The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching? A.“If I take my blood pressure and it is normal, I don’t have to take my blood pressure pills.” B.“When getting up from bed, I will sit for a short period before standing […]
The nurse is caring for a client newly diagnosed with hypertension Read More »
What is the most crucial nursing intervention to include in the care plan for a patient who is 12 hours post- thyroidectomy? A.Anticipate and monitor for hypothermia. B.Prepare to administer radioactive iodine treatments. C.Resume antithyroid drug therapy. D.Maintain a semi-Fowler position. The Correct answer and Explanation is: The most crucial nursing intervention to include in
Most of the deaths from burn trauma in the emergent phase that require a referral to a burn center result from: A.cardiac arrest related to septic shock B.Infection C.adrenal failure D.hypovolemic shock and renal failure. The correct answer and Explanation is : The correct answer is D. hypovolemic shock and renal failure. Explanation: In the
The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time: A.Increased hematocrit B.Decreased blood urea nitrogen (BUN) C.Decreased serum potassium D.increased serum albumin The correct answer and Explanation is : The correct answer is
A client with a venous ulcer, which has not responded to intravenous vancomycin treatment and is discharging pus, has been admitted with a potential infection of Vancomycin-Resistant Enterococci (VRE). Which nursing interventions should be included in the care plan? Select all that apply. A.Monitor the client’s white blood cell count. B.Implement contact precautions for staff
ExhibitsThe nurse uses the Modified Caregiver Strain Index (MCIS) and determines that the daughter is under significant stress caused by the assumption of her mother’s care. The nurse is planning to have a discussion with the daughter on decreasing the stress she is experiencing as a caregiver. Select the 3 statements that the nurse should
A nurse is collecting data from a newborn who was born 2 hr ago. Which of the following findings should the nurse report to the provider? A.Overlapping suture lines B.Acrocyanosis C.Hypotonia D.Blood glucose level 40 mg/dL The Correct answer and Explanation is: The correct answer is C. Hypotonia. Explanation: When assessing a newborn shortly after
A nurse is collecting data from a newborn who was born 2 hr ago. Read More »
Which of the following statements is true regarding the preparation of medication for injection? A.Medication vials can be shared among multiple patients if the needle is changed between each injection. B.It is acceptable to draw medication from a vial using the same syringe for multiple injections. C.It is unnecessary to clean the rubber stopper on
A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Which action should the practical nurse (PN) implement to evaluate the effectiveness of the insulin dosage? A.Smell the client’s breath for resolution of a fruity odor. B.Determine the client’s orientation to time and space. C.Measure the client’s urinary output for an increased volume. D.Check fingerstick
A client with diabetic ketoacidosis (DKA) is receiving regular insulin. Read More »
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take? A. Apply a cold compress