
splint
A client has exhibited repeated return of hordeolum (sty). Which assessment finding is most important in determining care for this client?
use of mascara
A nurse is reinforcing teaching to a client who has endometriosis. Which of the following statements should the nurse include in the teaching?
"Endometriosis may be associated with painful bowel movements."
A male client has a diagnosis of herpes genitalis infection. The nurse should instruct him to:
Avoid touching blister like lesions
A client, diagnosed with a cataract, comes into the clinic. What assessment should the nurse observe in this client?
Blurred or cloudy visual image
At morning report, the nurse learns the assigned client is blind. Which question should the nurse ask the client upon initial assessment?
Can you perceive light and motion?
The nurse is reviewing the chart of a client newly diagnosed with syphilis. Which question is most important to ask next?
"Are you allergic to PCN?"
A nurse is providing discharge teaching to a client following a right mastectomy. Which of the following statements should indicate to the nurse that the client has a healthy body image?
"The incision looks like it is healing."
The nurse is employed in an ear, nose, and throat (ENT) physician's office, obtaining a client history. The nurse documents the following client statements. Which symptoms may indicate a diagnosis of otosclerosis? Select all that apply.
-I now notice a ringing in my ears especially when I lay down to sleep at night. -I can hear best when you put the tuning fork behind my ear. -It seems that I increasingly could not hear my kids talk to me.
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?
Abnormal vaginal bleeding
The nurse is caring for a client with rheumatoid arthritis who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range-of-motion exercises?
After the client has had a warm paraffin hand bath
Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?
Age of menarche
A 79 year old man states he experiences dribbling of clear yellow urine, hesitancy in starting urination and a sensation of incomple emptying of the bladder. The nurse identifys which of the following as the most likely cause of the symptoms?
An enlarged prostate
You are caring for a client who is poststapedectomy. What would you include in your nursing care?
Assess the facial nerve
The nurse is instructing the client on use of ophthalmic eye ointment for treatment of an eye disorder. The ointment is ordered once daily. When is the best time to apply the ointment?
Before/at bedtime
A group of students are reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast?
Better molding to the client
A client was playing softball and dislocated four of his fingers when diving for a ball. The physician manipulated the fingers into alignment and applied a splint to maintain alignment. What type of procedure does the nurse document this as?
Closed Reduction
An elderly client is admitted with the diagnosis of retinal detachment and is scheduled for laser surgery and scleral buckling procedure. The nurse anticipates which of the following symptoms to be exhibited in this client? Select all that apply.
Cobwebs in vision field Flashing lights
The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope to assess the ear canal and tympanic membrane and notes a significant accumulation of cerumen. Which documentation of hearing loss type would be most accurate?
Conductive
A nurse is assessing a pediatric client in a public health clinic. The parent states that the client has been sneezing and rubbing the eyes. The nurse looks at the client's eyes and documents objective symptoms of watery and red eyes. When reporting to the physician the assessment findings, which word is appropriate?
Conjunctivitis
Miotic eye solutions are often ordered in the treatment of glaucoma. Which is the best nursing rationale for the use of this medication?
Constricts pupil
The nurse is caring for a client with open-angle glaucoma. The nurse knows that this disease causes which of the following? Select all that apply.
Degeneration of the optic nerve Edema of the cornea Atrophy of nerve fibers in the central area of the retina
The nurse is obtaining subjective data from a client with difficulty hearing. In order to assist the client in hearing the nurse's voice, which adjustments are made? Select all that apply.
Face the client when speaking Speak in a louder volume Speak in a clear voice Speak in a lower tone Clearly articulate
The nurse is working at a public health clinic. Which symptoms does the nurse anticipate prior to assessing a client with secondary syphilis?
Fever, sore throat, lymph node enlargement
A client presents to the emergency room with symptoms of blurred vision. Which type of question would be best to ask first?
Have you ever had these symptoms before?
The nurse is working in the triage section of a walk-in clinic. Which triad of common symptoms, when placed together, indicate Ménière's disease?
Hearing loss, vertigo, tinnitus
A client informs the nurse that he has been diagnosed with degenerative joint disease of the fingers but now has these bumps on his fingers that don't hurt. The nurse observes bony nodules on the distal interphalangeal joints. What type of bumps does the nurse understand these are?
Heberden's nodes
The nurse is working in the emergency department interacting with clients of various disease processes and injuries. When completing a head-to-toe assessment, which standard assessment technique is most important?
Maintain standard precautions throughout the exam.
The nurse is caring for a client with recurrent ear infections. The nurse assesses the client for further infectious processes traveling deeper into the tissue and becoming more lethal. Which infection, originated in the ear, is of most concern?
Meningitis
A client arriving at the emergency department is diagnosed with a dislocation. Assessment would most likely reveal which of the following? Select all that apply.
Pain Swelling Complaint of a popping sound
A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?
Painful joints
Which of the following would the nurse use to determine that a client is exhibiting signs and symptoms of chronic osteomyelitis?
