A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed? A.Prone B.SemiFowler’s C.Sims D.On the nonoperative side The correct answer and Explanation is : After extubation following a right pneumonectomy, […]

A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take? A.Ensure that the client has a 22-gauge IV line in place. B.Provide ketorolac for abdominal pain. C.Administer nitroprusside IV based on the client’s weight. D.Insert a

A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching? A.I can lift objects that are less than 10 pounds B.I can resume activities, such as sewing C.I can go jogging

The nurse is providing care to a client having surgery to repair a retinal detachment to the left eye. Which intervention should the nurse implement during the postoperative period? A.Obtain vital signs every 2 hours during hospitalization. B.Provide an eye shield to be worn while sleeping. C.Teach a family member to administer eye drops. D.Encourage

Which of the following medications is commonly used for afterload reduction in critical care? A.Nitroglycerin B.Metoprolol C.Furosemide D.Epinephrine The correct answer and Explanation is : The correct answer is A. Nitroglycerin. Explanation: Nitroglycerin is a medication commonly used for afterload reduction in critical care settings. Afterload refers to the resistance that the heart must overcome

A nurse is assessing a patient with bipolar disorder. The nurse observes signs of psychomotor agitation, racing thoughts, and tangentiality. What should the nurse document about the patient’s thought process?A.Coherence, logic, relevance, and organization. B.Flight of ideas, racing thoughts, and tangentiality. C.Themes, topics, beliefs, and perceptions. D.Signs of delusions, hallucinations, paranoia. The correct answer and

A nurse is developing a care plan for a client who is in Buck’s traction and is scheduled for surgery for a fractured femur of the right leg.Which of the following interventions should the nurse delegate to an assistive personnel? A.Observe the position of the suspended weight. B.Check the client’s pedal pulse on the right

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse could teach the client which of the following factors puts her at risk for lithium toxicity? A.A client runs 4 miles outdoors every afternoon. B.The client eats 2 to 3 gm

A nurse is caring for a client at a follow-up visit who has been taking lithium therapy for bipolar disorder.Which of the following findings should indicate to the nurse that the client is experiencing lithium toxicity? A.Hypoglycemia. B.Excess salivation. C.Urinary retention. D.Dysrhythmia. The correct answer and Explanation is : The correct answer is D. Dysrhythmia.

A nurse is preparing to initiate a blood transfusion for a client. Which action should the nurse take first to ensure client safety?A.Verify the client’s identity and blood type with two unique identifiers. B.Confirm the expiration date of the blood product. C.Assess the client’s vital signs, including temperature, pulse, and blood pressure. D.Obtain informed consent