A patient with diabetes has been administered 38 units of NPH insulin at 7:00 AM. By 1:00 PM, the patient has been away from the nursing unit for 2 hours and missed lunch while waiting for a chest X-ray.What is the most appropriate action for the nurse to prevent hypoglycemia? A Request that if testing […]
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The nurse evaluates the client hydration status, using what assessment techniques? Select all that apply. A.Inspection of lips and mucous membranes. B.Pinches the skin on back of the hand. C.Measures pulse and blood pressure. D.Obtains client’s daily weight. E.Palpates scalp and hair distribution. The Correct Answer and Explanation is: The correct answers for assessing a
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Assessment of a client with cirrhosis reveals a distended abdomen, weight gain, and dyspnea. Based on this information, what interventions would the nurse include in this client’s plan of care? A.Implement a sodium restriction. B.Encourage fluids. C.Check lipase level. D.Administer pancrealipase. The Correct Answer and Explanation is: The correct answer is A. Implement a sodium
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take. A.Position the client supine with knees flexed and place a small, rolled towel under one of their hips. B.Palpate the fetal part positioned above the symphysis pubis. C.Instruct
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. (Move the steps, placing them in the order of performance. Use all the steps.) A.Identify the attitude of the head. B.Palpate the fundus to identify the fetal part. C.Determine the location of the fetal back. D.Palpate for
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A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?A “I should avoid fatty foods in my diet to prevent aggravating my condition.”B “I will take my prescribed antibiotics regularly to treat the infection.”C “I will increase my alcohol intake to help reduce
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A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?A.“These changes are unrelated to your condition and may be due to a gastrointestinal infection.” B.“Cholecystitis can lead to malabsorption of nutrients,
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Few things bring back childhood memories for me like baking Tell House chocolate chip cookies. This cookie recipe has humble beginnings. Ruth Wakefield of the Tell House restaurant in Whitman, Massachusetts, created. The recipe appeared in a 1938 cookbook written by Wakefield called Tried and True. A year later, Wakefield sold the recipe and the
A client is recovering in the critical care unit following a cardiac catheterization. Intravenous (IV) nitroglycerin and heparin are infusing. The client is sedated but responds to verbal instructions. After changing positions, the client complains of pain at the right groin insertion site. Which action should the nurse implement? A.Check femoral site for hematoma formation.
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A child with peripheral edema who weighs 44 pounds receives a prescription for furosemide 2 mg/kg intravenously every 12 hours. The medication is available at 10 mg/mL. How many mL should the nurse administer? (Enter numeric value only) The Correct Answer and Explanation is: To determine how many milliliters of furosemide to administer, follow these