The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and legs, and massive ascites. Which mechanism contributes to edema and ascites in clients with cirrhosis? A.Hyperaldosteronism causing an increased sodium reabsorption in renal tubules. B.Decreased renin-angiotensin response related to an increase in renal blood flow. C.Decreased portacaval pressure with […]
An occupational nurse at a candy factory is assisting in developing a plan of care for clients who are experiencing incontinence that affects their job performance and overall quality of life. Which of the following client statements would indicate an understanding of a contributing factor to their incontinence at work? A.“I probably have problems with
The nurse is performing an admission assessment for a newborn who has asymmetrical buttocks. Which assessment test results should the nurse report to the healthcare provider? A.Ortolani maneuver causing a click at the hip joint. B.Plumb line test indicates fetal position curvature. C.Babinski test that reveals fanning out of toes. D.Moro test precipitating a startle
A nurse is reviewing the results of a biophysical profile (BPP) for a client who is at 38 weeks of gestation. The nurse should recognize that a total BPP score of which of the following indicates acute fetal asphyxia? A.4 or less. B.6 or less. C.8 or less. D.10 or less. The correct answer and
The practical nurse (PN) receives shift report for four newborns in the full-term newborn nursery. Which infant should the PN assess first? A.The ten-hour-old with circumoral cyanosis. B.The one-day-old with a positive Babinski’s reflex C.The two-day old with negative Ortolani’s sign D.The six-hour-old with a large sacral “stork bite” The correct answer and Explanation is
Your client has anaphylaxis listed as a penicillin allergy. Which antibiotic would be safe for your client to receive? A.cephalexin (Keflex). B.cefaclor (Ceclor). C.piperacillin/tazobactam (Zosyn). D.levofloxacin (Levaquin). The correct answer and Explanation is : The correct answer is D. levofloxacin (Levaquin). Explanation: Anaphylaxis is a severe, life-threatening allergic reaction that can occur in response to
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A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client? A.Sublingual. B.Suspended-release. C.Transdermal patch. D.Topical ointment. The correct answer and Explanation is : The correct answer is A. Sublingual. Explanation: Nitroglycerin is a vasodilator commonly used
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A nurse is reviewing the contraindications for thrombolytic therapy for a client with a peripheral arterial occlusion. Which of the following conditions would make the client ineligible for this therapy? (Select all that apply.) A.History of peptic ulcer disease B.Recent dental extraction C.Chronic atrial fibrillation D.Pregnancy E.Diabetes mellitus. The correct answer and Explanation is :
A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurseinclude in the plan? A.Sliced ham with green salad B.Grilled chicken breast with white rice C.Pork tenderloin with green peas D.Turkey sandwich with celery sticks E.Turkey sandwich with celery sticks The correct answer and Explanation is
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A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer.Which of the following interventions should the nurse include in the plan? A.Place the client’s name and medical condition on an online prayer chain. B.Recommend the client seek out hospice services rather than seek treatment. C.Initiate topics of