A nurse in a clinic is caring for a client who has gastroenteritis. The nurse compares the client’s condition from two days ago and today. Which of the following changes should the nurse report to the provider? A.The client is confused and appears weak. B.The client’s oral mucosa is dry and tongue is furrowed. C.The […]
A nurse in a clinic is caring for a client who has gastroenteritis. Read More »
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client? A.Dorsal surface of the foot B.Dorsal surface of the hand C.Pinnae of the ears D.Conjunctivae The Correct Answer and Explanation is: The correct answer is C. Pinnae
A nurse is assessing for cyanosis in a client who has dark skin. Read More »
A nurse is caring for a client who has a prescription for a peripheral IV catheter. After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next? A.Flush the catheter with saline B.Retract the stylet C.Release the tourniquet
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The nurse is planning the care of a client who has been diagnosed with hypertension but who otherwise enjoys good health. When assessing the response to an antihypertensive drug regimen, what blood pressure would be the goal of treatment? A.120/80 mm Hg or lower. B.Average of two BP readings of 150/80 mm Hg C.140/90 mm
The nurse is caring for a patient undergoing a lumbar puncture by the provider. Select the priority nursing intervention the nurse would complete after the procedure. A.Maintain pressure to the puncture site and observe for drainage. B.Complete a pain assessment and administer an ordered analgesic, as needed. C.Inform the patient they may feel pressure and
The nurse is caring for a patient undergoing a lumbar puncture by the provider. Read More »
The teaching for a patient who is taking tamsulosin to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these? A.Get up slowly from a sitting or lying position. B.Take the medication with breakfast to promote the maximum effects of the drug. C.Fluids need to be restricted while on this medication. D.Blood
A nurse is documenting in a client’s health record using the subjective, objective, assessment, and plan (SOAP) charting model.Which of the following information should be included in the subjective component?A.Client reports chest pain after mowing lawn this morning. B.Client’s blood pressure is 182/98 mm Hg. C.Client administered nitroglycerin 0.3 mg SL for chest pain. D.Client’s
A nurse is documenting client care in a client’s electronic health record. Which of the following entries should the nurse include in the documentation? A.“Complained about having incisional pain.” B.“Voided adequate amounts through the shift.” C.“Became short of breath when ambulating.” D.“Appeared to be sleeping while in bed.” The Correct Answer and Explanation is: The
A nurse is documenting client care in a client’s electronic health record. Read More »
The vermiform appendix extends from the region of the large intestine known as which of the following? A.jejunum B.Rectum C.Cecum D.Achi The Correct Answer and Explanation is: The correct answer is C. Cecum. Explanation The vermiform appendix is a small, tubular structure that extends from the cecum, which is a pouch-like segment of the large
Which gland, located in the mediastinum, plays a key role in the development and maturation of T-lymphocytes? A.Thymus. B.Parathyroid. C.Adrenal. D.Pituitary. The Correct Answer and Explanation is: The correct answer is A. Thymus. Explanation: The thymus is a specialized gland located in the mediastinum, specifically in the upper anterior part of the chest, behind the