ALL QUESTIONS ASSOCIATED WITH ATI Flashcards

A NURSE IS CARING FOR A CLIENT WHO HAS BEEN APPLYING SILVER SULFADIAZINE CREAM TO A DEEP PARTIAL THICKNESS ARM BURN FOR THE PAST 2 WEEKS. THE NURSE SHOULD MONITOR THE CLIENT FOR WHICH OF THE FOLLOWING ADVERSE EFFECTS?

A NURSE IS CONTRIBUTING TO THE PLAN OF CARE FOR A CLIENT WHO HAS BEEN ADMITTED FOR TREATMENT OF A MALIGNANT MELANOMA OF THE UPPER LEG WITHOUT METASTASIS. THE NURSE SHOULD EXPECT THE PROVIDER TO PERFORM WHICH OF THE FOLLOWING PROCEDURES?

A NURSE IS CARING FOR A CLIENT WHOSE WOUNDS ARE COVERED WITH A HETEROGRAFT DRESSING. IN RESPONSE TO THE CLIENT'S QUESTIONS ABOUT THE DRESSING, THE NURSE EXPLAINS THAT IT IS OBTAINED FROM WHICH OF THE FOLLOWING SOURCES?

A NURSE IS CARING FOR A CLIENT WHO HAS A LESION ON THE BACK OF HIS RIGHT HAND. THE CLIENT ASKS THE NURSE WHICH TYPE OF SKIN CANCER IS THE MOST SERIOUS. WHICH OF THE FOLLOWING RESPONSES SHOULD THE NURSE MAKE ?

A NURSE IS REINFORCING TEACHING WITH A CLIENT WHO HAS BURN INJURIES TO HIS TRUNK ABOUT WHAT TO EXPECT FROM THE PRESCRIBED HYDROTHERAPY. WHICH OF THE FOLLOWING STATEMENTS BY THE CLIENT INDICATES AN UNDERSTANDING OF THE TEACHING?

A NURSE IS ASSISTING WITH THE ADMISSION OF A CLIENT WHO IS BEDRIDDEN AND WAS ADMITTED FROM HOME. THE NURSE NOTES A SHALLOW CRATER IN THE EPIDERMIS OF THE CLIENTS SACRAL AREA. THE NURSE SHOULD DOCUMENT THAT THE CLIENT HAS A PRESSURE ULCER AT WHAT OF THE FOLLOWING STAGES?

A NURSE IS ASSISTING WITH THE CARE OF A CLIENT WHO IS IN THE RESUSCITATION PHASE FOLLOWING A MAJOR BURN. WHICH OF THE FOLLOWING LABORATORY FINDINGS SHOULD THE NURSE EXPECT.

A NURSE IS COLLECTING DATA FROM A CLIENT WHO SUSTAINED SUPERFICIAL PARTIAL THICKNESS AND DEEP PARTIAL THICKNESS BURNS 72 HOURS AGO. WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE REPORT TO THE PROVIDER?

A NURSE IS ASSISTING WITH THE DEVELOPMENT OF A PROGRAM TO EDUCATE CLIENTS ABOUT MEASURES TO REDUCE THE RISK OF SKIN CANCER. WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE NURSE INCLUDE.

A NURSE IN A PROVIDERS OFFICE IS CARING FOR A CLIENT WHO HAS A NEW DIAGNOSIS OF HERPES ZOSTER. THE NURSE SHOULD ANTICIPATE A PRESCRIPTION FOR WHICH OF THE FOLLOWING MEDICATIONS?

A NURSE IS ASSISTING WITH THE DEVELOPMENT OF AN EDUCATION SESSION ABOUT MALIGNANT MELANOMA FOR A GROUP OF CLIENTS. THE NURSE SHOULD INCLUDE THAT WHICH OF THE FOLLOWING CLIENTS HAS AN INCREASED RISK FOR DEVELOPING MALIGNANT MELANOMA

A NURSE IS COLLECTING DATA FROM A CLIENT WHO HAS AN ARM LESION. WHICH OF THE FOLLOWING CHARACTERISTICS IS A CLINICAL MANIFESTATION OF A MALIGNANT MELANOMA

A NURSE IS REINFORCING DISCHARGE TEACHING WITH A CLIENT WHO IS POSTOPERATIVE FOLLOWING A SURGICAL EXCISION OF A BASAL CELL CARCINOMA. WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE INCLUDE AS AN INDICATION OF MALIGNANCY OF A MOLE?

A NURSE IS REINFORCING TEACHING WITH A CLIENT WHO IS WHEELCHAIR BOUND AND HIS CAREGIVER ABOUT WAYS TO REDUCE THE RISK OF PRESSURE ULCER FORMATION. WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE NURSE INCLUDE?

A NURSE ON A SURGICAL UNIT IS CARING FOR FOUR CLIENTS WHO HAVE HEALING WOUNDS. WHICH OF THE FOLLOWING WOUNDS SHOULD THE NURSE EXPECT TO HEAL BY PRIMARY INTENTION?

PRIMARY INTENTION

A NURSE IS REINFORCING TEACHING WITH A CLIENT WHO HAS A LARGE WOUND HEALING BY SECONDARY INTENTION. THE NURSE SHOULD INSTRUCT THE CLIENT THAT WHICH OF THE FOLLOWING NUTRIENTS PROMOTES WOUND HEALING?

A NURSE IS CARING FOR AN ADOLESCENT CLIENT WHO HAS BURN WOUNDS ON HER FACE AND HANDS. WHICH OF THE FOLLOWING STATEMENTS BY THE CLIENT INDICATES THAT SHE HAS ADAPTED TO HER CHANGED BODY IMAGE?

A NURSE IS OBSERVING THE SKIN OF A CLIENT WHO HAS FROSTBITE. THE CLIENT HAS A SMALL BLISTER THAT CONTAIN BLOOD AND THE SKIN OF THE AFFECTED AREA DOES NOT BLANCH. THE NURSE SHOULD CLASSIFY THIS INJURY AS WHICH OF THE FOLLOWING?

A NURSE IN A PROVIDERS OFFICE IS COLLECTING DATA FROM A CLIENT WHO HAS SKIN LESIONS. THE NURSE NOTES THAT THE LESIONS ARE 0.5CM (0.20IN) IN SIZE, ELEVATED, AND SOLID, WITH VERY DISTINCT BORDERS. THE NURSE SHOULD DOCUMENT THE FINDINGS AS WHICH OF THE FOLLOWING SKIN LESIONS?

A NURSE IN AN URGENT CARE CLINIC IS CARING FOR A CLIENT WHO HAS A SNAKEBITE ON HER ARM. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE?

THE HEALTH CARE PROVIDER HAS ORDERED ORAL GRISEOFULVIN OF TINEA CAPITIS. THE PATIENT'S MOTHER ASKS THE NURSE WHY AN ORAL MEDICATION IS USED RATHER THAN A CREAM. WHAT INFORMATION SHOULD BE PROVIDED BY THE NURSE?

THE NURSE IS CARING FOR A PATIENT WITH AN OPEN SKIN LESION. WHAT IS THE PATIENT GOAL WITH HIGH PRIORITY?

WHAT ASSESSMENT SHOULD THE NURSE REPORT TO THE HEALTH CARE PROVIDER IMMEDIATELY FOR AN ADULT PATIENT WITH PARTIAL THICKNESS BURNS OVER 25% OF HIS BODY?

A PATIENT HAS A RASH ON HER BACK THAT BEGAN ABOUT 10 DAYS AGO WITH A RAISED, SCALY BORDER AND A PINK CENTER. NOW SHE HAS A SIMILAR ERUPTION ON BOTH SIDES OF HER BACK. WHAT CONDITION MIGHT SHE HAVE?

A PATIENT COMPLAINS OF A BURMNING PAIN ON HIS LOWER THORACIC AREA. ON INSPECTION, THE AREA IS FOUND TO BE ERYTHEMATOUS AND EDEMATOUS WITH A CLUSTER OF VESICLES. WHAT CONDITION IS MOST LIKELY TO BE DIAGNOSED?

A PATIENT STATES THAT HE HAS BASAL CELL CARCINOMA AND IS GOING TO DIE. WHEN PLANNING THE BEST RESPONSE TO MAKE, THE NURSE SHOULD INCLUDE WHAT KNOWLEDGE?

IT IS IMPORTANT TO TEACH A PATIENT THE WARNING SIGNS OF SKIN CANCER. WHICH CHARACTERITICS OF A NEVUS IS A WARNING SIGN OF SKIN CANCER?

