3rd times a charm
Moderate acute pain: opioids analgesics
(morphine sulfate, fentanyl (Sublimaze), and codeine)
A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect? a. Fever b. Shortened femoral neck c. Edema d. Dark brown urine
C
A nurse is consulting A pharmacological reference about medication compatibility prior to administering warfarin to a client. Which of the following medication should the nurse identify as being incompatible with warfarin? a. Propranolol b. lisinopril c. magnesium hydroxide d. naproxen
D
A nurse is preparing a client to transfer to a long term rehabilitation facility following a below the knee amputation of the right leg. Which of the following actions should the nurse take to protect the client's confidentiality? a. Provide a verbal report of the client's condition to the paramedic performing the transfer b. that's the client's name and identifiable information to the rehabilitation facility c. e-mail the client's health information to the facility and an unencrypted file d. discussed the client's response to the transfer with another staff nurse
A
What are the opioid withdrawal symptoms?
- Anxiety - Rhinorrhea - Pupillary dilation - Increased VS - Diaphoresis
A nurse is providing care for a client following a thoracentesis. If the client develops a normal thorax, which of the following assessment findings should the nurse expect? a. Pain on inhalation b. Bradycardia c. Stridor d. friction rub
A
A nurse is providing care for a group of clients. Which of the following client's should the nurse identify as having the highest risk for developing a pressure injury? A. A client who has a T-tube following an open cholecystectomy. B. A client who had a knee 2 days ago following a sports injury. C. A client who has dementia and is incontinent of urine and feces D. A client who has a myocardial infarction and is receiving thrombolytic therapy.
A
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor? a. Liver function test b. kidney function test c. hemoglobin and hematocrit d. serum sodium and potassium
A
A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? A. Turn the client on their side. B. Administer an analgesic C. Administer antiemetic D. Monitor the client's vital signs.
A
A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate? A. 0.9% normal saline. B. NPH insulin. C. Glargine insulin. D. 0.45% saline.
A
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect? a. Fever b. Steatorrhea c. tinnitus d. Dysphagia
A
A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's glucose. The nurse should identify this finding as an adverse effect of which of the following medications A. Methylprednisolone. B. Ondansetron. C. Guaifenesin. D. Amoxicillin.
A
A nurse is obtaining a client's medical history before initiating 1000 ml of 0.9% NaCl with 20 mEq/L KCl IV to correct hypokalemia. Which of the following findings is a contraindication to the client receiving this IV solution? A. Severe renal impairment B. Chronic alcohol use disorder C. Multiple sclerosis D. Advanced cardiac disease.
A
A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel AP. Which of the following actions should the nurse take? a. Determine if the AP has the skills to perform the test b. have the AP check the medical record for prior blood glucose test results c. assign the AP to ask the client if she has taken her antidiabetic medication today d. help the AP perform the blood glucose test
A
A nurse is teaching a client about a variety of stress management techniques. Which of the following instructions by the nurse is appropriate? a. Tighten your muscles before relaxing them when using muscle relaxation techniques b. imagine a situation that has been stimulating for you when practicing guided imagery c. talk to someone who you admire as the first step in using mindfulness techniques to relax d. breathe in through your mouth and out through your nose when using deep breathing exercises
A
A nurses planning care for a client who is receiving continuous enteral tube feedings through an open system. Which of the following interventions should the nurse include in the plan of care? a. Place enough formula in the container to last 18 hours b. check for gastric residual every 12 hours c. flush the tubing with 30ML of water every four hours d. maintain bed elevation at 20 degrees
A
A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis? a. Uneven shoulder and pelvic heights b. limited range of motion of the hips c. mild pain in the hip region d. exaggerated curvature of the sacrum
A
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following requires intervention by the staff nurse? A. Waits 2 minutes between suctions. B. Encourages the client to cough during suctioning. C. Apply suctioning for 15 seconds. D. Inserts the catheter without applying suction.
