A client receiving a blood transfusion suddenly develops chills, fever, and lower back pain. The nurse suspects a transfusion reaction. What is the nurse’s priority action?A.Stop the blood transfusion immediately. B.Notify the blood bank to request a new blood unit. C.Administer antipyretics to manage the client’s fever. D.Place the client in a supine position with […]

Select the meaning of the underlined word in the sentence. The client appeared to be impervious to pain. A.Coping well B.Enjoying C.Not affected D.Very sensitive The correct answer and Explanation is : The correct answer is C. Not affected. Explanation: The word “impervious” comes from the Latin roots “im-” meaning “not” and “pervius” meaning “letting

Which of the following is marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnoea? A.Orthopnoea B.Cheyne-Stokes respirations C.Biot’s (cluster) respiration D.Dyspnoea The correct answer and Explanation is : The correct answer is B. Cheyne-Stokes respirations. Explanation: Cheyne-Stokes respiration is characterized by a distinct pattern of rhythmic waxing

A client is experiencing symptoms of fluid overload.Which of the following interventions would the nurse anticipate as appropriate for this client? A.Administering a diuretic medication. B.Encouraging increased fluid intake. C.Providing a high-sodium diet. D.Elevating the affected extremities. The correct answer and Explanation is : The correct answer is: A. Administering a diuretic medication. Explanation: Fluid

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicate to the nurse that the client has developed a systemic anticholinergic effect? A.Hypothermia B.Bradycardia C.Seizures D.Constipation The correct answer and Explanation is : The correct answer is D. Constipation. Mydriatic eye drops are used to dilate

A client is being given a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection.The nurse should teach the client about which of the following common adverse reactions?A.Constipation. B.Nausea. C.Sedation. D.Dry mouth. The correct answer and Explanation is : The correct answer is B. Nausea. Explanation: Ciprofloxacin (Cipro) is a broad-spectrum fluoroquinolone antibiotic commonly

A nurse at a pediatric clinic is checking the vital signs of a 2-week-old infant. Which of the following findings is outside of the expected reference range? A.Respiratory rate 68/min. B.BP 64/42 mm Hg. C.Axillary temperature 36.6° C (97.9° F). D.Apical heart rate 124/min. The correct answer and Explanation is : The correct answer is

A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests which respiratory condition? A.Foreign body in the trachea. B.Bronchiolitis. C.Asthma. D.Pneumonia. The correct answer and Explanation is : The correct answer is C. Asthma. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the

A nurse is assessing a patient with suicidal ideation. Which statement made by the patient requires immediate intervention?A.“Sometimes, I just wish all of this would end.”. B.“I have been feeling really down lately.”. C.“I’ve been making a list of things I want to do before I die.”. D.“I think things might get better if I

The patient admitted with antisocial disorder will display which symptom(s)? A.Concern for others B.Actively engaged in all unit activities C.Mindful of following al of the unit rules D.Manipulative The correct answer and Explanation is : The correct answer is D. Manipulative. Antisocial Personality Disorder (ASPD) is characterized by a persistent pattern of disregard for and