Persistent draining sinus
What kind of otitis media is a pathogen-free fluid behind the tympanic membrane, resulting from irritation associated with respiratory allergies and enlarged adenoids?
Serous otitis media
A client with rheumatoid arthritis has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. What does the nurse understand that this clinical manifestation is?
Sicca syndrome
A nurse is caring for a client following a culdoscopy. Which assessment data would the licensed practical nurse report to the registered nurse?
Skin, cold; pulse, 110 beat/minute; blood pressure, 104/64 mm Hg
The nurse is working in a long-term care facility. Which clues does the nurse note which suggests that the client is not hearing what the nurse said? Select all that apply.
The client does not want to be social. The client withdraws from activity. The client responds inappropriately. The client nods the head and smiles.
The emergency room nurse is reporting the location of a fracture to the client's primary care physician. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?
The fracture is on the diaphysis.
The nurse is outlining the female internal reproductive structures on a diagram. Where on the diagram would the nurse highlight the typical site of ovum fertilization?
The nurse would highlight the fallopian tubes
A client splashes bleach into the right eye and requires irrigation of the eye. Which nursing action is most important to prevent extension of chemical irritation?
Turn head with right side lower than the left.
A client is diagnosed with keratitis. What advice should the nurse give this client?
Use of dark sunglasses
A 71 year old female woman is admited with symptoms of vaginal bleeding the nurse identifies this bleedings as most likely a result of:
Uterine cancer
The nurse is instructing a couple in the early stages of infertility testing who has just found that the male has a slightly low sperm count. Which easy change can a nurse suggest to a male client?
Wear loose fitting underear instead of tight ones
A nurse at a community health clinic is assisting with creating a brochure about testicular cancer. Which of the following information should the nurse include?
Gently roll the testicles to feel for abnormalities.
Which assessment finding would contraindicate the use of atropine in a client scheduled for general anesthesia?
Glaucoma
A nurse is caring for a client with an undiagnosed bone disease. When instructing on the normal process to maintain bone tissue, which process transforms osteoblasts into mature bone cells?
Ossification and calcification
When caring for a client with a foreign object removed from the eye, the nurse is most correct to assess the eye protective functions of which structures? Select all that apply.
Tears Eyelids and lashes
A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?
Transillumination
When performing pin care, which of the following would be most appropriate? Select all that apply.
Gently remove crusts around pin sites. Use iodine-based products to clean the pins. Use an applicator only once
The experienced nurse is assisting the novice nurse in caring for a client with a newly acquired sexually transmitted infection. Which of the following infections does the experienced nurse stress to report to the Centers for Disease Control and Prevention (CDC)? Select all that apply.
Chlamydia Syphilis HIV Gonorrhea
A client is receiving treatment for a head injury. Which of the following would the nurse do related to positioning to reduce the risk of further injury?
Elevate the client's head slightly while keeping the neck neutral.
The nurse is reporting on the results of client blood work to the oncoming nurse. Upon reviewing the data, it is noted that the client has an elevated uric acid level. Which inflammatory process would the nurse screen for on shift rounds?
Gout
A 19 year old female client complained of leukorrhea and intermenstrual bleeding. After obtaining a negative pregnancy test, you take a health history. Identify all risk factors, that if they are present, may increase cervical the risk of cervical cancer. select all that may apply
HPV sexually active since the age of 14 multiple sex partners
A client has been treated for migraine headaches for several months and comes to the clinic stating he is getting no better. The nurse is talking with the client and hears an audible click when the client is moving his jaw. What does the nurse suspect may be happening?
Temporomandibular disorder
You are admitting a client with an acoustic neuroma to your unit. What would you include during the assessment of this client?
Test for facial sensation.
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent?
Tetracycline
A client comes to the occupational health nurse complaining of eye irritation. The client works in a dusty, outdoor environment. Why should the nurse advise periodic blinking to this client?
To clear the dust and particles from the surface of the eyes
The nurse is assigned to care for a client who has had an open reduction and internal fixation of a fractured right femur 2 days ago. The nurse is listening to the client's lungs and, when moving the gown, observes petechial hemorrhages on the skin of the chest. What is the first action by the nurse?
Call the physician to inform them of the findings.
The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. When the nurse is considering all of the various types of bone fractures, which bone type is most anticipated?
Cancellous
The nurse is assessing the capillary refill on a client who has a new, lower extremity cast. Which documented finding provides the best evidence of an abnormality?
Capillary refill within 4 seconds
You are caring for a client with open-angle glaucoma. You know that this disease causes which of the following? Select all that apply.
Edema of cornea Atrophy of nerve fibers in the peripheral areas of the retina Degeneration of the optic nerve
A client has been diagnosed with temporomandibular disorder and has not been able to eat. What suggestion can the nurse make to modify the diet so that the client will be able to eat?
Have the client eat soft rather than coarse food.
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
Ibuprofen
A client is scheduled for hip replacement surgery in a month. Which statement made by the client demonstrates understanding for the preoperative instructions?
I will stop taking my aspirin as instructed by my healthcare provider prior to my surgery.