A PATIENT HAS AN INHALATION BURN INJURY. WHICH IS A MEDICAL EMERGENCY?

WHAT METHOD OF ASSESSING BURN SIZE APPLIES ONLY TO ADULTS?

THE NURSE JUST FINISHED AN ASSESSMENT FOR A PATIENT WITH SYSTEMIC LUPUS E. WHAT CLINICAL MANIFESTATION WOULD THE NURSE EXPECT TO FIND?

THE HEALTH CARE PROVIDER HAS SCHEDULED A DEBRIDEMENT FOR A PATIENT WHO HAS PARTIAL THICKNESS BURNS ON HIS CHEST AND RIGHT UPPER LEG. WHICH NURSING INTERVENTION IS MOST IMPORTANT?

A PATIENT IS ADMITTED WITH PARTIAL AND FULL THICKNESS BURNS ON HIS RIGHT LOWER EXTREMITY. WHAT IS LIKELY TO BE INCLUDED IN THE PLAN OF CARE INITIALLY?

A PATIENT IS ADMITTED WITH PARTIAL THICKNESS BURNS ON HIS UPPER CHEST AND FACE. WHAT IS THE MOST IMPORTANT THING FOR THE NURSE TO MONITOR IN THE PATIENT ON ADMISSION?

WHAT SHOULD BE INCLUDED IN THE ASSESSMENT OF A PATIENT WITH AN ELECTRICAL BURN?

A PATIENT IS ADMITTED WITH HERPES ZOSTER. THE HEALTH CARE PROVIDER ORDERS AN ANTIVIRUL MEDICATION TO SLOW THE PROGRESSION OF THE VIRUS. WHICH MEDICATION WITH THE NURSE ADMINISTER?

A PATIENT HAS BEEN DIAGNOSED WITH SCABIES. WHAT WILL THE NURSE ANTICIPATE TO ASSESS WITH THIS PATIENT?

AN ADOLESCENT PATIENT IS SEEN IN THE CLINIC WITH A MILD CASE OF ACNE. WHAT DOES THE NURSE EXPECT TO ASSESS?

A PATIENT WITH THERMAL BURNS OVER 30% OF HIS BODY HAS MAINTAINED A URINARY OUTPUT OF 250 ML FOR THE PAST 8 HOURS. WHAT CAN THE NURSE INFER FROM THIS INFORMATION?

A PATIENT TELLS THE NURSE SHE HAS NOT GONE OUT OF THE HOUSE FOR WEEKS BECAUSE SHE COULD NOT COVER LESIONS ON HER FACE WITH MAKEUP. WHAT WOULD BE AN APPROPRIATE PATIENT PROBLEM?

WHEN TEACHING A PATIENT TO CARE FOR HERPES ZOSTER LESIONS AT HOME, WHAT IS THE MOST IMPORTANT INSTRUCTION FOR THE NURSE TO PROVIDE?

THE NURSE IS REVIEWING THE HISTORY FOR A PATIENT WHO HAS BEEN ADMITTED WITH CELLUITIS. WHAT CONDITIONS WOULD PREDISPOSE THE PATIENT TO CELLULITIS?

A PARENT TELLS THE DERMATOLOGISTS THAT HER DAUGHTER SEEMS TO BE LOOSING INTEREST IN SCHOOL/ WHICH MEDICATION COULD HAVE CAUSED THE PATIENTS CHANGE IN BEHAVIOR

AN AFRICAN AMERICAN PATIENT IS SEEN WITH IMPENDING SHOCK AFTER AN ACCIDENT. HOW WOULD THE NURSE EXPECT THE SKIN TO APPEAR DURING THE ASSESSMENT OF THE PATIENT?

THE NURSE PLANNING THE CARE FOR A PATIENT WHO HAS IMPETIGO EXPECTS TO ADMINISTER WHAT TOPICAL DRUG TO THE PATIENT ?

WHEN TEACHING HOME CARE TO A PATIENT WITH RECURRENT GENITAL HERPES INFECTION. IT IS IMPORTANT TO INCLUDE WHAT INFORMATION?

A NURSE IN A DEMATOLOGY CLINCIC IS USING THE ABCDE METHOD WHILE SCREENING SEVERAL OF A CLIENTS SKIN LESIONS FOR SKIN CANCER. WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE REPORT TO THE PROVIDER

A NURSE IS ASSISTING WITH THE DEVELOPMENT OF A PROGRAM TO EDUCATE CLIENTS ABOUT MEASURES TO REDUCE RISK OF SKIN CANCER. WHAT INSTRUCTIONS SHOULD THE NURSE INCLUDE ?

A NURSE IN A PROVIDER'S OFFICE IS COLLECTING DATA FROM A CLIENT WHO HAS SKIN LESIONS. THE NURSE NOTES THAT THE LESIONS ARE 0.5 (0.20 IN) IN SIZE, ELEVATED, AND SOLID WITH DISTINCT BORDERS. THE NURSE SHOULD DOCUMENT THESE FINDINGS AS WHICH OF THE FOLLOWING SKIN LESIONS ?

A NURSE IS SCREENING A CLIENT FOR SKIN CANCER. WHEN REINFORCING TEACHING WITH THE CLIENT ABOUT SKIN CANCER RISK, WHICH OF THE FOLLOWING RISK FACTORS SHOULD THE NURSE INCLUDE ?

A NURSE IS REINFORCING TEACHING WITH A GROUP OF CLIENTS ABOUT SKIN CANCER. THE NURSE SHOULD EXPLAIN THAT BASAL CELL CARCINOMA ORIGINATES FROM WHICH OF THE FOLLOWING TISSUES?

A NURSE IS CARING FOR AN ADOLESCENT CLIENT WHO HAS BURN WOUNDS ON HER FACE AND HANDS. WHAT STATEMENT BY THE CLIENT INDICATES THAT SHE HAS ADAPTED TO HER CHANGED BODY IMAGE?

A NURSE IS REINFORCING TEACHING WITH A CLIENT WHO HAS A LARGE WOUND HEALING BY SECONDARY INTENTION. THE NURSE SHOULD INSTRUCT THE CLIENT THAT WHICH OF THE FOLOOWING NUTRIENTS PROMOTES WOUND HEALING

A NURSE IS ASSISTING WITH THE ADMISSION OF A CLIENT WHO IS BEDRIDDEN AND WAS ADMITTED FROM HOME. THE NURSE NOTES A SHALLOW CRATER IN THE EPIDERMIS OF THE CLIENTS SACRAL AREA. THE NURSE SHOULD DOCUMENT THAT THE CLIENT HAS A PRESSURE ULCER AT WHICH OF THE FOLLOWING STAGES?

A NURSE IS CARING FOR A CLIENT WHO HAS BEEN APPLYING SILVER SULFADIZINE CREAM TO A DEEP PARTIAL THICKNESS ARM BURN FOR THE PAST 2 WEEKS. THE NURSE SHOULD MONITOR THE CLIENT FOR WHICH OF THE FOLLOWING ADVERSE EFFECTS

A NURS EIN A PROVIDERS OFFICE IS CARING FOR A CLIENT WHO HAS A NEW DIAGNOSIS OF HERPES ZOSTER. THE NURSE SHOULD ANTICIPATE A PRESCRIPTION FOR WHICH OF THE FOLLOWING MEDICATIONS

A NURSE IS CARING FOR A CLIENT WHO HAS A DEEP PARTIAL AND FULL THICKNESS BURN AND REQUIRES A TOPICAL ANTIMICROBIAL DRUG. THE GOAL OF THIS MEDICATION THERAPY IS TO REDUCE WHICH OF THE FOLLOWING OUTCOMES

A NURSE IS CARING FOR A CLIENT WHO WOUNDS ARE COVERED WITH A HETEROGRAFT DRESSING. IN RESPONSE TO THE CLIENTS QUESTIONS ABOUT THE DRESSING THE NURSE EXPLAINS THAT IT IS OBTAINED FROM WHICH OF THE FOLLOWING SOURCES

A NURSE IS CONTRIBUTING TO THE PLAN OF CARE FOR A CLIENT WHO HAS BEEN ADMITTED FOR THE TREATMENT OF A MALIGNANT MELANOMA OF THE UPPER LEG WITHOUT MESTASIS. THE NURSE SHOULD EXPECT THE PROVIDER TO PERFORM WHICH OF THE FOLLOWING PROCEDURES ?