A
The nurses teaching a client who is pregnant and has genital herpes simplex virus HSV. Which of the following statements should the nurse include in the teaching? a. You will need to have a cesarean birth if there are any visible lesions b. you can apply a cortisone cream to the lesions twice each day c. you should take 600 milligrams of ibuprofen every eight hours for discomfort during an outbreak d. your baby's cord blood will be tested to determine if she has contracted HSV
A
A nurse manager is planning a staff in service to address advocacy and client care period the nurse should promote which of the following practices during the in service? Select all that apply. a. Encouraging clients to seek further information from the provider b. honoring family requests to withhold medical information c. addressing client needs when providing resources d. making decisions about health care on clients behalf e. promoting health care access
A, C, E
A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care? a. Monitor vital signs every hour for the first 4 hours b. observe for bruising of the skin c. administer medications intramuscularly d. provide a diet low in protein
B
A charge nurse is concerned about a recent increase in facility acquired catheter infections. Which of the following actions should the nurse take first? a. Meet with providers to discuss measures to decrease the infections b. identify possible precipitating factors related to the infections c. schedule nursing staff training for infection control procedures d. revised the current policy for catheter care
B
A community health nurse is working with a group of clients. The nurse practices the ethical principle of distribute justice by performing which of the following tasks? a. Keeping a promise to visit with a client who is house bound after the delivery of care b. ensuring that a client who is homeless receives preventative medical care c. being honest with the parents of a child about their need to report suspected abuse d. accepting the decision of an older adult client to live alone in her home
B
A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and reports nausea and vomiting for the past 2 days. Which of the following findings should the nurse expect? a. Hgb 15 g/dL b. Specific gravity 1.052 c. Urine osmolality 300 mOsm/kg d. Hct 44%
B
A nurse is assessing a client following an EGD. Which of the following findings should the nurse report to the provider? a. Belching b. sore throat c. flatulence d. abdominal pain
B
A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hours ago. The nurse notes pink tinged urine in the drainage bag which of the following action should the nurse take? a. Warm the irrigation solution b. maintain the irrigation solution rate c. replace the in dwelling urinary catheter d. perform the crede's maneuver
B
A nurse is assessing a client who is taking propranolol. Which of the following findings should indicate to the nurse that this client is experiencing an adverse reaction to propranolol? a. Weight loss b. Wheezing c. Blood pressure 146/92 mm Hg d. Heart rate 110/min
B
A nurse is caring for a client who has a deep-vein thrombosis. Which of the following actions should the nurse take? a. Teach the client to massage the affected extremity. b. Instruct the client to elevate the affected extremity when sitting c. Assess pulses proximal to the affected area. d. Apply a cold compress to the affected extremity.
B
A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? A. Thrill upon palpation. B. Absence of a bruit. C. Distended blood vessels D. Swishing sound upon auscultation.
B
A nurse is caring for a client who has pneumonia and tells the nurse, I feel like an elephant is sitting on my chest. The client is weak and unable to walk. After the nurse initiates chest pain protocol, which of the following is the priority diagnostic test? a. Serum potassium b. 12 lead ECG c. chest X-ray d. PT and INR
B
A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? a. Increased blood pressure b. swollen area on calf c. urinary frequency d. decreased serum calcium levels
B
A nurse is caring for a client who is one hour postpartum and unable to urinate. Which of the following actions should the nurse take? a. Place an ice pack on the clients perineum b. perform a fundal massage c. administer a benzodiazepine d. place the clients hands in warm water
B
A nurse is planning care for a school age child who is 4 hours postoperative following appendicitis period which of the following should the nurse include in the plan of care? A. Give cromolyn nebulizer solution every eight hours B. administer analgesics on a scheduled basis for the first 24 hours C. apply a warm compress to the operative site once daily D. offer small amounts of clear liquids 6 hours following surgery
B
A nurse is preparing to administer 3 medications to a client who is receiving continuous enteral feeding through an Ng tube. Which of the following actions is appropriate for the nurse to take? a. Flush the Ng tube with 5 mL of water b. use a syringe to allow the medication to flow by gravity c. add medication directly to enteral feeding d. dissolve the medications together
B
A nurse is preparing to administer the first dose of sulfasalazine via intermittent IV infusion to a client. Which of the following actions should the nurse take first? a. Check the compatibility of surface line with the clients existing IV fluids b. review the clients allergy history c. assess the IV for patency d. obtain the reconstituted antibiotic from the pharmacy
B
A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following statements should the nurse include in the teaching? a. "Expect to have blurred vision while taking this medication." b. "Notify your provider if you experience increased thirst." c. "You should take this medication on an empty stomach." d. "You might be unable to have an orgasm while taking this medication."
B
A nurse is providing teaching to a client who is at 24 weeks of gestation and is scheduled for a 3-hr oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching? a. "Limit your fat intake for 72 hours before the test." b. "You will need to fast the night before the test." c. "We will collect a urine sample the day after testing." d. "A blood sample will be collected every 15 minutes during the test."
B
A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which of the following statements indicates an understanding of the teaching? A. "I will place the eye drops in the center of my eye" B. "I will place pressure on the corner of my eye after using he eye drops" C. "I should expect my tears to turn a red color after using the eye drops." D. "I should expect the eye drops to appear cloudy."
