Description

A nurse is caring for a client who is receiving peritoneal dialysis the nurse should monitor the client for which of the following manifestations of peritonitis Nausea and vomiting A nurse is collecting data from a client while changing his ileostomy pouch. Which of the following data should the nurse report immediately The stoma is pale in color A nurse is collecting data from a client following a bee sting which of the following findings can indicate an anaphylactic reaction to the venom Urticaria A nurse is collecting a health history form a client which of the following client data should the nurse identify as a risk factor for contracting hepatitis C Presence of multiple tattoos A nurse is assisting with the care of a newly admitted client who has acute osteomyelitis which of the following interventions is the priority for the nurse to implement Antibiotic therapy A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect Hepatomegaly A nurse is planning care for several clients and is considering the clients risk for stroke. Which of the following conditions places the client at risk for an ischemic embolic stroke? A client who has chronic atrial fibrillation A nurse is caring for a client who is postoperative and has a history Addison’s disease. For which of the following manifestations should the nurse monitor? Hypotension A nurse is collecting data from a male client who has been exposed to syphilis and has genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings Venereal disease research laboratory (VDRL) A nurse is caring for a client who develops a pulmonary embolism which of the following interventions is the priority for the nurse to take? Begin oxygen therapy A nurse is assisting with the care of a client following a left femoral cardiac angiography. The nurse should place a sandbag on the client over which of the following areas (you will find hot spots to select in the artwork below select only the hot spot that corresponds to your answer) The nurse should place a sandbag on the client’sleft groin area for 1 to 3 hr to prevent bleeding from the insertion site A nurse is assisting with the plan of care for a client who has a cerebral aneurysm. The nurse should plan to monitor the client for which of the following early indications of increased intracranial pressure Disorientation to time and place A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication? Urine specific gravity 1.015 A nurse isreinforcing health screening education with a group of clients. The nurse should recognize that which of the following clients has the greatest risk for hypertension? A client who is African American A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority Evaluate fluid and electrolyte levels A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching Vaginal yeast infections present as a thick, white discharge A nurse is assisting with the plane of care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan of care? Monitor level of consciousness every 4hr A nurse isreviewing the medical record of a client who hyperthyroidism (Graves’ disease) which of the following serum laboratory findings should the nurse expect to be below the expected reference range? Thyroid stimulating hormone (TSH) level A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor? Chvostek’ssign A nurse is contributing to the care plan for a client who has developed deep-vein thrombosis. Which of the following interventions should the nurse include? Elevate the affected extremity when the client isresting A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia? Vitamin B12 A nurse is assisting with the care of a client who has multiple facial injuries which of the following equipment should the nurse place at the client’s bedside? Suction catheter The nurse is collecting data form an older adult female client who has chronic hypothyroidism which of the following findings should the nurse report to the provider immediately? Decreased level of consciousness A nurse is planning care for a client who is to receive a unit of packed RBSs within which of the following time spans must the nurse complete the infusion 4hrs A nurse is assisting in the care of a client who is to receive a blood transfusion. Prior to the transfusion which of the following staff members should the nurse select to assist her in checking the blood Oncology nurse A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching I will limit my intake of red meat to two times per week A nurse is caring for a client who is conscious and has an airway obstruction which of the following actions should the nurse take Begin the Heimlich maneuver A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestationsshould the nurse expect to find? Decreased level of consciousness A nurse is reinforcing teaching with a client who has anew diagnosis of gout the client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching? Intra-articular urate crystal deposits cause inflammation A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy and reports sever muscle spasms of the lower extremities. Which of the following actions should the nurse take? Determine the client’s calcium level A nurse is a provider’s office is reviewing the health histories of four clientsfor which of the following clients should the nurse anticipate scheduling a colonoscopy 32yr old who has a sister who died of colon cancer A nurse is reviewing the arterial blood gas (ABG) results of a client. The client’s ABGs are: pH: 7.6 PaCO2: 40 mm Hg HCO3 32 mEq/L Which of the following acid base conditions should the nurse identify the client is experiencing Metabolic alkalosis A nurse is monitoring a client who is dehydrated which of the following laboratory findings should the nurse report to the provider BUN 25 mg/dL