A NURSE IS ASSISTING WITH THE CARE OF A CLIENT WHO IS IN THE RESUSCITATION PHASE FOLLOWING A MAJOR BURN. WHICH OF THE FOLLOWING LAB FINDINGS SHOULD THE NURSE EXPECT

A NURSE IS COLLECTING DATA FROM A CLIENT WHO IS 3 DAYS POST OP FOLLOWING ABDOMINAL SURGERY. THE CLIENTS INCISION I SLIGHTLY EDEMATOUS, APPEARS PINK WTH CRUSTING ON THE EDGES AND IS DRAINING SERISANGUINOUS FLUID. WHICH OF THE FOLLOWING STATEMENTS DESCRIBES THIS INCISION?

A NURSE IS ASSISTING WITH PLANNING CARE FOR A CLIENT WHO HAS DEEP PARTIAL THICKNESS AND FULL THICKNESS THERMAL BURNS OVER 40 PERCENT OF HIS TOTAL BODY SURFACE. THE FOLLOWING INTERVENTIONS SHOULD SHOULD THE NURSE INCLUDE IN THE PLAN

A NURSE IS CARING FOR A CLIENT WHO HAS SMOKE INHALATION AND FULL THICKNESS BURNS COVERING 63 PERCENT OF HER BODY. WHICH OF THE FOLLOWING NURSING ACTIONS IS THE NURSES PRIORITY ?

A NURSE IS COLLECTING DATA FROM A CLIENT WHO SUSTAINED SUPERFICIAL PARTIAL THICKNESS AND DEEP PARTIAL THICKNESS BURNS 72 HOURS AGO WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE REPORT TO THE PROVIDER

A NURSE IN AN URGENT CARE CLINIC IS CARING FOR A CLIENT WHO HAS A SNAKEBITE ON HER ARM. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE?

A NURSE IS CARING FOR A CLIENT WHO HAS A LESION ON THE BACK OF HIS RIGHT HAND. THE CLIENT ASKS THE NURSE WHICH TYPE OF CANCER IS THE MOST SERIOUS. WHICH OF THE FOLLOWING RESPONSES SHOULD THE NURSE MAKE?

A NURSE IS REINFORCING DISCHARGE TEACHING WITH A CLIENT WHO IS POST OP FOLLOWING SURGICAL EXCISION OF A BASAL CELL CARCINOMA. WHICH OF THE FOLLOWING FINDINGS SHOULD THE NURSE INCLUDE AS AN INDICATION OF MALIGNANCY OF A MOLE

A NURSE IS COLLECTING DATA FROM A CLIENT WHO HAS AN ARM LESION. WHICH OF THE FOLLOWING CHARACTERISTICS IS A CLINICAL MANIFESTATION OF MALIGNANT MELANOMA

A NURSE ON A SURGICAL UNIT IS CARING FOR 4 CLIENTS WHO HAVE WOUND HEALING WHICH OF THE FOLLOWING WOUNDS SHOULD THE NURSE EXPECT TO HEAL BY PRIMARY INTENTION

A NURSE IS REINFORCING TEACHING WITH A CLIENT WHO HAS BURN INJURIES TO HIS TRUNK ABOUT WHAT TO EXPECT FROM THE PRESCRIBED HYDRO THERAPY. WHICH OF THE FOLLOWING STATEMENTS BY THE CLIENT INDICATES UNDERSTAND OF THE TEACHING

A NURSE IS OBSERVING THE SKIN OF A CLIENT WHO HAS FROSTBITE. THE CLIENT HAS SMALL BLISTERS THAT CONTAIN BLOOD AND THE SKIN OF THE AFFECTED AREA DOES NOT BLANCH. THE NURSE SHOULD CLASSIFY THIS INJURY AS WHICH OF THE FOLLOWING

A NURSE IS REINFORCING TEACHING WITH A CLIENT WHO IS WHEELCHAIR BOUND AND HIS CAREGIVER ABOUT WAYS TO REDUCE THE RISK OF PRESSURE ULCER FORMATION. WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE NURSE INCLUDE ?

A NURSE IN AN URGENT CARE CLINIC IS COLLECTING DATA FROM A CLIENT WHO HAS EXTENSIVE BURNS, INCLUDING ON HER FACE . WHICH OF THE FOLLOWING DATA SHOULD THE NURSE COLLECT

A NURSE IS CARING FOR A CLIENT WHO HAS REGULAR OCCUPATIONAL EXPOSURE TO SUN LIGHT AND PRESENTS TO THE CLINIC FOR EVAL OF SEVERAL SKIN LESIONS WHICH OF THE FOLLOWING FINDINGS SHOULD ALERT THE NURSE TO THE FOLLOWING FINDINGS SHOULD ALRET THE NURSE TO THE POSSIBILITY OF MALIGNANT MELANOMA?

A COMMUNITY HEALTH NURSE IS TEACHING ABOUT MELANOMA WITH A GROUP OF CLIENTS. WHICH OF THE FOLLOWING CHARACTERISTICS OF LESIONS ASSOCIATED WITH MELANOMA SHOULD THE NURSE INCLUDE INT HE TEACHING?

A NURSE IS REINFORCING DISCHARGE TEACHING ABOUT FOOT CARE WITH A CLIENT WHO HAS DIABETES. WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE NURSE INCLUDE IN THE TEACHING ?

A NURSE IS ASSESSING A PATIENT'S INDWELLING URINARY CATHETER DRAINAGE AT THE END OF THE SHIFT AND NOTES THE OUTPUT IS CONSIDERABLY LESS THAN THE FLUID INTAKE. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE FIRST?

A NURSE IS LIKELY TO RECIEVE AN ORDER FOR URINARY CATHETERIZATION OF A NEWLY ADMITTED PATIENT WHO

A NURSE IS PREPARING TO INSERT AN INDWELLING URINARY CATHETER FOR A FEMALE PATIENT. WHEN BEGINNNING THE INSERTION PROCEDURE, THE NURSE SHOULD INSTRUCT THE PATIENT TO

WHEN PROVIDING PERINEAL CARE FOR A FEMALE PATIENT WHO HAS AN INDWELLING URINARY CATHETER. WHAT AREA SHOULD THE NURSE CLEAN LAST

A NURSE IS PLANNING ON OBTAINING A URINARY SPECIMEN FROM A PATIENTS CLOSED URINARY SYSTEM. IDENTIFY THE SEQUENCE OF STEPS THE NURSE SHOULD TAKE

A NURSE IS APPLYING A CONDOM CAT FOR AN OLDER ADULT PATIENT WHO IS UNCIRCUMCISED. WHAT IS AN APPROPRIATE STEP IN THE PROCEDURE ?

A NURSE WHO IS PREPARING TO INSERT A STRAIGHT URINARY CAT FOR A MALE PATIENT SHOULD

A NURSE IS CARING FOR A PATIENT WHO HAS A TRACH TUBE WITH AN INNER CANNULA IN PLACE. WHAT SUPPLIES SHOULD THE NURSE USE TO DY THE INNER CANNULA OF THE PATIENTS TRACH TUB AFTER CLEANING IT

A NURSE IS PREPARING TO SUCTION SECRETIONS FORM THE MOUTH OF A PATIENT WHO HAS DYSPHAGIA. WHAT IS THE APPROPRIATE SUCTION DEVICE OR METHOD FOR THE NURSE TO USE?

A NURSE IS CARING FOR A PATIENT WHO HAS A TRACHEOSTOMY TUBE IN PLACE. DURING TRACH CARE, WHAT SHOULD THE NURSE PLACE UNDERNEATH THE FLANGES OF THE OUTER CANNULA

A NURSE IS CARING FOR A PATIENT WHO HAS CUFFED ENDOTRACHEAL TUBE IN PLACE. WHAT IS AN APPROPRIATE COMPONENT OF ET TUBE CARE FOR THIS PATIENT

A NURSE IS PREPARING TO PERFORM ENDOTRACHEAL TUBE CARE AND PLANS TO USE TAPE TO SECURE THE TUBE. WHAT IS AN APPROPRIATE PREP ACTION FOR THIS PROCEDURE ?

