med surg final
A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement should the nurse include in this client's discharge teaching?Select one: a. "Avoid crowds and people with colds." b. "Relying on a walker will weaken your gait." c. "Take warm baths to promote muscle relaxation." d. "Take prescribed medications when symptoms occur."
"Avoid crowds and people with colds.
client is being discharged home after a heart transplant with a prescription for cyclosporine (Sandimmune). What priority education does the nurse provide with the client's discharge instructions? a. "Use a soft-bristled toothbrush and avoid flossing." b. "Avoid large crowds and people who are sick." c. "Change positions slowly to avoid hypotension." d. "Check your heart rate before taking the medication."
"Avoid large crowds and people who are sick."
A nurse is providing health teaching to a middle-aged male-to-female (MtF) client who has undergone gender reassignment surgery. What information is most important to this client? a. "Be sure to have an annual prostate examination." b. "Continue your normal health screenings." c. "Try to avoid being around people who are ill." d. "You should have an annual flu vaccination."
"Be sure to have an annual prostate examination."
A nurse cares for a client with chronic obstructive pulmonary disease (COPD) who appears thin and disheveled. Which question should the nurse ask first?
"Do you experience shortness of breath with basic activities?"
The nurse is taking the health history of a client suspected of having bacterial meningitis. Which question is most important for the nurse to ask? a. "Do you live in a crowded residence? "b. "When was your last tetanus vaccination?" c. "Have you had any viral infections recently?" d. "Have you traveled out of the country in the last month?"
"Do you live in a crowded residence?
After teaching a client with perineal excoriation caused by diarrhea from acute gastroenteritis, a nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching? a. "I'll rinse my rectal area with warm water after each stool and apply zinc oxide ointment." b. "I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel." c. "I must take a sitz bath three times a day and then pat my rectal area gently but thoroughly to make sure I am dry." d. "I shall clean my rectal area with a soft cotton washcloth and then apply vitamin A and D ointment."
"I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel."
After teaching a client who is being discharged home after mitral valve replacement surgery, the nurse assesses the client's understanding. Which client statement indicates a need for additional teaching? a. "I'll be able to carry heavy loads after 6 months of rest. "b. "I will have my teeth cleaned by my dentist in 2 weeks." c. "I must avoid eating foods high in vitamin K, like spinach." d. "I must use an electric razor instead of a straight razor to shave."
"I will have my teeth cleaned by my dentist in 2 weeks." B/c risk for infection
After teaching a client who is prescribed salmeterol (Serevent), the nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching? a."I will be certain to shake the inhaler well before I use it." b."It may take a while before I notice a change in my asthma." c."I will use the drug when I have an asthma attack." d."I will be careful not to let the drug escape out of my nose and mouth."
"I will use the drug when I have an asthma attack."
A client has been prescribed denosumab (Prolia). What instruction about this drug is most appropriate? a. "Drink at least 8 ounces of water with it." b. "Make appointments to come get your shot." c. "Sit upright for 30 to 60 minutes after taking it." d. "Take the drug on an empty stomach."
"Make appointments to come get your shot."
. A nurse teaches a client to use a room humidifier after a laryngectomy. Which statement should the nurse include in this client's teaching? a. "Add peppermint oil to the humidifier to relax the airway." b. "Make sure you clean the humidifier to prevent infection." c. "Keep the humidifier filled with water at all times." d. "Use the humidifier when you sleep, even during daytime naps."
"Make sure you clean the humidifier to prevent infection."
A nurse cares for an older adult client who is recovering from a leg amputation surgery. The client states, "I don't want to live with only one leg. I should have died during the surgery." How should the nurse respond? a. "Your vital signs are good, and you are doing just fine right now." b. "Your children are waiting outside. Do you want them to grow up without a father?" c. "This is a big change for you. What support system do you have to help you cope?" d. "You will be able to do some of the same things as before you became disabled."
"This is a big change for you. What support system do you have to help you cope?"
.A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. What instruction will be most helpful? a. "Ice packs may help with the facial pain." b. "Limit fluids to dry out your sinuses." c. "Try warm, moist heat packs on your face." d. "We will schedule you for a computed tomography scan this week."
"Try warm, moist heat packs on your face."
