A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include? A.Ensure the device is kept below the level of the client’s chest. B.Clamp the chest tube every 4 hr. C.Place the […]

A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication? A.WBC count 12.000/mm3 B.History of asthma C.Hgb 11.2 g/dL. D.Blood pressure 154/98 mm Hg The correct answer and

A nurse is preparing to administer methylergonovine to a client who has postpartum hemorrhage. Which of the following assessments should the nurse perform before giving the medication? A.Blood pressure B.Temperature C.Respiratory rate D.Blood glucose The correct answer and Explanation is : The correct answer is A. Blood pressure. Explanation Methylergonovine is a medication used to

A client with a history of pulmonary embolism asks the nurse about ways to prevent future episodes. What should the nurse include in the response?A.“Avoid any form of physical activity to minimize the risk.” B.“Maintain a diet high in cholesterol to prevent blood clots.” C.“Completely eliminate all caffeine and alcohol from your diet.” D.“Follow your

A nurse is providing education to a client who has been diagnosed with a pulmonary embolism. The client asks, “What exactly is a pulmonary embolism?” How should the nurse respond?A “A pulmonary embolism is a blockage in one of the arteries that supply blood to the heart.”B “It’s a condition where the lungs become inflamed

The nurse is doing neurovascular checks on a child who has had a cast applied to treat a fracture. The nurse observes for diminished or absent sensation and numbness or tingling. In doing this, the nurse is monitoring which symptom? A.Pain. B.Paralysis. C.Paresthesia. D.Pallor. The correct answer and Explanation is : The correct answer is

A nurse is completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome? (Select all that apply) A.Absence of pulse B.Altered sensation of the toes C.Cool skin D.Pain relieved by narcotics E.Capillary refill 1 second

A client is receiving intravenous (1V) vancomycin and the nurse plans to draw blood for a peak a. trough to determine the serum level of the drug. Which collection times provide the best determination of these levels? A.Thirty minutes into the administration of the IV dose and 30 minutes before the next administration of the

A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values? A.Phosphate 5.7 mg/dL B.Vitamin D 25 ng/mL C.Calcium 9.8 mg/dL D.Magnesium 1.8 mEq/L The correct answer and Explanation is : The correct answer is: A. Phosphate 5.7 mg/dL Explanation: Hypoparathyroidism is a condition

A nurse is caring for a client who has a femur fracture with the leg in Buck’s traction. Which of the following actions should the nurse take? A.Remove the weights for 20 min for the client’s report of severe pain. B.Position the knot of the rope at the top of the pulley C.Apply 6.8 kg