A NURSE IS SUCTIONING A PATIENTS AIRWAY USING IN LINE SUCTIONING. WHEN USING THIS METHOD IT IS APPROPRIATE FOR THE NURSE TO

A NURSE IS PERFORMING CHEST PHYSIOTHERAPY FOR A PATIENT WHO NEEDS HELP MOBILIZING AND EXPECTORATING THICK PULMONARY SECRETIONS. TO INCREASE THE TURBULENCE OF THE AIR THE PATIENT EXHALES THE NURSE SHOULD USE WHICH TECHNIQUE

A NURSE IS CARING FOR A PATIENT WHO SUSTAINED TRAUMA TO HIS HEAD AND NECK AND WILL REQUIRE LONG TERM AIRWAY SUPPORT. WHAT DEVICE WILL BE REQUIRED FOR HOME HEALTH CARE FOR THIS PATIENT?

STANDARD PRECAUTIONS MANDATE

AFTER COMPLETING A PROCEDURE THAT REQUIRED DONNING PERSONAL PROTECTIVE EQUIPMENT CONSISTING OF A GOWN, N95, A FACE SHIELD AND GLOVES. WHAT SHOULD THE NURSE REMOVE FIRST WHEN REMOVING PPE SEPARATELY

YOU ARE ABOUT TO IRRIGATE A PATIENTS OPEN WOUND. BESIDES GLOVES, WHICH OTHER ITEM OF PPE MUST YOU WEAR?

WHICH PRODUCT CAN AFFECT THE PERMEABILITY OF GLOVES

A CLIENT HAS A HEALTHCARE ASSOCIATED INFECTION (HAI). WHAT BEST DESCRIBES HAI?

YOU ARE CARING FOR A PATIENT DIAGNOSED WITH MYCOPLASMAL PNEUMONIA. DROPLET PRECAUTIONS HAVE BEEN INSTITUTED SO YOU MUST

CONTACT PRECAUTIONS WOULD BE MANDATED FOR A HOSPITALIZED ADULT PATIENT DIAGNOSED WITH

you are washing your hands with non antimicrobial soap and water prior to repositioning a patient in a bed. during the handwashing procedure it is important to?

to decontaminate your hands with an alcohol based gel, you rub them together until all of the gel has evaporated and your hands are dry. the primary reason you do this is that

which of the following is an advantage of using alcohol based gel?

after assisting a newly admitted patient in removing his shoes and outerwear you notice what appears to be soil or grime on your hands you

WHERE DOES HEMATOPOIESIS TAKE PLACE?

THE NURSE IS REPOSITIONING A PATIENT. DURING THE MOVEMENT THE EXTREMITY IS PLACED IN A POSITION AWAY FROM THE MIDLINE OF THE BODY. TO DOCUMENT THIS POSITION, WHAT TERM IS MOST APPROPRIATE

A PATIENT IS SUSPECTED OF HAVING RHEUMATOID ARTHRITIS. WHAT DIAGNOSTIC TESTS MAY BE USED TO SUPPORT THE DIAGNOSIS?

THE NURSE IS REVIEWING THE ASSESSMENT FINDINGS AND MEDICAL HISTORY OF A PATIENT SUSPECTED OF HAVING GOUTY ARTHRITIS. WHAT FINDINGS SUPPORT THE DIAGNOSIS?

A 55 YEAR OLD PATIENT MENTIONS THAT SHE IS POSTMENOPAUSAL AND IS NOT TAKING ESTROGEN SUPPLEMENTS. A REVIEW OF HER NORMAL DIETARY INTAKE INDICATES HIGH CONSUMPTION OF CAFFINE LIMITED DIETARY INGESTION OF CALCIUM. BASED ON HER HISTORY, SHE FACES AN INCREASED RISK FOR WHAT CONDITION?

WHAT ARE APPROPRIATE NURSING INTERVENTION FOR A PATIENT SUFFERING FROM A FRACTURED HIP WITH A BIPOLAR HIP REPAIR?

A PATIENT IS BEING DISCHARGED AFTER A PROSTHETIC HIP IMPLANT. SHE ASKS WHEN SHE CAN BEGIN TO BEAR WEIGHT ON THE AFFECTED LEG. WHAT WOULD THE NURSE RESPONSE BE?

A PATIENT HAS BEEN SEEING THE HEALTH CARE PROVIDER FOR COMPLAINTS OF OSTEOARTHRITIS. TODAY THE PATIENT IS DISCUSSING CONCERNS ABOUT THEIR CONDITION AND ASKS WHAT HAS CAUSE THE OSTEOARTHRITIS. WHAT WOULD BE THE NURSES RESPONSE?

WHEN PROVIDING CARE TO A PATIENT IN SKELETAL TRACTION WHAT ACTION WOULD BE INCLUDED IN THE NURSE'S PLAN OF CARE?

AFTER A FRACTURE OF THE FOREARM OR TIBIA, COMPLAINTS OF SHARP, DEEP, UNRELENTING PAIN IN THE HAND OR FOOT UNRELIEVED BY ANALGESICS OR ELEVATION OF THE EXTREMITY INDICATE WHAT TYPE OF INFECTION?

A PATIENT SUFFERED A KNEE INJURY WHILE PLAYING FOOTBALL. THE PATIENT IS SCHEDULED FOR AN ARTHROSCOPIC EXAM AND ASKS THE NURSE TO EXPLAIN THE PROCEDURE. WHAT INFORMATION WILL BE GIVEN TO THIS PATIENT ?

A PATIENT WITH RA ASKS IF THERE IS A CURE. WHAT WOULD BE THE MOST APPROPRIATE RESPONSE BY THE NURSE ?

A PATIENT IS SCHEDULED FOR ENDOSCOPIC SPINAL MICRO SURGERY TO CORRECT A HERNIATED DISK. WHAT IS THE MOST ACCURATE STATEMENT CONCERNING THIS TYPE OF SURGERY

A PATIENT HAS OSTEOARTHRITIS OF THE KNNEE AND IS SEEKING INFORMATION ABOUT GLUCOSAMINE SUPPLEMENTS. WHAT WOULD BE AN APROPRIATE RESPONSE FROM THE NURSE ?

WHAT IS THE MOST APPROPRIATE NURSING ASSESSMENT FOR THE PATIENT PROBLEM OF INEFFECTIVE TISSUE PERFUSION, SECONDARY TO FRACTURED HIP?

A PATIENT HAS JUST UNDERGONE TOTAL HIP REPLACEMENT. THE PATIENT ASKS WHY SHE CANNOT CROSS HER LEGS WHEN SITTING BUT MUST DO STRAIGHT LEG RAISING EXERCISES. WHAT IS THE MOST CORRECT RESPONSE?

WHICH OBJECTIVE SIGNS WILL THE NURSE FIND DURING THE ASSESSMENT OF A PATIENT WITH COMPARTMENT SYNDROME IN THE LOWER LEG?

A PATIENT HAD A COMPOUND FRACTURE OF HIS RIGHT FEMUR 2 YEARS BEFORE THE PRESENT ADMISSION. HIS HCP SUSPECTS OSTEOPMYELITIS AND HAS INFORMED THE PATIENT THAT TESTS ARE NEEDED TO CONFIRM THE DIAGNOSIS. THE PATIENT WANTS TO KNOW WHAT TESTS CAN BE ORDERED TO DETERMINE OSTEOMYELITIS. AN APPROPRIATE RESPONSE WOULD BE ?

A CONSTRUCTION WORKER SUFFERED A FRACTURE OF THE FEMUR 48 HOURS AGO. THE NURSE NOTICES THAT HE HAS PETECHIAE ON THE CONJUNCTIVA, CHEST , NECK AND AXILLAE. PETECHIAE IN THESE LOCATIONS ARE CONSISTENT WITH WHICH CONDITION?

A NURSE IS COLLECTING DATA FROM A CLIENT WHO IS 24 HR POST OP FOLLOWING AN ABOVE THE ELBOW AMPUTATION. WHAT SHOULD THE NURSE IDENTIFY AS PRIORITY?

A NURSE IS CARING FOR A CLIENT WHO HAD A BELOW THE KNEE AMPUTATION FOR GANGRENE OF THE RIGHT FOOT. THE CLIENT REPORTS SENSATIONS OF BURNING, AND CRUSHING PAIN IN THE TOES OF THE RIGHT FOOT. WHAT STATEMENT SHOULD THE NURSE MAKE ?

A nurses is caring for a client who is 4hr post-op following a laparoscopic cholecystectomy. which of the following findings should the nurse expect?

nurse is assessing client who is experiencing perforation of a peptic ulcer. which of the following manifestations should the nurse expect?

A nurse is assessing a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred?

A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray?

A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings?

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first?

