Resp EAQ

A client with the diagnosis of osteogenic sarcoma has a metastasis to the lung. Which client statement about the concept of metastasis indicates that the nurse needs to follow up?

"I'm upset to know that the tumor may metastasize to my bones."

A client who has been taking ibuprofen for rheumatoid arthritis asks the nurse if acetaminophen can be substituted instead. What is the appropriate nursing response?

"Ibuprofen has antiinflammatory properties and acetaminophen does not."

A client who had a total laryngectomy is using a pad and pencil to communicate. The client becomes frustrated and writes, "When can I learn how to speak again?" Which is the best response by the nurse?

"Perhaps I can have someone from the Laryngectomy Club come speak with you."

A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's best response?

"There are some tetrahydrocannabinol (THC)-based medications that contain marijuana that control chemotherapy-induced nausea and vomiting in some people."

Nitrofurantoin 0.1 g is prescribed for a client with a urinary tract infection. Each tablet contains 50 mg. How many tablets will the nurse administer? Record your answer using a whole number. ___

2

A child is to receive 60 mg of phenytoin. The medication is available as an oral suspension that contains 125 mg/5 mL. How many milliliters should the nurse administer? Record your answer using one decimal place. ____ mL

2.4

After surgery a client is to receive an antibiotic by intravenous piggyback (IVPB) in 50 mL of a diluent. The piggyback is to infuse in 20 minutes. The drop factor of the IV set is 15 gtt/mL. The nurse should set the piggyback to flow at how many gtt/min? Record your answer using a whole number. ___ gtt/min

38

A nurse is caring for a client in postoperative recovery who just had a central venous catheter inserted. The client begins to complain of chest pain. Upon further assessment, the nurse notes that the client has decreased breath sounds on the affected side. Which action should the nurse do first?

Administer oxygen as prescribed.

A client with myasthenia gravis is to receive immunosuppressive therapy. What assures the nurse that this therapy will be effective?

Decreases the production of autoantibodies that attack acetylcholine receptors

While assessing the health of a female client, the nurse suspects endocrine dysfunction. Which findings support the nurse's suspicion? Select all that apply.

Diminished pubic hair Protrusion of eyeballs Blood pressure of 172/80 mm Hg

The nurse is caring for a client who recently returned from another country who exhibits signs and symptoms suspicious of severe acute respiratory syndrome (SARS). Which clinical manifestations support this diagnosis? Select all that apply.

Dry cough Shortness of breath Fever greater than 100.4° F

A nurse identifies that a client receiving chemotherapy has lost weight. What are appropriate nursing interventions for this client? Select all that apply.

Encouraging the intake of preferred foods Promoting the intake of small, frequent meals Administering prescribed antiemetics before meals

A nurse is caring for a client with Addison disease. Which information should the nurse include in a teaching plan to encourage this client to modify dietary intake?

Extra salt is needed to replace the amount being lost caused by lack of sufficient aldosterone to conserve sodium.

A client's intravenous (IV) infusion infiltrates. The nurse concludes that what is most likely the cause of the infiltration?

Failure to secure the catheter adequately

A health care provider prescribes daily docusate sodium for a client. The nurse explains to the client that this drug has what action?

Lowers the surface tension of feces

The nurse is caring for a client who has been admitted with partial- and full-thickness burns over 25% of the total body surface area. Lactated Ringer solution and 5% dextrose have been prescribed. What is the purpose of these fluids?

Maintain blood volume

A client is admitted to the hospital with a diagnosis of dehydration and hypokalemia. Which statement/intervention is most accurate when administering potassium chloride intravenously to this client with hypokalemia?

Oliguria is an indication for withholding intravenous (IV) potassium.

Which criteria should the primary healthcare provider use for the prescription of long-term continuous oxygen therapy?

PaO2-55, SpO2- 88

A client who sustained trauma to the chest as a result of an injury has chest tubes inserted and is attached to a closed chest drainage system. When caring for this client, what should the nurse do?

Palpate the area around the tubes for crepitus

Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Why must the nurse observe the client closely during the initial days of treatment with warfarin?

Phenytoin decreases warfarin's anticoagulant effect.

A client is receiving total parenteral nutrition (TPN) through a central venous access device. What important nursing intervention should be included?

Placing the client in the supine position before changing the tubing

A nurse is caring for a client with a Venturi mask who is receiving 40% oxygen. What nursing actions are indicated? Select all that apply.

Prevent the client blanket from covering the doctors or sissies Check that the appropriate adapter to deliver the prescribed FI O2 is attached to the mask

What does a nurse who is caring for a client experiencing anginal pain expect to observe about the pain?

Relieved by sublingual nitroglycerin

A client is admitted to the emergency department with multiple injuries, including fractured ribs. Which assessment is priority?

Respiratory acidosis

A client with Addison disease is receiving cortisone therapy. What complications does the nurse expect if the client abruptly stops the medication? Select all that apply.

Tachypnea Hypotension

A nurse is caring for a client with hyperthyroidism. Which laboratory test will be most beneficial in monitoring the effectiveness of drug therapy?

Thyroxine (T4), total

A client presents with extensive lesions due to psoriasis. Which intervention does the nurse anticipate from the healthcare provider?

Topical application of steroids

What potentially dangerous adverse effect of an intravenous titrated drip of lidocaine should the nurse immediately report to the healthcare provider?

Tremors

A nurse is administering an intradermal skin test injection to a client. What is the next action the nurse needs to do after the medication has been injected?

Withdraw the needle and place a piece of gauze over the injection site.

A client is prescribed ranitidine 150 mg daily to treat peptic ulcer disease (PUD). Which instruction would the nurse give to the client about when to take this medication?

at bedtime

A client with a diagnosis of acquired immunodeficiency syndrome (AIDS) has a protozoal infection and is receiving pentamidine. The nurse should monitor the client for which common side effects? Select all that apply.

hypoglycemia decreased blood pressure

A client with upper gastrointestinal (GI) bleeding develops mild anemia. What should the nurse expect to be prescribed for this client?

iron salts

A healthcare provider prescribes doxorubicin for a client with acute myelogenous leukemia. Which specific interventions should the nurse implement? Select all that apply.

monitor for jaundice increase fluids by mouth provide frequent oral care assess VS frequently