A patient with sepsis has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 245 mg/dL. Which intervention ordered by the health care provider should the nurse implement first? A.Give 0.9% Sodium Chloride fluid bolus. B.Give Pantoprazole (Protonix 40 mg IV push dally. […]

A client is receiving 10 mL/hr of a prescribed regular insulin infusion. The label on the bag reads 50 units of regular insulin in 100 mL of 0.9% saline. How many units of insulin is the client receiving every hour? Fill in the blank. Round your answer to the nearest whole number. A.5 units/hour B.10

A nurse is evaluating a client who has fever and is receiving acetaminophen (Tylenol), a nonsalicylate NSAID. What are some of the outcomes that indicate the effectiveness of the therapy? A.Decreased temperature within normal range B.Decreased inflammation, pain, and swelling C.Decreased risk of gastrointestinal bleeding and ulceration D.Decreased risk of hepatotoxicity and liver impairment The

The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms? A.Hallucinations B.Anhedonia C.Illusions D.Delusions The correct answer and Explanation is : The client with schizophrenia who believes that student nurses are there to spy on them is experiencing a symptom

A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John’s Wort.Which of the following findings should the nurse identify as being consistent with serotonin syndrome?. A.Blood pressure B.Suicidal ideations. C.Tinnitus and jerking movements. D.Dilated pupils and loss of muscle coordination. The correct answer and Explanation is : The

A home health nurse is teaching a client who has a latex allergy about items typically found in the home that can trigger an allergic reaction. Which of the following items should the nurse instruct the client to avoid? (Select all that apply.). A.Dishwashing gloves. B.Adhesive tape. C.Macadamia nuts. D.Bananas. E.Rubber bands. The correct answer

A nurse is caring for a client who is participating in a therapy session for anger management. The client states that their recent behavior is due to the loss of their job. The nurse should identify that the client is using which of the following defense mechanisms? A.Projection B.Rationalization C.Repression D.Sublimation The correct answer and

A nurse in a community health facility is interviewing a client who recently lost his job. The client states. “I was fired because my boss doesn’t like me.” Which of the following defense mechanisms is the client displaying? A.Displacement B.Rationalization C.Dissociation D.Repression The correct answer and Explanation is : The correct answer is B. Rationalization.

A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an RSA position. Which of the following fetal presentations should the nurse document in the client’s medical record? A.Shoulder B.Breech C.Vertex D.Mentum The correct answer and Explanation is : The correct answer is A. Shoulder. Explanation:

A nurse is transporting a client who has pneumonia and is on droplet precautions to radiology. Which of the following safety measures should the nurse take while transporting the client? A.The client should wear a gown during transport. B.The nurse should wear a mask during transport. C.The client should wear a mask during transport. D.The