A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching? a. "Use a second form of birth control while on this medication." b. "You will experience increased menstrual bleeding while on this drug." c. "You may experience an irregular heartbeat while on this drug." d. "Watch for blood in your urine while taking this medication."
"Use a second form of birth control while on this medication."
A client with diabetes asks the nurse why it is necessary to maintain blood glucose levels no lower than about 60 mg/dL. Which is the nurse's best response? a. "Glucose is the only fuel used by the body to produce the energy that it needs." b. "Your brain needs a constant supply of glucose because it cannot store it." c. "Without a minimum level of glucose, your body does not make red blood cells." d. "Glucose in the blood prevents the formation of lactic acid and prevents acidosis."
"Your brain needs a constant supply of glucose because it cannot store it."
A nursing student caring for a client removes the client's oxygen as prescribed. The client is now breathing what percentage of oxygen in the room air? a. 14% b. 21% c. 28% d. 31%
21%
Which client is at greatest risk for diabetes mellitus? a. 27 white man b. 32 African-American man c. 44 Asian woman d. 48 American Indian woman
48 American Indian woman
12 mg per kelo pf chemo thrapy iv wt 132 lbs ? mg
720mg
A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD). Which client should the nurse assess first? a. A 46-year-old with a 30-pack-year history of smoking b. A 52-year-old in a tripod position using accessory muscles to breathe c. A 68-year-old who has dependent edema and clubbed fingers d. A 74-year-old with a chronic cough and thick, tenacious secretions
A 52-year-old in a tripod position using accessory muscles to breathe
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told me that the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy and would like to cancel it." How should the nurse respond? a. Your doctor should not have given you that information prior to the colonoscopy. b. The colonoscopy is required due to the high percentage of false negatives with the blood test. c. A negative fecal occult blood test does not rule out the possibility of colon cancer. d. I will contact your doctor so that you can discuss your concerns about the procedure.
A negative fecal occult blood test does not rule out the possibility of colon cancer.
A nurse manager wants to improve hand-off communication among the staff. What actions by the manager would best help achieve this goal? (Select all that apply.) a. Attend hand-off rounds to coach and mentor. b. Conduct audits of staff using a new template. c. Create a template of topics to include in report. d. Encourage staff to ask questions during hand-off.
ABCD
What does a nurse teach a patent who is bing discarged with a fixed centric obcution for a mandicular fracture, what statment would the nurse include in this teaching? A You will need to cut the wires if you start vomiting B eat 6 soft liquid meals each day while recovering C irrage you mouth every 2 hr to provent infection D sleep in a simi flowers position after sugary
ABCD
a patint can to a clinic with eritile dysfuntion what are some possable caouse of this condition that the nurse can discuss with the patient during hx taking? A recent prostateectomy B long term hypertention C DM D hr long exserside sesions E consumption of beer each night
ABCDE
nurse caring for a patint with gambura syndrom identify prority problom of decrese mobility for the patint. What action by the nures is best A ask OT to help ADL B consult the provider about physical tharapy C provide the patint with information on support groups D reffure the patent to a medical social worker at a chplin E work with speech tharapy to diszine a high protine dieat
ABD
A nurse is assessing clients on a medical-surgical unit. Which adult client should the nurse identify as being at greatest risk for insensible water loss? a. Client taking furosemide (Lasix) b. An anxious client who has tachypneac. C Client who is on fluid restrictionsd. D Client who is constipated with abdominal pain
Anxious client who has tachypnea
A client is scheduled to have a fundoplication. What statement by the client indicates a need to review preoperative teaching? a. "After the operation I can eat anything I want." b. "I will have to eat smaller, more frequent meals." c. "I will take stool softeners for several weeks." d. "This surgery may not totally control my symptoms."
After the operation I can eat anything I want.
A client is having a temporary tracheostomy placed during surgery for oral cancer. What action by the nurse is best to relieve anxiety? A Agree on a postoperative communication method. B explain the staff will answer the call light promptly C gives the patient magic slat to write on post operatively D reassure the patient that you will take care of all of his needs
Agree on a postoperative communication method.