A nurse is preparing a community education program about hepatitis B. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has fulminant hepatic failure. Which of the following procedures should the nurse anticipate for this client?

a nurse is collecting data from a client who is in the early stages of hep a. which of the following manifestions should the nurse expect?

A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75 mL/hr. When the nurse assesses the client at 0800, which of the following findings requires intervention by the nurse?

A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy (EGD). The nurse should identify that this procedure is used to do which of the following?

a nurse is reinforcing teaching with a client who has diverticulitis about preventing acute attacks. what type foods should the nurse recommend?

a nurse is assisting a client who has esophageal varices. the nurse might anticipate a prescription for what medication?

A nurse is teaching a client who has Barrett's esophagus and is scheduled to undergo an esophagogastroduodenoscopy (EGD). Which of the following statements should the nurse include in the teaching?

A nurse in a provider's office is assessing a client who states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis?

A nurse is caring for an older client who has chronic obstructive pulmonary disease with pneumonia. The nurse should monitor the client for Which of the following acid-base imbalances?

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions?

A nurse is providing teaching to a client about pulmonary function tests. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation?

A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following actions should the nurse include in the plan of care?

A nurse in an urgent care clinic is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of inhalation anthrax?

A nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax and significant bruising of the left chest following a motor vehicle crash. The client reports severe left chest pain on inspiration. The nurse should hear which of the following findings when auscultating the clients lung sounds?

A nurse in a clinic is reinforcing teaching with a client who is to have a tuberculin skin test. Which of the following information should the nurse include?

A nurse is assisting with discharge teaching for a client who is postoperative following a rhinoplasty. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who has cystic fibrosis and a prescription for daily chest physiotherapy. The nurse should instruct the client that which of the following is the purpose of these treatments?

A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states I am afraid it will hurt to cough after the surgery. Which of the following statements should the nurse make?

A nurse is collecting data from a client who has a prescription for cisplatin IV to treat lung cancer. Which of the following client findings is an adverse effect of this medication?

A nurse is reinforcing teaching about pursed lip breathing for a client who has COPD and emphysema. The nurse should explain that this breathing does which of the following?

A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse should instruct the client that which of the following positions will be used for this procedure?

A nurse is assisting with the development of a teaching plan about how to prevent an acute asthma attack for a young adult client. Which of the following points should the nurse plan to discuss first?

A nurse on a medical unit is assisting with the care of a client who aspirated gastric contents prior to admission. The provider prescribed 100% oxygen by nonrebreather mask after the client reported severe dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress syndrome?

A nurse is assisting with the plan of care for a client who has COPD and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan?

A nurse on a medical surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. The nurse collects additional data from the client. Which of the following findings is an indication of pulmonary embolism?

a nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. what actions should the nurse take to assist the client with smoking cessation?

A nurse is caring for a client who has pneumonia and is experiencing thick oral secretions. what actions should the nurse take first?

a nurse is reinforcing preop teaching with a client who will undergo a total laryngectomy. what statements should the nurse identify as an indication that the client understands the impact of the surgery?

A nurse on a medical surgical unit is caring for 4 clients. what client should then urse monitor for crepitus?

a nurse is caring for a client for whom the respiratory therapist has just removed the endotracheal tube. what actions should the nurse take first?

a nurse is reinforcing teaching about pursed lip breathing with a client who has COPD and emphysema. The nurse should explain that this breathing technique does which of the following

a nurse is caring for an older adult client who has COPD and pneumonia. the nurse should monitor the client for which of the following acid base imbalances?

a nurse is assisting with the plan of care for a client who is post op following a hip arthroplasty/ in the clients medical record, the nurse notes a history of COPD. What oxygen delivery methods should the nurse recommend to use for this client

a nurse is caring for a client is scheduled to have his chest tube removed. what action should the nurse take ?

a nurse is reinforcing teaching with a client who has cystic fibrosis and a prescription for daily chest physiotherapy. what is the purpose of this treatment.

a nurse is reinforcing discharge teaching with a client who had a pulmonary embolism. what statement should the nurse identify as an indication that the client understands the information?

A nurse is reinforcing discharge teaching about improving gas exchange with a client who has emphysema. what information should the nurse include in the teaching.

a nurse is collecting data about the respiratory status of a client who has COPD. what manifestations should the nurse identify as an indication of the early onset of respiratory failure.

a nurse is collecting data from a client who has a positive TB skin test. which of the following findings should the nurse identify as an indication the the client has active TB ?

a nurse is helping the provider prepare a client for thoracentesis. the nurse should instruct the client that which of the following positions will be used for this procedure.

a nurse is assisting with the care of a client who had a chest tube inserted 12 hours ago. the nurse notes a crackling sensation upon palpation of the skin on the right side of the clients chest. the nurse should notify the charge nurse that the client is demonstrating a clinical manifestation of which of the following complications?

a nurse is preparing to assist a provider in withdrawing arterial blood from a clients radial artery for ABG measurement. what actions should the nurse plan to take?

a nurse is assisting with planning postop education for a client who will undergo radial neck dissection for cancer of the larynx. the nurse should suggest which of the following topics?

a nurse is caring for a client who is post op following a rhinoplasty. what findings should be reported to the surgeon

a nurse is reinforcing teaching about breathing techniques with a client who has emphysema. which of the following statements should the nurse identify as an indication that the client understands the mechanics behind pursed lip breathing?

a nurse is reinforcing discharge instructions with a client who has a new laryngectomy. the nurse should tell the client to be careful while bathing to prevent what complication?

a nurse is reinforcing preop teaching with a client who has lung cancer and will undergo a pneumonectomy. which of the following pieces of information should the nurse include?

a nurse on a med surg unit is caring for a client who is post op following a hip replacement. the client reports feeling apprehensive and restless. the nurse collects additional data from the client. what finding is an indication of pulmonary embolism.

a nurse is caring for a client who has a chest tube. the nurse notes that the chest tube has become disconnected from the chest drainage system. what actions should the nurse take?

a nurse in a providers office is collecting data from a client who reports recent exposure to TB. which of the following findings is a clinical manifestation of pulmonary TB ?

a nurse is caring for a client who had a left lowerr lobectomy to treat lung cancer. what factor has a significant impact on the plan of care for this client?

a nurse in an urgent care clinic is collecting data from a client who reports exposure to anthrax. which of the following findings is an indication of the prodromal stage of inhalation anthrax?

a nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax and significant bruising of the left chest following a motor vehicle crash. the client reports sever left chest pain on inspiration. the nurse should hear what findings when auscultating the client's lung sounds

a nurse is reviewing the lab results of a client who has metabolic alkalosis. which of the following labs values should the nurse expect?

a nurse is reinforcing teaching with a client about pulmonary function tests. which of the following tests measures the volume of air the lungs can hold a the end of max inhalation ?

a nurse in a clinic is reinforcing teaching with a client who is scheduled to have a TB skin test. which of the following pieces of info should the nurse include?

a nurse is reinforcing discharge teaching with a client who has emphysema. which of the following instructions should the nurse take?

a nurse is caring for a client who is experiencing acute opioid toxicity. which of the following actions should the nurse identify as priorty.

a nurse is caring for a client following a right pleural thoracentesis. the nurse measures a total of 35 mL of purulent drainage. what findings indicate a tension pneumothorax?

a nurse on a med surg unit is collecting data from a client who recently transferred from the ICU following endotracheal extubation. which of the following findings should the nurse identify as a possible manifestation of tracheal stenosis and report to the charge nurse

a nurse is collecting data from a client who has pharyngitis. what finding is the nurses priority to report to the provider

a nurse is caring for a client who is extremely anxious and is hyperventilating. the clients ABG results are pH 7.50, PaCO2 27 mmHg and HCO3 - 25 mEq/L. the nurse should identify that the client has which of the following acid base imbalances.

a nurse is reinforcing teaching with a client who has a chronic cough and is scheduled for a bronchoscopy. what statement indicates an understanding of the teaching?

a nurse is assisting with the plan of care for a client who has COPD and is malnourished. which of the following recommendations to promote nutritional intake should the nurse include in the plan of care.

a nurse is assisting a provider with a comprehensive physcial examination of a client. when the provider uses transillumination the nurse should explain to the client that this technique helps evaluate which of the following structures?

a nurse is collecting data from a client who has a precription for cisplatin IV to treat lung cancer. what is an adverse effect of this medication?

a nurse is contributing to the plan of care for a client who is recieving mechanical ventaliation. which of the following recommendations should the nurse make?

