A client admitted to the maternity unit is at 38 week of gestation and has bright red vaginal bleeding . It would be most important for the nurse to assess which of the following?
The nurse is receiving a prescription of a client who has acute renal failure. Which of the following prescription should the nurse clarify?
The nurse in a same-day surgical center has receive a change of shift report on the following client. The nurse should first see the client who had.
The nurse is teaching a client how to ambulate using crutches. Which of the following information should the nurse include?
The nurse in a community-based setting is teaching clients over 65 years old of age about health promotion activities. Which of the following information should the nurse include?
The nurse is assessing a client with suspected endometriosis. Which of the following findings
would support a diagnosis of endometriosis?
The nurse has been made aware of the following client situation. The nurse should first assess the client with
1. heart failure who has a productive cough and is anxious
2. original enteritis (Crohn's disease) who is reporting cramping abdominal pain and diarrhea.
3. idiopathic thrombocytopenic purperia (ITP) who has petechia on the trunk and is reporting heavy menses.
4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion it is using accessory muscles
The nurse is teaching a client who is scheduled for 24 hour urine collection. Which of the following information should the nurse include? Select all that apply.
The nurse has taught a client with diabetes mellitus (type 2) about food care. Which of the following statement by the client indicate correct understanding of the teaching? Select all that apply
The nurse is screening client for those at increased risk for developing cancer. At highest risk for developing leukemia is the client who.
The charge nurse has received change-of-shift report on the following clients in labor. The change nurse should ask a staff member to first see the client in the.
The nurse is observing a staff member caring for a client who has chickenpox. Which of the following action by the staff member will require the nurse to intervene?
The nurse on the pediatric unit is preparing to admit a client with rubella (merasles). The nurse should assign the client to a.
The nurse is planning care for a client with moderate Alzheimer's disease (AD). Which of the following interventions should the nurse include in the clients plan of care?
The nurse is planning a staff education conference about prevention of urinary tract infection (UTI) in children. Which of the following information should the nurse include? Select all that apply.
The charge nurse is observing the following client situation. It will require intervention if a.
The nurse is assessing a client's respiratory system. Select in the correct order the stpes nurse should take. All options must be used.
Inspect the shape
Auscultate the breath sounds.
Palpate the chest.
Percuss the posterior aspect the chest.
●Bright red vaginal bleeding can be a caise of placenta pre via which are often painless.History of previous bleeding can give a idea of any medical conditions if present. Abdominal pain is accompanied if the labour starts.In case of bleeding the first thing to be questioned is the length of bleeding to assess the status of the patient
Ans:Length of time of the bleeding
●A patient with acute renal failure will have a greater problem to filter any contrast administered to the body due to poor renal filtration. This may cause contrast induced nephropathy. Hence not recommended until it is a life saving need.
Analysis of urine can give the cause of acute kidney failure. ABG enables to identify the acid base balance
Ans:computer tomography (CT) dcan of the abdomen with intravenous contrast
●After a cast application it is normal for the part to be felt hot until the cast fixes and cools down for few hours
Nausea is possible due to the general anesthesia administered after ophthalmic surgery
A pain score of 4 after post op is an expected tolerable pain
Patient reporting of right shoulder pain after colostomy can be due to the aor inflated during the procedure and it can be a sign of radial nerve damage and to be attended immediately to prevent patient from complications
Ans:a laparoscopic colostomy 4 hours agai and reporting of right shoulder pain
●While using crutches it shoukd be kept closer to the body and the weight has to be put on the arms and hand.Wearing slippers can risk to fall ideally a shoe is recommended in out door but it can be safe to use in the home set up.It is a must to bend elbow a little while holding the crutch
Ans:adjust the handgrip of the all the crutches so that your elbow is fully extended
A client admitted to the maternity unit is at 38 week of gestation and has bright...
15-The nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis? dyspareunia hot flashes. Weight gain amenorrhea 16-The nurse has been made aware of the following client situation. The nurse should first assess the client with 1. heart failure who has a productive cough and is anxious 2. original enteritis (Crohn's disease) who is reporting cramping abdominal pain and diarrhea. 3. idiopathic thrombocytopenic purperia (ITP) who has petechia on the...
A client who has cancer is being discharged to home with hospice services. The client has a prescription for oxycodone for pain control. Which of the following medications should the nurse remind the client to take regularly to prevent a common adverse effect of this pain mediation? Ranitidine Gabapentin Docusate sodium Lorazepam A nurse is caring for an adolescent client who has been hospitalized for several weeks. Which of the following actions should the nurse take relative to the client’s...
A nurse is caring for a client following a thyroidectomy. For which of the following complications should the nurse assess the client? Hypokalemia Muscular depression Laryngeal Stridor Hyperglycemia A nurse is teaching a client who is to start a new prescription for carbidopa-levodopa. Which of the following instructions should the nurse include? “Take with a protein snack.” “Report dark-colored urine.” “Monitor for hyperglycemia.” “Change positions slowly.” A nurse is caring for a school-age child who is postoperative and received morphine...
a nurse is planning care for a client who has latex allergy and is scheduled for surgery. which of the following actions is appropriate to include in the clients plan of care? a. schedule the client as the first surgical procedure of the day b. cleanse the stoppers with primidone iodine for withdrawing medication c. remove the stop stocks from iv tubing d. ensure the gloves in the surgical suite are powdered gloves 2. a nurse planning care for a...
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 collecting data from an adolescent client who has experienced sexual abuse. Which of the following statements by the client should the nurse recognized as the use of the use of defense mechanism of suppression? I drink beer as often as I can so that I don’t have to think about all of the times it happened. My mother is the real reason for it all because she doesn’t live in the real world. Sometimes I get angry...
2 points 7. A nurse is reinforcing medication teaching with a client who has psoriasis and a new prescription for triamcinolone cream. Which of the following statements should the nurse include in the teaching? *
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? . . . . ....
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 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...