The nurse is administering sulfamethoxazole-trimethoprim (Bactrim) to a client diagnosed with bacterial prostatitis. Which finding causes the nurse to question this medication for this client? a.Urinary tract infection b.Allergy to sulfa medications c. Hematuria d.Elevated serum white blood cells
Allergy to sulfa medications
A nurse cares for a client experiencing diabetic ketoacidosis who presents with Kussmaul respirations. Which action should the nurse take? a. Administration of oxygen via face mask b. Intravenous administration of 10% glucose c. Implementation of seizure precautions d. Administration of intravenous insulin
Administration of intravenous insulin
A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take? a. Administer fresh-frozen plasma. b. Apply an ice pack to the site. c. Place the client in the prone position. d. Obtain serum coagulation test results.
Apply an ice pack to the site.
A nurse assesses a client who reports waking up feeling very tired, even after 8 hours of good sleep. Which action should the nurse take first? a.Contact the provider for a prescription for sleep medication. b.Tell the client not to drink beverages with caffeine before bed. c.Educate the client to sleep upright in a reclining chair. d.Ask the client if he or she has ever been evaluated for sleep apnea.
Ask the client if he or she has ever been evaluated for sleep apnea.
The nurse assesses a client and notes the presence of an S3 gallop. What is the nurse's best intervention?
Assess for symptoms of left-sided heart failure.
A client is in the internal medicine clinic reporting bone pain. The client's alkaline phosphatase level is 180 units/L. What action by the nurse is most appropriate? a. Assess the client for leg bowing. b. Facilitate an oncology workup. c. Instruct the client on fluid restrictions. d. Teach the client about ibuprofen (Motrin).
Assess the client for leg bowing. or swelling
A nurse cares for a client who is recovering after a nephrostomy tube was placed 6 hours ago. The nurse notes drainage in the tube has decreased from 40 mL/hr to 12 mL over the last hour. Which action should the nurse take? a. Document the finding in the client's record. b. Evaluate the tube as working in the hand-off report. c. Clamp the tube in preparation for removing it. d. Assess the client's abdomen and vital signs.
Assess the client's abdomen and vital signs.
A client has hypertension and high risk factors for cardiovascular disease. The client is overwhelmed with the recommended lifestyle changes. What action by the nurse is best?
Assist in finding one change the client can control.
The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicates the client is managing this condition well with diet?
Baked chicken breast, broccoli, tomatoes
After teaching a client with diverticular disease, a nurse assesses the client's understanding. Which menu selection made by the client indicates the client correctly understood the teaching? a. Roasted chicken with rice pilaf and a cup of coffee with cream b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea c. Garden salad with a cup of bean soup and a glass of low-fat milk d. Baked fish with steamed carrots and a glass of apple juice
Baked fish with steamed carrots and a glass of apple juice
A nurse assesses a client who is recovering from a diskectomy 6 hours ago. Which assessment finding should the nurse address first?a. Sleepy but arouses to voice b. Dry and cracked oral mucosa c. Pain present in lower back d. Bladder palpated above pubis
Bladder palpated above pubis
3. A nurse is caring for a postoperative client on the surgical unit. The client's blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best? a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primary care provider. d. Repeat blood pressure measurement in 15 minutes.
Call the Rapid Response Team.
Geratric patint comes in to a clinic with cold symptoms and a runny nose. The provider leves a perscription of diphenhydramine. What is the nurses next action?
Contact the provider diphenhydramine should not be given to geratric populations
While assessing a patient who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the lower chest tube is dislodged. Which action should the nurse take first? A. Assess for drainage from the site. B. Cover the insertion site with sterile gauze .C. Contact the provider and obtain a suture kit .D. Reinsert the tube using sterile technique.
Cover the insertion site with sterile gauze
what medication to give to a epileptic patient who is in status?
Diazepam
A nurse obtains the health history of a client with a suspected diagnosis of bladder cancer. Which question should the nurse ask when determining this client's risk factors? a. "Do you smoke cigarettes?" b. "Do you use any alcohol?" c. "Do you use recreational drugs?" d. "Do you take any prescription drugs?"
Do you smoke cigarettes
A nurse teaches a client who has viral gastroenteritis. Which dietary instruction should the nurse include in this client's teaching? a. "Drink plenty of fluids to prevent dehydration." b. "You should only drink 1 liter of fluids daily." c. "Increase your protein intake by drinking more milk." d. "Sips of cola or tea may help to relieve your nausea."