B
a nurse is caring for a client who is in active phase of Labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest? a. Inform the client that using pharmacological pain management will not impact the delivery b. provide information about the use of hydrotherapy during labor c. have the client exhale deeper than she inhales to promote adequate ventilation d. encourage the client to have the family exit the room when the pain is unbearable
B
a nurse is planning care for a group of clients and is working with one licensed practical nurse LPN and one assistant personnel AP. Which of the following actions should the nurse take first to manage her time effectively? a. Delegate tasks to the APP b. determine goals of the day c. develop an hourly time frame for tasks d. schedule daily activities
B
A nurses came for a client who is pregnant. The nurse is reviewing the client's medical record. Select four findings that indicate a potential prenatal complication. a. Urine protein b. fetal activity c. blood pressure d. urine ketones e. respiratory rate f. report of headache g. gravida/parity
B, C, F, G
A Hospice nurse is visiting with the son of a client who has terminal cancer. The Sun reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? a. It is always difficult caring for someone who is terminally ill b. you should consider taking a sleeping pill before bed each night c. I can give you information about respite care if you're interested d. I am sure you're doing a great job taking care of your mother
C
A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following action should the nurse take? a. Have the client store smaller tanks under his bed b. ensure that the client checks the gauge weekly c. place the oxygen tank away from curtains and drapes d. store the oxygen tank wrench in a locked cabinet
C
A nurse in a family health clinic is caring for a client who requires information regarding the correct use of condoms. Which of the following statements should the nurse make? a. Use of a petroleum based lubricant with a condom increases the condoms effectiveness b. condoms are equally effective for birth control with or without the use of vaginal spermicides c. when using implanted contraceptive methods condoms should also be used to protect against STD's d. ensure that the condom fits snugly over the tip of the penis
C
A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take? a. Irrigate the wound with sterile water b. apply a transparent dressing to the wound c. apply direct pressure to the wound with thick dressing material d. tie a tourniquet around the leg distilled to the wound
C
A nurse in an emergency department is caring for a client who received a dose of penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing. Which of the following actions is the nurse's priority? A. Monitor the client's ECG B. Take the client's vital signs. C. Administer oxygen D. Insert an IV line.
C
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of erikson's stages of psychosocial development? a. Trust versus mistrust b. intimacy versus isolation c. identity versus role confusion d. generativity versus self absorption
C
A nurse is assessing a client after administering epinephrine for an anaphylactic reaction. Which of the following findings should the nurse identify as an adverse effect of this medication? a. Hypotension b. Report of tinnitus c. Report of chest pain d. Ecchymosis
C
A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse should identify the which of the following physiological changes is the cause for the client's visual loss? a. An increase in the intraocular pressure, causing mild headaches and foggy vision b. Deterioration of the macula c. Increased opacity of lens d. Vitreous hemorrhage
C
A nurse is assessing a client who has type one diabetes mellitus and was administered insulin lispro one hour ago. Which of the following manifestations indicates that the client might be experiencing hypoglycemia? a. Hot dry skin b. acetone breath c. confusion d. polydipsia
C
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is a priority for the nurse to report to the provider? a. Tachycardia b. dry cough c. Dyspnea d. Hypotension
C
A nurse is assessing a client who received hydromorphone 4 milligrams IV 15 minutes ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications? a. Acetylcysteine b. Protamine c. naloxone d. flumazenil
C
A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? a. I'm so glad I've retired because the work was making me sick and depressed b. since I retired I have entered many gardening competitions c. there were layoffs on my company so I journaled about what I accomplished during my career d. I had to retire because my boss didn't like me
C
A nurse is caring for a client following a vacuum-assisted birth. The nurse should monitor the client for which of the following complications related to vacuum-assisted birth? a. Constipation b. Urinary urgency c. Cervical Laceration d. Retained placenta
C
A nurse is caring for a client who experienced A traumatic brain injury 72 hours ago. Which of the following findings should the nurse identify as a potential indication of increased intracranial pressure? a. Hypotension b. tachycardia c. increasingly severe headache d. narrowed pulse pressure
C
A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect? a. Hypoventilation b. Hyperglycemia c. increased pain d. somnolence
C
A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings? a. Baseline FHR 115/min b. three uterine contractions within 10 minutes c. prolonged decelerations d. moderate variability in the FHR
C
A nurse is caring for a male who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care? a. Wash the penis from the scrotum to the tip using a spiral motion b. use water with no soap to prevent skin irritation c. discard the washcloth after cleansing the urethral meatus d. don't sterile gloves to prevent infection
C
A nurse is implementing seizure precaution for a client who has had a clonic tonic seizure. Which of the following intervention should the nurse include in the plan of care? a. Provided tracheostomy tray at the bedside b. place the client in supine position c. insert an IV saline lock d. A plastic tongue depressor at the client's bedside
C
A nurse is planning care for a client who has rheumatoid arthritis. Which of the following interventions should the nurse include in the plan? a. Encourage the client to take a cool sponge bath each morning. b. Administer opioid analgesia. c. Increase the client's dietary iron intake. d. Restrict the client's intake of foods high in purines.
