You are providing care to a patient with pericarditis. Which of the following is NOT a proper nursing intervention for this patient? A.Administer Ibuprofen as scheduled. B.Monitor the patient for complications of cardiac tamponade. C.Place the patient in a supine position to relieve pain. D.Monitor the patient for pulsus paradoxus and muffled heart sounds. The […]

The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in-depth with the client based on this screening tool? A.Cancer screening results, anger, gastritis, daily alcohol intake. B.Consumption, liver enzyme, gastrointestinal complaints,

A nurse is reinforcing teaching about Rho(D) immunoglobulin to a client who is pregnant. Which of the following findings can an Rh incompatibility cause? A.Transient clotting difficulties B.Congenital hypothermia C.Hypobilirubinemia D.Hydrops fetalis The Correct Answer and Explanation is: The correct answer is D. Hydrops fetalis. Explanation: Rh incompatibility occurs when a pregnant woman with Rh-negative

A nurse is caring for a client who has dementia.Which of the following actions should the nurse take to promote communication? A. Face the client at eye level when communicating.B. Offer correction of incorrect client statements.C. Reorient the client to date and time with each encounter.D. Avoid using gestures when communicating with the client. The

A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history? A.Shock B.Gallstones C.Diabetes mellitus D.GERD The Correct Answer and Explanation is: The correct answer is B. Gallstones. Explanation: Acute pancreatitis is a sudden inflammation of the pancreas that can lead

A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement? A.Encourage rest until the analgesic becomes effective. B.Raise head of bed until at a 90 degree angle. C.Place bed in

A nurse is assessing a newborn who is 4 hr old. Which of the following findings should the nurse identify as the priority to report to the provider? A.Bluish discoloration of the hands and feet. B.Overlapping of the cranial bones. C.Forward and lateral positioning of the ears. D.Small, distended white sebaceous glands on the face.

A PACU nurse is monitoring the drainage from a client’s NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider? A.75 mL of greenish-yellow drainage B.150 mL of serosanguineous drainage C.100 mL of red drainage D.200 mL of brown drainage The Correct Answer

A nurse is collecting data on a patient who is experiencing hypovolemia. Which of the following findings should the nurse expect? A.Peripheral edema B.Bradycardia C.Cyanosis D.Hypotension The Correct Answer and Explanation is: The correct answer is D. Hypotension. Explanation: Hypovolemia refers to a decreased volume of circulating blood in the body, which can be caused

The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis? A.Inability to make audible voice sounds B.Erythema of the pharynx C.Bark-like cough D.Hoarseness The Correct Answer and Explanation is: The correct answer is B. Erythema of the pharynx.