Drink plenty of fluids to prevent dehydration
A nurse assesses a client with mitral valve stenosis. What clinical manifestation should alert the nurse to the possibility that the client's stenosis has progressed? a. Muted systolic murmur b. Dyspnea on exertion c. Upper extremity weakness d. Oxygen saturation of 92%
Dyspnea on exertion
A client in a nursing home refuses to take medications. She is at high risk for osteomalacia. What action by the nurse is best? a. Ensure the client gets 15 minutes of sun exposure daily .b. Give the client daily vitamin D injections .c. Hide vitamin D supplements in favorite foods. d. Plan to serve foods naturally high in vitamin D
Ensure the client gets 15 minutes of sun exposure daily
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care
Ensuring client safety
A client is scheduled for a bone biopsy. What action by the nurse takes priority? a. Administering the preoperative medications b. Answering any questions about the procedure c. Ensuring that informed consent is on the chart d. Showing the client's family where to wait
Ensuring that informed consent is on the chart
A client with an esophageal tumor is having extreme difficulty swallowing. For what procedure does the nurse prepare this client? a. Enteral tube feeding b. Esophageal dilation c. Nissen fundoplication d. Photodynamic therapy
Esophageal dilation
An emergency room nurse initiates care for a client with a cervical spinal cord injury who arrives via emergency medical services. Which action should the nurse take first? a. Assess level of consciousness .b. Obtain vital signs.c. Administer oxygen therapy .d. Evaluate respiratory status.
Evaluate respiratory status.
A nurse assesses a client with Alzheimer's disease who is recently admitted to the hospital. Which psychosocial assessment should the nurse complete? a. Assess religious and spiritual needs while in the hospital. b. Identify the client's ability to perform self-care activities. c. Evaluate the client's reaction to a change of environment. d. Ask the client about relationships with family members.
Evaluate the client's reaction to a change of environment.
A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an intensified insulin regimen :• Fasting blood glucose: 75 mg/dL • Postprandial blood glucose: 200 mg/dL • Hemoglobin A1c level: 5.5% How should the nurse interpret these laboratory findings? a. Increased risk for developing ketoacidosis b. Good control of blood glucose c. Increased risk for developing hyperglycemia d. Signs of insulin resistance
Good control of blood glucose
A nurse assesses a client with a pelvic fracture. Which assessment finding should the nurse identify as a complication of this injury? a. Hypertension b. Constipation c. Infection d. Hematuria
Hematuria
The nurse is educating a client on the prevention of toxic shock syndrome (TSS). Which statement by the client indicates a lack of understanding? a. I need to change my tampon every 8 hours during the day .b. At night, I should use a feminine pad rather than a tampon .c. If I dont use tampons, I should not get TSS. d. It is best if I wash my hands before inserting the tampon.
I need to change my tampon every 8 hours during the day
The nurse is preparing a client with diverticulitis for discharge from the hospital. Which statement by the client indicates that additional teaching is needed? a."I will ride my bike or take a long walk at least three times a week." b."I will try to include at least 25 g of fiber in my diet every day." c."I will take a senna laxative at bedtime to avoid becoming constipated." d."I will use my legs rather than my back muscles when I lift heavy objects."
I will take a senna laxative at bedtime to avoid becoming constipated."
After teaching a client who was hospitalized for Salmonella food poisoning, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching? a. "I will let my husband do all of the cooking for my family." b. "I'll take the ciprofloxacin until the diarrhea has resolved." c. "I should wash my hands with antibacterial soap before each meal." d. "I must place my dishes into the dishwasher after each meal."
I'll take the ciprofloxacin until the diarrhea has resolved."
The nurse is caring for a critically ill client who has diabetic ketoacidosis (DKA). The nurse finds the following assessment data: blood pressure, 90/62; pulse, 120 beats/min; respirations, 28 breaths/min; urine output, 20 mL/1 hour per catheter; serum potassium, 2.6 mEq/L. The health care provider orders a 40 mEq potassium bolus and an increase in the IV flow rate. Which action by the nurse is most appropriate? A administers the potassium then call the provider to find out about the fluid B Increase the IV rate; consult the provider about the potassium. C administer the potassium first then increase the infusion flow rate D increase the flow rate before administering the podium.
Increase the IV rate; consult the provider about the potassium.
