A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report? A.The client’s absolute neutrophil count was 2.500/mm before the medication was administered B.The nurse flushed the client’s (V line […]

A nurse is assessing a client who has a chest tube connected to a water seal drainage system. The nurse observes continuous bubbling in the water seal chamber. What does this finding indicate? A.An air leak in the system B.A normal functioning of the system C.A need to empty the collection chamber D.A need to

A nurse in an acute care mental health facility is creating a plan of care for a newly admitted client. Which of the following interventions should the nurse plan to include in the working phase of the nurse-client relationship? A.Summarize the objectives the client achieved during the relationship. B.Present issues regarding confidentiality. C.Promote the client’s

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase?Select one: A.Developing realistic solutions B.Built rapport and trust. C.Making appropriate referrals D.Identifying expected outcomes The correct answer and Explanation is : The most

What is the nursing priority when logrolling a patient?A.Place pillows under the patient’s hips and knees before turning. B.Turn the patient only to the right side, never to the left. C.Raise the head of the bed to at least 30 degrees before turning. D.Keep the head, neck, back, hips, and legs in alignment with each

How many milliliters are there in 2.5 liters?A.25000 B.25 C.250 D.2500 The correct answer and Explanation is : To convert liters to milliliters, you need to know the relationship between these units of volume. One liter is equivalent to 1,000 milliliters. Therefore, to find out how many milliliters are in 2.5 liters, you can use

A nurse is assisting with monitoring a client who is receiving a unit of packed RBCs. Which of the following findings indicates the client is experiencing a hemolytic transfusion reaction? A.Temperature 38.8° C (101.8° F) B.Straw-colored urine C.Apical pulse rate 58/min D.Blood pressure 158/92 mm Hg The correct answer and Explanation is : The correct

The client with seasonal allergies is taking oxymetazoline (Afrin). What should the nurse teach the client about this medication? A.Take this medication at bedtime because it causes drowsiness. B.This medication should only be used for asthma. C.Limit the use of this medication to 3 days to prevent rebound nasal congestion D.Stop this medication immediately. The

A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (ISBARR) on a client. Which of the following information should be included in the situation component? A.Provider notified of client’s back pain B.Request prescription for opioid medication for pain relief C.Client is grimacing due to pain D.Client admitted with

Which of the following sentences correctly employs standard English spelling A.The building’s height was acceded by its width B.The building’s height was exceeded by its width. C.The building height was exceeded by its width. D.The building’s height was acceded by it’s width The correct answer and Explanation is : The correct sentence is: B. The