Question 1 d) Hyperglycemia
it do interferes with metabolism of body and decrease insulin
Sensitivity. Nurses should asses the blood glucose levels .
Question 2 c ) monitor for Hyperglycemia
Dark color urine is common side effect but doesn't cause any harm to the patient but Hyperglycemia is a side effect because it increase glycogen synthesis and decrease glucose uptake by muscle.
Qn 3 d) bradypnea is most important priority because it causes respiratory depression.
Qn 4 a) adequate hydration most important management
Drinking plenty of water keep the body hydrated .and maintenance circulating red cell mass.
Qn 5 d ) being honest with the parents of a child about the need to report suspected abuse...
Justice is most important decision to make by community health nurse.
A nurse is caring for a client following a thyroidectomy. For which of the following complications...
1. A nurse is caring for a client who is intubated and receiving mechanical ventilation. Which of the following findings should indicate to the nurse that the client's airway requires suctioning? a. Pulse ox saturation of 94% b. Rhonchi noted upon auscultation c. decreased peak airway inspiratory pressure d. low pressure alarm sounding on the ventilator 2. The nurse is teaching a client about PICC line. Which of the following statements by the nurse is correct? a. The procedure will...
57. A nurse is caring for a client who is grieving the loss of her partner. The client states" don't see the point of living anymore". Which of the following actions should the nurse take? A. Tell the client that this is a normal response to grief B. Ask the client if she plans to harm herself C. Recommend that the client seek spiritual guidance D. Request that the clients family provide additional support 58. A community health nurse is...
27. A nurse is caring for a client who has acute heart failure and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates a desired therapeutic effect? Increased sputum production Decreased weight Decreased blood glucose level Increased blood pressure 54. A nurse is assessing a client who receives monthly injections of cyanocobalamin. Which of the following findings indicates a therapeutic effect of the medication? Absence of hand tremors Hematocrit 45% Potassium 3.8...
A nurse is an acute care facility is caring for a client who is homeless a has a decubitus ulcer. Which of the following actions should the nurse take as a client advocate? Gather dressing supplies for the client’s discharge. Provide client teaching about nutrition. Consult with the facility’s quality improvement team. Contact the facility’s case management department.
A nurse is providing teaching to the parents of a newborn who has been circumcised. Which of the following instructions should the nurse include in the teaching? “Remove yellow exudate around the genetal.” “Wrap sterile gauze around the genetals if bleeding occurs.” “Use soap to cleanse the site.” “Apply petroleum jelly to the glans with diaper changes.” A nurse is developing a care plan for a client who is in Buck’s traction and is scheduled for surgery for a fractured...
A nurse is caring for a client who is high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in her diet? A. Yogurt. B. Apples. C. Raisins. D. Cheddar cheese. A nurse is providing teaching to a client who has contact dermatitis on her face and neck. Which of the following statements by the client indicates an understanding of the teaching? A. This steroid cream will cure the dermatitis. B....
A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following? . . . . . . . . . Tolerance to the drug O Drug interaction Drug toxicity Dependence on the drug A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching? . . . . ....
32. A nurse is caring for a client who is scheduled to undergo bone marrow harvesting. The nurse should the client that the harvesting will occur in which of the following situations? A. Under local anesthetic at the bedside. B. Under conscious sedation at the bedside. C. In outpatient surgery under local anesthetic. D. In the operating room under general anesthesia....
A nurse in the emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take first? (Exhibit) Encourage the client to verbalize feelings. Implement seizure precaution for the client. Administer ondansetron to the client for nausea. Obtain the client’s weight. A home health nurse is completing screenings for elder abuse during client visits. Which of the following findings should the nurse identify as an indication of potential elder abuse? A client...
A nurse is providing discharge teaching about home care of a surgical incision to a client who does not speak the same language as the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? Use gestures to convey meaning. Speak directly to the client. Pause in the middle of sentences. Speak slowly when talking to the interpreter A nurse is providing teaching about exercise to a client who is...