A client in the emergency department has been diagnosed with ketoacidosis. Which manifestation does the nurse correlate with this condition? a. Increased rate and depth of respiration b. Extremity tremors followed by seizure activity c. Oral temperature of 102° F (38.9° C) d. Severe orthostatic hypotension
Increased rate and depth of respiration
An emergency department nurse assesses a client with kidney trauma and notes that the client's abdomen is tender and distended and blood is visible at the urinary meatus. Which prescription should the nurse consult the provider about before implementation? a. Assessing vital signs every 15 minutes b. Inserting an indwelling urinary catheter c. Administering intravenous fluids at 125 mL/hr d. Typing and crossmatching for blood products
Inserting an indwelling urinary catheter
The client is complaining of nausea, and the nurse administers the antiemetic promethazine (Phenergan), IVP. Which intervention has priority for this client after administering this medication? 1. Instruct the client to call the nurse before getting out of bed .2. Evaluate the effectiveness of the medication. 3. Assess the client's abdomen and bowel sounds. 4. Tell the client not to eat or drink for at least one (1) hour.
Instruct the client to call the nurse before getting out of bed
. A client has recently been diagnosed with stage III endometrial cancer and asks the nurse for an explanation. What response by the nurse is correct about the staging of the cancer? a. The cancer has spread to the mucosa of the bowel and bladder. b. It has reached the vagina or lymph nodes .c. The cancer now involves the cervix. d. It is contained in the endometrium of the cervix.
It has reached the vagina or lymph nodes
A nurse plans care for a client with Parkinson disease. Which intervention should the nurse include in this client's plan of care? a. Ambulate the client in the hallway twice a day. b. Ensure a fluid intake of at least 3 liters per day. c. Teach the client pursed-lip breathing techniques. d. Keep the head of the bed at 30 degrees or greater.
Keep the head of the bed at 30 degrees or greater.
A client has acute pancreatitis and a risk for acid-base imbalance. The nurse plans to assess for which manifestation consistent with this condition? a. Agitation. B Kussmaul respirations. C Seizures. D Positive Chvostek's sign
Kussmaul respirations
client with infection of giardia infection, what medication would the nurse intasapate prescribed for this patient rocefin cipro flagal
Metronidazole (Flagyl)
The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On palpation, the client's abdomen is tense and rigid. What action takes priority? a. Administer the prescribed pain medication. b. Notify the health care provider immediately. c. Percuss all four abdominal quadrants. d. Take and document a set of vital signs
Notify the health care provider immediately.
A nurse cares for a client with a fractured fibula. Which assessment should alert the nurse to take immediate action? a. Pain of 4 on a scale of 0 to 10 b. Numbness in the extremity c. Swollen extremity at the injury site d. Feeling cold while lying in bed
Numbness in the extremity
A nurse assesses a client with early-onset multiple sclerosis (MS). Which clinical manifestation should the nurse expect to find? a. Hyperresponsive reflexes b. Excessive somnolence c. Nystagmus d. Heat intolerance
Nystagmus eyes twitching side to side
A client is admitted with a large draining wound on the leg. What action does the nurse take first? a. Administer ordered antibiotics .b. Insert an intravenous line .c. Give pain medications if needed. d. Obtain cultures of the leg wound.
Obtain cultures of the leg wound.
A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first? a. Obtain urine sample for culture and sensitivity. b. Administer intravenous antibiotics. c. Encourage protein intake and additional fluids. d. Consult physical therapy for gait training.
Obtain urine sample for culture and sensitivity.
Spinal cord injury. Interdisciplinary team member consult for ADL?
Occupational therapist
A nurse cares for a client who has type 1 diabetes mellitus. The client asks, "Is it okay for me to have an occasional glass of wine?" How should the nurse respond? a. "Drinking any wine or alcohol will increase your insulin requirements." b. "Because of poor kidney function, people with diabetes should avoid alcohol." c. "You should not drink alcohol because it will make you hungry and overeat." d. "One glass of wine is okay with a meal and is counted as two fat exchanges."
One glass of wine is okay with a meal and is counted as two fat exchanges.