a nurse on a medical unit is assisting with the care of a client who aspirated gastric contents prior to admission. the provider prescribed 100 percent oxygen by norebreather mask after the client reported severe dyspnea. what findings is a clinical manifestation of acute respiratory distress syndrome?

a nurse is caring for a client who has a 20 year history of COPD and is recieving oxygen at 2 L/min via nasal cannula/ the client is shortness of breath and has O2 sat via pulse ox of 85%. what actions should the nurse take.

a nurse in a medical surgical unit is assessing a client . the nurse should identify that which of the following findings is a manifestation of pulmonary embolism.

a nurse is reinforcing preop teaching with a client who is scheduled to undergo pneumonectomy. the client states " I am afraid that coughing will hurt after the surgery" what response should the nurse make

a nurse is assisting with the plan of care for a client following placement of a chest tube 1 hour ago/ what action should the nurse include in the plan of care.

a nurse is assisting with discharge teaching for a client who is post op following a rhinoplasty. which of the following instructions should the nurse include?

a nurse is assisting with the care of a client who has a chest tube in place following a thoractomy. which of the following actions should the nurse take?

a nurse is preparing a client for discharge following a bronchoscopy. what assesment is the nurses priority.

a nurse is caring for a client who has a tracheostomy with an inflated cuff in place. which of the following findings indicates that the nurse should suction the clients airway secretions?

a nurse is assiting with preparing a client for a bronchoscopy. which actions should the nurse take?

a nurse is caring for a client who is post op following a thoracic lobectomy. the client has 2 chest tubes in place. 1 in the lower portion of the thorax and the other higher up on the chest wall. when the family asks the nurse why the client has 2 chest tubes, which of the following responses should the nurse make?

a nurse in the PACU is collecting data from a newly admitted client and observes intercoastal retractions and high pitched inspiratory sound. the nurse should identify that these findings are manifestations of which of the following complications?

a nurse is auscultating the lungs of a client who is having an acute asthma attack. which of the following sounds should the nurse expect to hear.

a charge nurse recieves notification of the admission of a client who is coughing frequenly and whose sputum is pink, frothy, and copious . the client has a history of night sweats, anorexia, and weight loss. which of the following actions should the nurse take?

a nurse is caring for a client who has COPD and is experiencing shortness of breath. what action should the nurse take first?

the nurse notes blanching, coolness, and edema at the peripheral IV site. on the basis of these findings, the nurse should implement which actin?

1. remove the iv

2. apply a warm compress

3. check for a blood return

4. measure the area for infiltration

the nurse has recieved the client assignment for the day. which client should the nurse attend to first?

1. the client who has a nasogastric tube attached to intermitten suction

2. the client who needs to receive subq insulin before breakfast

3. the client who is 2 days post op and is complaining of incisional pain

4. the client who has a blood glucose level of 50 mg/dL (2.85 mmol/L and complains of blurred vision

the nurse preps to care for a client on contact precautions who has a hospital acquired infection caused by methicillin resistant staphylococcus aurues. the client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator, which requires frequent suctioning. the nurse should assemble which neccessary protective items before entering the clients room?

1. gloves and gown

2. gloves mask goggles

3. gloves mask gown goggles

4. gloves gown and shoe protectors

a nurse at an opthalmology clinic is collecting data from a client referred by the provider for a potential cataract. which of the following client reports should the nurse recognize is consistent with cataracts?

1. halos when looking at lights
2. loss of peripheral vision
3. bright flashes of light and floaters
4. eyestrain and headache with close work

a nurse is collecting data from an older client who states he is homeless. which of the following findings should the nurse document as comorbidities for the client ?

1. inadequate shelter clothing for the weather
2. malnutrition and poverty
3. dementia and tuberculosis
4. lack of preventive health care and immunizations

a nurse is reinforcing teaching about calcium supplements with an older adult female client who has osteoporosis and a recent pair of a fracture in her right hip. what should the nurse include in the instructions?

a nurse is reinforcing teaching with a group of healthy older adult clients about health screenings after age 50 years. what health screening should the nurse recommend that the clients complete annually?

a nurse is participating on a committee that is developing age appropriate care standards for older adult clients. which of the following of erikson's developmental tasks should the nurse recommend as the focus?

a nurse is reinforcing dietary teaching with an older adult who is on bedrest following development of DVT about methods to increase peristalsis. which of the following high fiber food choices should the nurse recommend?

1. navy bean soup
2. canned fruit juice
3. white rice pudding
4. soy milk

a nurs eat an assisted living center is conducting an orientation session for a group of newly hired AP. what instruction should the nurse include regarding clients who are hearing impaired?

a nurse is assisting with planning care for an older adult client following abdominal surgery for a bowel obstruction. what information about pain management should the nurse include in the plan of care?

a nurse at a long term care facilitiy is assisting with planning care for a group of older adults. when planning care, the nurse should consider that older adult clients are most likely to exhibit a decrease in which of the following?

1. short term memory
2. creative ability
3. decision making skills
4. cognitive capacity

a nurse in a long term care facility is promoting reminiscence among older adult clients. which of the following actions should the nurse take?

a nurse is reinforcing teaching with a newly hired assistive personnel about her role in helping older clients witch adls. the nurse should explain that which of the following is the most common factor that affects a clients ability to perform ADLS?

1. social withdrawal
2. chronic physcial disability
3. emotional impairment
4. cognitive dysfunction

a nurse is assisting with the admission of an older adult client who fell at home 3 days ago. the client has fractured hip, malnutrition, and dehydration. which of the following laboratory values, noted n admission, should indicate to the nurse prolonged manlnutrition?

1. increased sodium
2. decreased albumin
3. increased BUN
4. decreased blood glucose

a nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. which of the following physciologic changes contribute to the development of type 2 diabetes?

1. increased production of insulin by the pancreas
2. decreased sensitivity to the circulating insulin
3. increased rate of glucose metabolism
4. decreased release of gylcogen by the liver

a nurse is caring for an older adult client who has pneumonia. which of the following physiologic changes associated with aging places the client at a greater risk for pneumonia?

1. decreased anterior posterior diameter
2. increased diameter of the small airways
3. decreased number of cilia
4. increased alveolar surface

a nurse is caring fora client who has alzheimers disease and refuses to take her morning antihypertensive med. the client is oriented to name and place and is able to perform adls' with minimal supervision. which of the following actions should the nurse take?

1. crush the pills and feed them to the client in applesauce
2. insist the client comply by informing her of the possible implications of a missing dose
3. notify the provider of the need for further evaluation of the clients level of competence
4. ask the client to express her reasons for refusing the medications and document the event

a nurse is collecting data from an older adult client for signs of dehydration. which of the following findings should the nurse consider an expected pat of the aging process?

1. elevation of urine specific gravity
2. decreased creatinine clearance
3. dry oral mucous membranes
4. poor skin turgor over the sternum

an older adult client tells a nurse at a health fair " I am always forgetting things. I cannot even remember where I parked my car ! Do you think I have alzheimer's disease?" what would be the therapeutic response by the nurse ?

a nurse is reinforcing teaching with a group of older adult female clients who are postmenopausal about dietary requirments. what statement should the nurse make about folic acid?

a nurse is reinforcing teaching with an older adult client who has osteoarthritis of the right hip and lower lumber vertebrae. which of the following statements by the client indicates an understanding of the teaching?

• " I should avoid the use of a heating pad on my back"
• " to relieve the pressure on my hip, I can use a cane while ambulating"
• " I have steriod injections to my joints as the first medication of choice to treat my pain"
• I will exercise if it causes pain"

a nurse is collecting data from an older adult client during an annual physical. which of the following findings should the nurse report to the provider ?

1. BP 118/76 mm Hg
2. fasting blood glucose level of 160mg/dL
3. report of waking to void two to three times per night
4. report of a bowel movement every other day

a nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. the client has a new prescription for alendronate sodium. which of the following findings in the clients history should the nurse recognize is a contraindication to this medication?

1. glaucoma
2. pagets disease
3. esophageal stricture
4. long term corticosteriod use

a nurse is collecting data from an older adult client. which of the following actions should the nurse take to collect subjective data?

1. leave the client a writen questionaire to fill out in private
2. allow sufficient time for the client to respond to the questions
3. talk to family members to obtain the clients health history
4. obtain the health history from the clients medical record

a nurse in the clinic is assessing an older adult client for the second time this week. the client reports a decreased energy level, insomnia, and anorexia. Diagnositic tests are withing the expected reference ranges. For which of the following conditions should the nurse screen the client?

