study Hesi
A client has undergone a subtotal thyroidectomy. The client is being transferred from the post anesthesia care unit/recovery area to the inpatient nursing unit. What emergency equipment is most important for the nurse to have available for this client?
A tracheostomy tray
A client with a tentative diagnosis of pernicious anemia is scheduled for a Schilling test. Which body process associated with vitamin B12 is assessed with the Shilling test?
Absorption
A client who had thoracic surgery complains of pain at the incision site when coughing and deep breathing. What action should the nurse take?
Instruct the client to splint the wound with a pillow when coughing
A client with angina pectoris is scheduled for a stress echocardiogram. The nurse explains that the echocardiogram is a
Noninvasive approach to assess cardiovascular status
During history taking, a client reports experiencing black, tarry stools. The nurse recognizes that this may be an indication of:
Upper gastrointestinal bleeding.
A client is admitted to the hospital with a diagnosis of cancer of the larynx, and a total laryngectomy is scheduled. Which nursing action is most important in the immediate postoperative management of this client?
Suctioning the tracheostomy tube whenever necessary
Which assessment should the nurse obtain before administering digoxin (Lanoxin) to a client?
Apical heart rate
A nurse is teaching a client with tuberculosis about recovery after discharge from the hospital. Which instruction is the priority?
Consistently taking prescribed medication
The primary health care provider prescribes a transfusion of two units of packed red blood cells for a client. When caring for the patient receiving administering blood, the priority nursing intervention is to:
Make sure the blood is infused at a slow rate during the first 15 minutes
A hospitalized client puts the call light on and reports a sudden onset of chest pain that feels like a pressure or weight on the chest. The client also states, "I feel nauseated and very weak." What action should the nurse take?
Call the rapid response team
A client with a history of emphysema develops a respiratory infection and is admitted to the hospital in acute respiratory distress. The client's blood studies indicate pH 7.30, Po2 60 mm Hg, Pco2 55 mm Hg, and HCO3 23 mEq/L. The nurse concludes that the client is experiencing:
Respiratory acidosis
A nurse reinforces teaching a client about Coumadin (warfarin) and concludes that the teaching is effective when the client states, "I must not drink:
cranberry juice
A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. The nurse expects that the client's initial treatment will include which medication?
Aspirin (ASA)
The count of hydrocodone (Vicodin) is incorrect. After several minutes of searching the medication cart and Physiological Aspects of Care records, no explanation is found. Who should the primary nurse notify about the discrepancy?
Nursing unit manager
The nurse is providing post-procedure care for a client that had a liver biopsy. To prevent hemorrhage, it is the nurse's highest priority to place the client in what position?
On the right side
While caring for a client who had an open reduction and internal fixation of the hip, the nurse encourages active leg and foot exercises of the unaffected leg every two hours. The nurse explains that these exercises will help:
Prevent clot formation
A client with a dysrhythmia is admitted to telemetry for observation. In the morning, the client asks for a cup of coffee. What is the nurse's best response?
Coffee has caffeine, which can affect your heart. It should be avoided."
To prepare a client for surgery, which explanation by a nurse would be accurate related to pneumatic compression devices?
They help the venous blood return to the heart.
A male client with aortic stenosis is scheduled for a valve replacement in two days. He tells the nurse, "I told my wife all she needs to know if I don't make it." What response is most therapeutic?
You are worried about dying
An insulin pump is instituted for a client with type 1 diabetes. The nurse plans discharge instructions. Which short-term goal is the priority for this client?
Demonstrate correct use of the insulin pump
A client with hypertension has received a prescription for metoprolol (Lopressor). Which information should the nurse include when teaching this client about metoprolol?
Do not abruptly discontinue the medication
A nurse has administered sublingual nitroglycerine. Which parameter should the nurse use to determine the effectiveness of sublingual nitroglycerin?
Relief of anginal pain