A client had an upper gastrointestinal hemorrhage and now has a nasogastric (NG) tube. What comfort measure may the nurse delegate to the unlicensed assistive personnel (UAP)? a. Lavaging the tube with ice water b. Performing frequent oral care c. Re-positioning the tube every 4 hours d. Taking and recording vital signs
Performing frequent oral care
A client has a nasogastric (NG) tube. What action by the nursing student requires the registered nurse to intervene? a. Checking tube placement every 4 to 8 hours b. Monitoring and documenting drainage from the NG tube c. Pinning the tube to the gown so the client cannot turn the head d. Providing oral care every 4 to 8 hours
Pinning the tube to the gown so the client cannot turn the head
A client had an oral tumor removed this morning and now has a tracheostomy. What action by the nurse is the priority?
Place the client in a high-Fowler's position.
A client on the postoperative nursing unit has a blood pressure of 156/98 mm Hg, pulse 140 beats/min, and respirations of 24 breaths/min. The client denies pain, has normal hemoglobin, hematocrit, and oxygen saturation, and shows no signs of infection. What should the nurse assess next? a. Cognitive status b. Family stress c. Nutrition status d. Psychosocial status
Psychosocial status
A client has a pyloric obstruction and reports sudden muscle weakness. What action by the nurse takes priority? a. Document the findings in the chart .b. Request an electrocardiogram (ECG). c. Facilitate a serum potassium test. d. Place the client on bedrest.
Request an electrocardiogram (ECG).
A patient comes to the hospital with a visible jugular vein, generalized edema which started in the lower extremities, and tachycardia. Patient states anxiety and feeling nauseous. What type of heart failure do you suspect?
Right sided.
A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which should alert the nurse to intervene immediately? a. Serum chloride level of 98 mmol/L b. Serum calcium level of 8.8 mg/dL c. Serum sodium level of 132 mmol/L d. Serum potassium level of 2.5 mmol/L
Serum potassium level of 2.5 mmol/L
The nurse learns that the pathophysiology of Guillain-Barré syndrome includes segmental demyelination. The nurse should understand that this causes what? a. Delayed afferent nerve impulses b. Paralysis of affected muscles c. Paresthesia in upper extremities d. Slowed nerve impulse transmission
Slowed nerve impulse transmission
Which teaching point is most important for the client with bacterial pharyngitis? a.Gargle with warm salt water .b.Take all antibiotics as directed. c.Use a humidifier in the bedroom. d.Wash hands frequently.
Take all antibiotics as directed.
A client has undergone a vaginal hysterectomy with a bilateral salpingo-oophorectomy. She is concerned about a loss of libido. What intervention by the nurse would be best? a. Suggest increasing vitamins and supplements daily .b. Discuss the value of a balanced diet and exercise. c. Reinforce that weight gain may be inevitable. d. Teach that estrogen cream inserted vaginally may help.
Teach that estrogen cream inserted vaginally may help.
The nurse is assessing their patients. Many have a history of asthma. Which patient should the nurse assess first?Select one: a. The 66 year old male with a barrel chest and clubbed fingernails b. The 27 year old female with a heart rate of 120 beats per minute c. The 48 year old female with an oxygen saturation of 93 percent at rest d. The 35 year old female who has a longer expiratory phase than inspiratory phase
The 27 year old female with a heart rate of 120 beats per minute
A client has the following arterial blood results: pH 7.12, HCO3- 22 mEq/L, PCO2 65 mm Hg, PO2 56 mm Hg. The nurse correlates these values with which clinical situation?
Tracheal obstruction related to aspiration of a hot dog
A client is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is most important? a. Alcohol intake of 1 to 2 drinks per week b. Family history of H. pylori infection c. Former smoker still using nicotine patches d. Willingness to adhere to drug therapy
Willingness to adhere to drug therapy
your patient comes in has a migraine, the doctor orders imatrex. Why would the nurse hold imatrex? asthma angina diabetes medialre chronic kidney disease
angina
Mitral valve regurgitation what cardiac drythima
artiral fibulation
Patient who is in severe DKA what to keep on on hand medication
mannitinol dka caouses incresse in intercranial presure
A nurse reviews the chart of a client who has Crohn's disease and a draining fistula. Which documentation should alert the nurse to urgently contact the provider for additional prescriptions? A potassium 2.6 B patient only ate 20% of breakfast C white blood count 8.2 D patients wight decrease by 3 lbs
potassium 2.6
Which patitnt would the nurse suggest to the provider who should not be on cytotosic drugs A patient on antacids B patient antibiotics C patient age over 65 D patient who is pregnant
pregnant kill the fetus