1. sarcopenia
2. dementia
3. depression
4. diabetes

a nurse is contributing to the plan of care for a client who had a stroke. which of the following goals should the nruse identify as the priority for this client?

1. the clients skin will remain intact during hospitalization
2. the client will verbalize one new word each week
3. the client will begin to help turn himself in bed, indicating improved mobilitiy
4. the clients aireway will remain clear, as evidenced by clear breath sounds.

a nurse is planning to administer diphenydramine hydrochloride to an older adult client. which of the following actions should the nurse plan to take prior to administration

1. review the medical record for a client history of glaucoma
2. plan to administer med 30 min prior to a meal
3. explain to the client that he will need to restrict fluid intake once he takes the medicaiton.
4. remind the client that his appetite might increase when starting this medication

a nurse is assisting with the care of an older adult client who has dementia. the client becomes agitated and confused at night and wanders into the hallway. what action should the nurse take?

a nurse is contributing to the plan of care for a client who had a recent stroke and a history of GERD. for which of the following disorders should the nurse plan to monitor this client.

1. duodenal ulcer disease
2. aspiration pneumonia
3. viral pneumonia
4. esophageal varices

a nurse is caring for an older adult client who has gout and refuses to eat. the client's provider has approved the family to bring food from home. what foods should the nurse recommend that the client not eat?

a nurse is caring for an older adult client. which of the following physiologic changes associated with aging can affect medication dosage in this client?

1. increased glomerular filtration rate
2. decreased body fat
3. decreased gastric motility
4. decreased gastric pH

a nurse is reinforcing teaching with an older adult client who has anemia. which of the following foods should the nurse recommend to increase the clients iron intake?

1. greek yogur
2. bran muffin
3. peanut butter sandwhich
4. dried fruit

a nurse is reviewing the medication list of an older adult client upon admission and notes that he is taking fluoxetine for depression. the nurse should identify that fluoxetine can increase the effects of which of the following medications that is also on the clients list

1. levothyroxine
2. gabapentin
3. warfarin
4. nadolol

a nurse is assisting with the admission of an older adult client who is scheduled for surgery. the nurse is completing a medication reconciliation with the clients new admission medication prescriptions. for which of the following situations should the nurse plan to repeat the medication reconcililation process?

1. the provider obtains informed consent from the client for surgery
2. they client returns to the unit from the surgical suite
3. the pharmacy delivers the clients medications to the unit
4. the nurse is preparing to provide change of shift report

a nurse is reviewing the medication list of an older adult client and notes that the client is taking simvastatin for hypercholesterolemia as we as multiple herbal supplements. which of the following supplements indicated on the clients medication list can decrease the effect of this medication?

1. garlic
2. ginkgo biloba
3. glucosamine
4. st johns wort

a nurse is reinforcing discharge teaching with an older adult client who is taking multiple medications. which of the following information should the nurse include in the teaching?

1. " you should keep a medication list that includes only your prescribed medications"
2. " you should compare your medication dose with others taking the same medications "
3. " you should not experience adverse effects unless you begin taking a new medication "
4. "you should consult your provider before taking an herbal supplement "

A nurse is reviewing the laboratory results of an older adult client who is taking multiple medications. which of the following findings could impact the clients ability to distribute medication throughout his system ?

1. hgb 15 g/dL
2. albumin 3.0 g/dL
3. potassium 3.7 mEq/L
4. total cholesterol 188 mg/dL

a nurse is caring for a client who is using a continuous passive motion device following a right total knee replacement. which of the actions should the nurse take when using the CPM device?

a nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing bowel retraining program. which of the following statements should the nurse include in the teaching?

a nurse is reviewing the medical record of an older adult client. for which of the following medications should the nurse request a hearing assessment of the client?

A nurse is reinforcing teaching with an older adult client who is to start taking warfarin. which of the following statements indicates the client understands the teaching?

a nurse is collecting data from an 85 year old client. which of the following findings should the nurse report to the provider?

a nurse at a long term care facility is reinforcing teaching with an older adult client about ambulating with a quad cane. which of the following statements should the nurse include in the teaching?

a nurse is collecting data from an older adult female client. which of the following findings should the nurse identify as a priority ?

a nurse is collecting data from an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. which of the following actions should the nurse take?

a nurse is assisting in the care of a client who is in hypovolemic shock. while waiting for a unit of blood, the nurse should plan to administer which of the following IV solutions?

a nurse is caring for a client who has advanced heart failure. which of the following actions should the nurse take?

a nurse is collecting data from a client who has an abdominal aortic aneurysm

what manifestations should the nurse expect?

a nurse is contributing to the plan of care for a client who has pernicious anemia. which of the following interventions should the nurse recommend?

a nurse is reiforcing discharge teaching with a client who has a new permanent pace maker. which of the following information should the nurse include in the teaching?

a nurse is reinforcing teaching with a client who has anemia and a new prescription for epoetin alfa. what information should the nurse include in the teaching.

a nurse is caring for a client who is post op following a vein ligation and stripping for varicose veins. which of the following actions should the nurse take ?

a nurse is assisting in the care of a client who has abdominal aortic aneurysm and is scheduled for surgery. the clients vital signs are BP 160/98, HR 102/min, RR 22/min and SPO2 95% which of the following actions should the nurse take?

a nurse is collecting data from a client who has a history of peripheral arterial disease. which of the following findings on the clients lower extremities should the nurse expect?

a nurse is collecting data from a client who has a manifestation of aplastic anemia. what findings should the nurse expect?

a nurse is administering a loop diuretic to a client who has a 3+ pitting edema in the lower extremities. what action should the nurse take?

a nurse is assiting the plan of care for an older adult client who is to recieve a unit of packed RBC. what action should the nurse recommend?

a nurse is caring for a client who has a late stage heart failure and is experiencing fluid volume overload. what findings should the nurse expect?

a nurse is assisting in the preparation of a unit of packed red blood cells for a client who has anemia. which of the following actions should the nurse take first?

a nurse is collecting data from a client who has a fluid volume overload resulting from a cardiovascular disorder. which of the following manifestations should the nurse expect?

a nurse is evaluating a clients repeat laborartory results 4 hours after administering fresh frozen plasma. what labs should the nurse review?

a nurse is caring for a client who has hemophilia. the client reports pain and swelling in a joint following an injury,

a nurse is assisting in collecting data from a client who has a history of unstable angina. what should the nurse expect?

a nurse is reinforcing teaching about lifestyle changes with a client who had a myocardial infarction and has a new prescription for a beta blocker. what statement indicates the client understand the teaching?

a nurse is collecting data from a client who has RS HF. what finding should the nurse expect?

a nurse is caring for a client who has heart failure and is lethargic with muscle weakness. the clients telemetry displays dyrhythmias. which of the following lab results should the nurse anticipate?

a nurse is checking lab values for an adult who has sickle cell anemia and is in crisis. which complication should the nurse monitor?

a nurse is assisting in the plan of care for a client who is percutaneous transluminal coronary angioplasty with stent placement. what actions should the nurse anticipate in the postop plan of care?

a nurse is collecting data from a client who reports using fish oil as a dietary supp. which of the following substances in fish oil should the nurse recognize as a health benefit to the client?

a nurse is monitoring a client who is recieving a unit of packed red blood cells following surgery. the client reports itching and has hives 30 minutes after the infusin begins. what action should the nurse take first ?

a nurse is assisting in monitoring a client who had a myocardial infarction. what complication should the nurse monitor the first 24 ?

a nurse is checking for cardiac tamponade on a client who has pericarditis. which of the following actions should the nurse take?

a nurse is collecting data from a client who has pericaditis. what should the nurse expect?

a nurse caring for a patient who has gastric cancer is initiating an infusion of parenteral nutrition via the patients implanted port. which of the following is an appropriate action for the nurse ?