C
A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure? a. Administer nitroglycerin 0.4mg SL 30 minutes before the procedure b. draw blood specimens for culture and sensitivity c. obtain a CBC with differential d. transport the client to radiology for a CT scan
C
A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at the peripheral IV site. Which of the following actions should the nurse plan to take? a. Insert a new IV catheter distal to the discontinued IV site b. apply pressure dressing at the IV site c. Place a warm moist compress on the site d. Express drainage from the IV site and send it to be cultured
C
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Would you the following instructions should the nurse include in the teaching? a. Soak in a warm bath everyday b. take an oral estrogen supplement c. drink 2 liters of water per day d. empty your bladder every six hours
C
A nurse manager is preparing to teach a group of newly licensed about effective time management. Which of the following steps of the time management process should the nurse manager included as the priority? a. Organizing the work environment b. Delegating assigned tasks appropriately c. Making a list of activities to complete d. Rewarding yourself for accomplishing goals
C
A nurses developing a nutritional care plan for a client who has COPD and severe dyspnea period to promote intake, which of the following actions should the nurse include in the plan of care? a. Offer the client three large meals each day b. ambulate the client before each meal c. limit fluid intake with meals d. administer A bronchodilator after meals
C
An occupational health nurse is providing teaching to a group of factory workers about proper lifting techniques. Which of the following statements should the nurse make? a. Keep your feet together to provide a tight base of support b. keep objects away from your center of gravity while lifting c. tighten abdominal muscles to improve balance d. Ben at the waist when lifting objects from the floor
C
The nurse is providing teaching about folic acid to a client who is prima gravida. Which of the following information should the nurse include in the teaching? A. "You should take folic acid to decrease the risk of transmitting infections to your baby" B. "You should consume a maximum of 300 micrograms of folic acid every day". C. "You can increase your dietary intake of folic acid by eating cereals and citrus fruits". D. "You can expect your urine to appear red-tingled while taking folic acid supplements".
C
The nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict? a. A nurse experiences insulting comments directed at them by another nurse b. a nurse expresses concern that another shift works fewer holiday hours c. a nurse has a personal difficulty with caring for clients who have HIV d. a nurse submits A complaint about another department's handoff reporting
C
A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) A. Varicella vaccine. B. Inactivated polio vaccine. C. Tetanus diphtheria and acellular pertussis vaccine D. Rubella vaccine. E. Inactivated influenza vaccine.
C, E
Arthroplasty: Nonpharm Interventions for Total Knee Replacement Surgery
Continuous passive motion machine. Turn off during meals. Place 1 pillow under the lower calf and foot. Put pillow under ankle to keep heel off of bed. Apply ice to incisional area.
