A nurse is performing change of shift assessments for four clients. Which of the following findings should the nurse prioritize? A.A client who has gastroenteritis and is lethargic and confused B.A client who has cystic fibrosis, has a thick, productive cough, and reports thirst C.A client who has sickle cell anemia and reports pain 15 […]

A nurse is assessing a client’s lower extremities and notes 6 mm pitting edema. Which of the following is appropriate documentation of this assessment finding? A.1+ B.4+ C.3+ D.2+ The correct answer and Explanation is : The correct answer is C. 3+. Explanation: Edema is the accumulation of fluid in tissues, leading to swelling. Pitting

A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?A.A client who is scheduled for a tubal ligation in 2 hr and is crying. B.A client who has peripheral vascular disease and has an absent pulse in the right foot. C.A

A nurse is providing education to a client newly diagnosed with leukemia.Which statement by the nurse accurately describes leukemia? A “Leukemia is a benign disorder of the blood and bone marrow.”B “Leukemia is characterized by the proliferation of normal white blood cells.”C “Leukemia can lead to complications such as infection, bleeding, and anemia.”D “Leukemia is

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority? A.Diarrhea B.Dyspepsia C.Epigastric discomfort D.Hematemesis The correct answer and Explanation is : The correct answer is D. Hematemesis. Explanation: Peptic ulcer disease (PUD) involves the development of ulcers in the lining of

Which of the following is an example of a condition requiring contact precautions? A.Influenza B.Methicillin-resistant Staphylococcus aureus (MRSA) infection C.Pertussis D.Tuberculosis The Correct Answer and Explanation is: The correct answer is B. Methicillin-resistant Staphylococcus aureus (MRSA) infection. Explanation: Contact precautions are infection control measures used to prevent the spread of infections that can be transmitted

Which data should alert the nurse that the neonate is postmature? A.Presence of lanugo B.Short, chubby appearance C.Presence of vernix caseosa D.Cracked, peeling skin The correct answer and Explanation is : The correct answer is: D. Cracked, peeling skin Explanation: A postmature neonate is a baby born after 42 weeks of gestation. When a neonate

The smooth, thin membrane that lines the chambers of the heart and forms the surface of the heart valves is the: A.Pericardium. B.Endocardium. C.Myocardium. D.Epicardium. The correct answer and Explanation is : The correct answer is B. Endocardium. The endocardium is the smooth, thin membrane that lines the inner chambers of the heart and forms

A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism.The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?A.Fish oil supplements. B.Calcium supplements. C.Bulk-forming laxatives. D.Oral antihistamines. The Correct Answer and Explanation is: The correct answer is B. Calcium

A nurse is preparing a presentation for a group of pregnant women about the labor experience.Which factors would the nurse include when discussing measures to promote coping for a positive labor experience? Select all that apply. A. View of birth as a stressor.B. Fear of loss of control.C. Participation in a pregnancy exercise program.D. Presence