A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider? A.An adolescent who has a BP of 132/82 mm Hg B.A 3-month-old infant who has a respiratory rate of 30/min C.An 18-month-old toddler who has a heart rate of 68/min D.A school-age child who […]

The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective? Glucose [Reference Range: 74 to 106 mg/dL (4.1 to 5.9 mmol/L)]Hemoglobin (Hgb) [Reference Range:12-16 g/dL (120-160 g/L)]Potassium (K+) [Reference Range: 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]Ammonia [Reference Range:

A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take? A.A. Compare new prescriptions with the list of medications the client reports B.B. Encourage the client to make his own list after he returns to his home C.Include any

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A.Assist the client to a side-lying position. B.Hold the dropper 2 cm (1 in) above the naris. C.Tell the client to blow her nose gently before the instillation. D.Instruct the client to stay in the same

Which of the following statements best describes the primary function of the immune system?A The immune system is responsible for regulating body temperature and blood pressure.B The immune system is involved in digestion and absorption of nutrients from food.C The immune system is responsible for recognizing and defending against foreign invaders, such as pathogens and

Which of the following layers of skin lack blood vessels? A.Papillary B.Epidermis C.Reticular D.Hypodermis The Correct answer and Explanation is: The correct answer is B. Epidermis. Explanation: The skin is composed of three primary layers: the epidermis, dermis, and hypodermis (also known as the subcutaneous layer). Each of these layers plays a distinct role in

A nurse is reviewing the medical history of a client who asks about the use of warfarin.The nurse should identify which of the following findings as a contraindication for the administration of this medication?A.Recent myocardial infarction. B.Recent eye surgery. C.Thrombophlebitis. D.Breast cancer. The Correct answer and Explanation is: The correct answer is B. Recent eye

A nurse is reviewing the medical records of four clients.The nurse should identify that which of the following client findings requires follow-up care?A.A client who received a Mantoux test 48 hr ago and has an induration. B.A client who is taking warfarin and has an INR of 1.8. C.A client who is scheduled for a

A client with a spinal cord injury at the T4 level is admitted to the hospital. Which of the following is the most important nursing intervention during the first 48 hours after the injury? A) Monitor for signs of autonomic dysreflexia. B) Administer high-dose methylprednisolone. C) Position the client in a high Fowler’s position. D)

Which of the following has both endocrine and exocrine functions? A.Thyroid gland. B.Pancreas. C.Anterior pituitary. D.Liver. The Correct answer and Explanation is: The correct answer is B. Pancreas. Explanation: The pancreas is a unique organ in the human body because it performs both endocrine and exocrine functions. Understanding the dual role of the pancreas provides