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strip shows a wavy baseline, not distinguishable P waves, and an increased heart rate. The nurse should identify the cardiac rhythm as which of the following? a. Second degree heart block b. sinus tachycardia c. Ventricular asystole d. atrial fibrillation
D
A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel A. "The nurse is legally responsible for the actions of the AP". B. "An AP can perform tasks outside of his range if he has been trained". C. "An experienced AP can delegate to another AP". D. "An RN evaluates the client needs to determine tasks to delegate"
D
A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care? a. Replace the carpet with hardwood floors b. encourage physical activity prior to bedtime c. wear clothing with zippers instead of buttons d. place the locks at the tops of exterior doors
D
A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? a. Diarrhea. b. Urinary retention. c. Purulent discharge. d. Abdominal bloating
D
A nurse in a long term care facility is admitting a client who has dementia. Which of the following actions should the nurse take to reduce their risk for client injury? a. Place the bedside table at the foot of the bed b. raise the side rails up when the client is in bed c. keep the television on during the night d. assist the client to the toilet frequently
D
A nurse in an emergency department is assessing a client who reports ingesting 30 diazepam tablets 20 minutes ago. The client is lethargic and has a respiratory rate of 10/min . After securing the client's airway and initiating an IV which of the following actions should the nurse take next? a. Monitor the client's IV site for thrombophlebitis b. initiate seizure precautions for the client c. evaluate the client for further suicidal behavior d. administer flumazenil to the client
D
A nurse in an emergency department is caring for a three-year old child who has suspected epiglottitis. Which of the following actions should the nurse take? a. Prepare to assist with intubation b. obtain a throat culture c. suction to child's oropharynx d. prepare a cool mist tent
D
A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicion of elder abuse? a. Notify risk management b. inform the transferring agency of the client's condition c. contact the family regarding the client's condition d. privately interview the client about the injuries
D
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? a. Diarrhea b. Frequent urination c. Excessive salivation d. Blurred vision
D
A nurse is assessing the fontanelles of an 8 month old infant which of the following findings should the nurse recognize as an expected finding? a. Both fontanelles are the same size b. both fontanelles show molding c. the posterior fontanelle is open d. the anterior fontanelle is open
D
A nurse is caring for a client is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client? A. Posting swallowing precautions at the head of the client's bed B. nothing changes in the treatment plan and the client's medical record C. recording the client's progress and the nurses notes D. having interdisciplinary team meetings for the client on a regular basis
D
A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precaution should the nurse take? a. Place a mask on the client prior to transport b. wear a face shield prior to entering the clients room c. use an alcohol based rub following client care d. remove the protected gown while in the client's room
D
A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? a. Check the client's temperature b. Prepare to administer acetylcysteine to the client c. Place the client in the Trendelenburg position d. Check the client's oxygen saturation level
D
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent this location of the prosthesis? a. Position the client's knee slightly higher than the hips when up in a chair b. raise the head of the client's bed to a high fowler's position c. elevate the clients affected leg on a pillow when in bed d. keep an abduction pillow between the clients legs
D
A nurse is caring for a client who is receiving radiation therapy and it's experiencing anorexia. Which of the following actions should the nurse take? a. Encouraged the client to drink low protein supplements b. tell the client to drink two glasses of water with meals c. serve the clients largest meal in the evening d. provide the client with cold foods rather than hot foods
D
A nurse is collecting A sputum specimen for a client who has tuberculosis. Which of the following actions should the nurse take? a. Wait one day to collect the specimen if the client cannot provide sputum b. where's sterile gloves to collect the specimen from the client c. ask the client to provide 15 to 20 ML of sputum into the container d. obtain the specimen immediately upon the client waking up
D
A nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss? a. Reviewing information about support groups for individuals who have had a stroke b. obtaining an alert system to get help in case of a fall c. providing information about available transportation resources d. choosing an agency to provide home physical therapy
D
A nurse is providing preoperative teaching to a client about the administration of morphine via PCA pump. Which of the following statements by the client indicates an understanding of the teaching? a. Using this machine increases my risk of overdose b. I can get pain medication anytime as long as I press the button c. my partner can press my pain medication button for me if I am sleeping d. I will receive a limited amount of pain medication when I press the button
D
A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for the administration of this medication? a. Recent myocardial infarction b. recent eye surgery c. breast cancer d. thrombophlebitis
D
A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a central line. Which of the following information should the nurse include in the teaching? a. "I will change your IV tubing once every 48 hours." b. "Abdominal distention is an expected effect of this therapy." c. "I will need to check your gastric residual before administering feedings." d. "I will need to measure your weight daily."
D
A nurses assessing a 5 year old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective? a. Heart rate 140/min b. capillary refill 3 seconds c. absence of hypoglycemic episodes d. cessation of nocturnal enuresis
D
A nurse is caring for a client who has a new prescription for clonidine. The nurse should inform the client that which of the followings findings is an adverse effect of this medication?
Dry mouth
A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save their life. Which of the following actions should the nurse take first?
Explore the client reasons for refusing the treatment.
A nurse is caring for a client who has a magnesium level of 2.7 mEq/L. Which of the following intervention should the nurse plan to take?
Initiate continuous cardiac monitoring
A nurse is teaching a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include?
Limit fluid intake
Crohns disease: Diet
Low residue, high protein, high calorie diet
A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. What instructions should the nurse include in the teaching?
Report any worsenting or unrelieved pain
A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following interventions should the nurse include in the plan?
Support the client's left arm on a pillow while sitting.
Chronic kidney disease: Nutrition
low everything
Vaso-occlusive crisis is treated with
vigorous intravenous hydration and analgesics. Intravenous fluids should be of sufficient quantity to correct dehydration and to replace continuing loss, both insensible and due to fever. Normal saline and 5% dextrose in saline may be used.
