NU 112- Nursing Concepts (REDUCTION OF RISK POTENTIAL)
Which intervention would the nurse initiate when a fetal heart pattern signifying uteroplacental insufficiency occurs?
Helping the client turn to the side-lying position
Which intervention would be included in the plan of care for the prevention of a pressure injury?
Keeping the client's skin directly off plastic surfaces
Which nursing action would be implemented after a client has a lumbar puncture?
Maintaining the client in the supine position for several hours
Which urine specific gravity level is abnormal?
ANSWER: 1.041 The normal specific gravity of urine lies between 1.005 and 1.030. A specific gravity value of 1.041 is higher than the normal range; therefore it's abnormal. The specific gravity values of urine such as 1.006, 1.012, and 1.028 lie in the normal range.
Which type of biopsy is required for removal of entire lesions on the skin?
ANSWER: An excisional biopsy -A punch biopsy provides full-thickness skin for diagnostic purposes. -A shave biopsy provides a thin specimen for diagnostic purposes. -An incisional biopsy is used along with shave and punch biopsies.
When assessing a client's abdomen, the nurse palpates directly above the umbilicus. This location is known as which area?
ANSWER: Epigastric Area The stomach is located within the sternal angle, known as the epigastric area. The iliac area is in the area of the iliac bones. The hypogastric area is the lowest middle abdominal area. The suprasternal area is the area above the sternum.
Which is most important for the nurse to emphasize during discharge planning for a child after a sickle cell vasoocclusive crisis?
An increased intake of fluids
Why is blood glucose self-monitoring preferred over urine glucose testing?
Blood glucose monitoring is more accurate
Which nursing intervention is appropriate during the first 24 hours after a thyroidectomy when the nurse is concerned about thyroid storm?
Check vital signs every 2 hours after they stabilize.
Which procedure involves the examination of the ureters and the renal pelvises?
Pyelogram
Which area of assessment is included in the Glasgow Coma Scale?
Response to verbal commands
When a client has type A negative blood, which blood types can potentially be used for transfusion?
Type A or O blood