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The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?
A nurse taking a patient’s history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension. Which of the following may be occurring?
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse’s appropriate documentation?
The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
A nurse assesses a 83 year-old female’s venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. The nurse who was not promoted tells a friend, “Oh, well, I really didn’t want the job anyway.” This is an example of:
Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca 8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L. Which of the following values should the nurse report to the physician because of its potential risk to the client?
A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer’s disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?
What happens if folic acid is given to treat anemia without determining its underlying cause?
Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:
A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?
A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?
Which of the following should not be included in the teaching for clients who take oral iron preparations?
A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:
The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:
While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client’s serum potassium level to be?
The greatest time savers when planning client care include all of the following except:
In an obstetrical emergency, which of the following actions should the nurse perform first after the
baby delivers?
A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.” The nurse determines that the client is demonstrating which of the following?
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Which is the best way to position a client’s neck for palpation of the thyroid?
At what point in the nurse-client relationship should termination first be addressed?
The nurse should teach parents of small children that the most common type of first-degree burn is:
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?
An assessment of the skull of a normal 10-monthold baby should identify which of the following?
A client is to have an enema to reduce flatus. The enema tube should be inserted:
An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?
The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
Which of the following diseases places a client at risk for developing cirrhosis?
Which of the following medications should be held 24–48 hours prior to an electroencephalogram (EEG)?
Which of the following infant behaviors demonstrates the concept of object permanence?
A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements. Which tests should the nurse expect the client to have first?
When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?
For which condition might a client’s antidiuretic hormone (ADH) level be increased?
The presence of which hormone in the urine is specifically indicative of pregnancy?
After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?
A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?
Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
Diagnostic genetic counseling, for procedures such as amniocentesis and chorionic villus sampling, allows clients to make all of the following choices except:
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
In teaching clients with Buck’s Traction, the major areas of importance should be:
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
The nurse explains to a client who underwent gastric resection that which of the following meals is most likely to cause rapid emptying of the stomach?
A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
A nurse teaching a patient with COPD pulmonary exercises should do which of the following?
A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre’ Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre’ Syndrome with the patient?
After group therapy, the female victim of intimatepartner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?
A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:
A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?
Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?
A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:
A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?
The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?
A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?
One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base. The nurse should suspect:
There are many types of torts that can be committed against clients. They include all of the following except:
A client’s central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?
Referral for client education in the community can be accomplished through all of the following except:
Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?
A client asks the nurse what risk factors increase the changes of getting skin cancer. The risk factors include all except:
When a client has a chest drainage system in place, where should the system be placed?
The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase. Which type is it?
A client and his family facing the end stage of a terminal illness might be best served by:
A client is assessed by the nurse as experiencing a crisis. The nurse plans to:
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
TESTED 23 Nov 2024