A nurse is caring for a patient who has a central venous catheter. when flushing the catheter, the nurse uses a 10 mL syringe to prevent what complication is associated with central vascular access devices

a nurse is caring for a patient who has a central venous access device in place. what routine measure should the nurse use specifically to prevent lumen occlusion?

an older adult patient who adheres to a regular cardio rehab schedule that includes water aerobics and swimming requires long term central venous access. what cva device is the best choice for allowing him to continue his aquatic program?

a nurse is preparing to obtain a blood sample from a patient who has a triple lumen central catheter in place for multiple therapies. what would be an appropriate action for the nurse to take?

a nurse is caring for a patient who has a central venous catheter and suddenly develops dyspnea, tachycardia and dizziness. the nurse suspects air embolism and clamps the catheter immediately. what position should the patient be placed in?

a patient who sustained trauma from a motor vehicle crash is transported to an emergency department. the provider determines the need for immediate central venous access for fluid and blood replacement and prophyactic antibiotic therapy. what is the appropriate cva device for this patient?

a nurse is preparing to flush a patients peripherally inserted central catheter (PICC) because the patients catheter has a valved tip, the nurse . . .

a nurse finds a patients iv inserting site red, wam and slightly edamtous, which of the following actions should the nurse perform first

a nurse has just initiated a new peripheral IV infusion with 5% dextrose in water continuous infusion. how often should the nurse plan to replace the primary tubing?

a nurse who has just initiated an IV infusion explains to the patient that complications are possible and that she will monitor the infusion regularly. the nurse should teach the patient that which of the following findings is an indication of early infiltration?

a nurse is initiating a peripheral iv infusion punctures the skin and selected vein and observes blood return in the flashback chamber of the IV catheter. what action should the nurse perform next?

which of the following is an important nursing action when converting an IV infusion to a saline lock?

a nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the cat. the nurse should ?

a patient in early stage renal failure is prescribed an infusion of 0.45% sodium chloride. This type of solution is appropriate because it . . .

a nurse is removing an IV cat from a patient who IV infusion has been discontinued. what action is appropriate?

a nurse is discontinuing an iv infusion. for which of the following reasons is it important to verify and document the integrity and condition of the IV cat?

a nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. the nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?

a nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. the nurse should instruct the client that which of the following findings could indicate an adverse to the drug and needs to be reported

a nurse is caring for a client who is taking a diuretic. the nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?

a nurse is teaching a client who has a new prescription for nitroglycerin. the nurse should instruct the client that which of the manifestations is a potential adverse effect of this drug?

a nurse is caring for a client who has a new prescription for dobutamine. the nurse should clarify the prescription with the provider if the client receiving which of the following types of drugs ?

a nurse is caring for a client who has a new prescription for propranolol to treat tachydysrhthmia. the nurse should instruct the client to avoid taking which of the following types of OTC drugs while taking propranolol

a nurse is teaching a client who has a new prescription for quinidine. which of the following statements should the nurse include.

a nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension and confusion. the nurse should identify that these manifestations indicate which of the following adverse effects ?

a nurse is caring for a client who will begin using transdermal NTG to treat angina pectoris. when speaking to the client about the drug, which of the following instructions should the nurse include?

a nurse should recognice that milrinone is contraindicated for a client who has which of the following conditions?

a nurse is teaching a client who has a new prescription for gemfibrozil. which of the following instructions should the nurse include?

a nurse is caring for a client who has glomerular filtration rate of 10 mL/min and a reduced urine output. the nurse should clarify a prescription for hydrocholorthiazide for this client because of which of the following characteristics of the drug?

a nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. the nurse should recognize that this drug combo places the client at an increased risk for which of the following adverse effects.

a nurse is reviewing new prescriptions with a client who has heart disease . the nurse should instruct the client that which of the following drug is prescribed to treat hypercholesterolemia?

a nurse is caring for a client who is taking amiodarone to treat a fib. which of the following should the nurse instruct the client to avoid while taking this drug?

a nurse is caring for a client who is about to begin captopril therapy. which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy?

a nurs eis caring for a client who is taking spironolactone to treat hypertension. the nurse should recognize that which of the following client lab values requires immediate intervention

a nurse is administering hydrochlorothiazide to a client who has gouty arthritis. the nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?

a nurse is caring for a client who has a new prescripition for aliskiren to treat hypertension. the nurse should monitor the client for which of the following findings as an adverse effect of the drug

a nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions ?

a nurse is caring for a client who has a new prescription for verapamil. the nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

a nurse should identify that which of the following drugs is used only for the short term treatment of cardiac dysrhthmia because of the serious adverse effects associated with long term use?

a nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxcity. which of the following drugs should the nurse expect to administer to treat this complication

a nurse is providing teaching to a client who is taking simvastatin. the nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy?

the provider talks with the client about clomiphene therapy. what instruction should the provider include?

what adverse effects does clomiphene cause ?

recognizing the adverse effects of terbutaline, the nurse should monitor the client for what?

what drug should the nurse have available to reverse the adverse effects of terbutaline?

the health care provider instructs the client to monitor for what when a taking conjugated estrogen and medroxyprogesterone acetate to treat postmenopausal vasomotor symptoms?

combination oral contraceptives such as ethinyl estradiol and drospirenone, should be used with caution when a patient has what disorder?

a client is prescribed testosterone to treat testicular failure. the nurse instructs the client to monitor and report what symptom?

a client is prescribed finasteride to treat bph. when providing instruction about finasteride, the nurse should include which of the following information?

what medication should a health care provider question the use of when using sildenafil to treat erectile dysfunction?

a client is prescribed clomiphen for infertility. the hcp instructs the client to monitor for what?

for rapid relief of urinary obstruction due to prostatic enlargment, the hcp should choose what drug?

the hcp administers oxytocin for induction of labor. the hcp should monitor what order to assess for an adverse effect to oxytocin

a nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. the nurse should identify that hyperthyroidism is a contraindication of what drug?

a nurse is caring for a client who missed a dose for her oral contraceptive. what instruction should the nurse give?

a nurse is caring for a client who is taking a combo oral contaceptive ehtinyl estradiol and drospirenone and is about to begin taking rifampin to treat TB . what instruction should the nurse give the client do to possible drug interactions ?

a provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is 40 weeks gestation. when administering dinoprostone, what actions should the nurse take

after administering terbutaline to a client to inhibit preterm labor, the nurse should asses what?

a nurse is providing teaching to a client about using leuprolide to treat endometriosis. what instruction should the nurse include?

a nurse is assessing a client who has a new prescription for the combo oral contraceptive ethinyl estradiol and drospirenone. what findings should the nurse identify as a contraindication to use of this medication?

a nurse is caring for a client who is about to begin taking cabergoline to treat infertility. the nurse should explain that the client needs to monitor which of the following labs ?

a nurse is caring for a client who received human menopausal gonadotropin what should the nurse expect to find?

a nurse is providing safety education to a client who is scheduled to begin treatment for BPH. what instructions should the nurse include in the teaching?

a nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. what instruction should the nurse include?

a nurse is caring for a client who has a new prescripition for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. what therapeutic effects should the nurse explain to the client

a nurse is caring for aclient who has a new prescription for conjugated equine estrogen. the nurse should instruct the client to report which indication of a serious adverse reaction?

a nurse is preparing to administer finasteride to a client who has bph. what precaution should the nurse plan to take when administering this drug?

a nurse is assessing a client who has a new prescription to oxybutynin to treat neurogenic bladd. what assessment finding should the nurse identify as an adverset effect?

a nurse is caring for a client who is about to begin cloiphene therapy to treat infertility. the nurse should monitor the client for which of the following adverse effects ?

a nurse should question the use of conjugated equine estrogen by a client who has a history of what?

a nurse is providing teaching to a client who is taking bethanechol for urinary retention. what instructions should the nurse include

a nurse is teaching a client about conjugated estrogen and medroxyprogesterone. what instructions should the nurse include?

a nurse is teaching a client who has a prescription for a testosterone transdermal patch. what statement indicates the client understand the teaching ?

the nurs eis caring for a client who is about to begin taking finasteride to treat BPH the nurse should explain to the client that monitoring which lab is important?

a nurse is teaching a client about receiving leuprolide to treat endometriosis. the nurse should instruct the client to expect what side effect?

a nurse is caring for a client who has BPH and is taking tamsulosin. the nurse should question the use of the drug if the client also has

a nurse should question the use of estadiol and drospirenone by a client who has a renal disease due to increased risk of what?

a nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. what instruction should the nurse give the client?

a nurse is talking with a client who is about to start taking NTG oral, sustained release capsuls. what should the instructions include?

a nurse is caring for a client who has a prescription for metoprolol. the nurse measures the clients vital signs and notes that the apical hr is 49/min the nurse should prepare to administer which of the following ?

a nurse is caring for a client who has heart failure notices that the client did not receive his scheduled dose of furosemide. when filling out an incident report about the occurrence, which oft he followig information should the nurse include?

a nurse is reinforcing teaching a client who has a new prescription for transfermal NTG to treat angina. the nurse should include what instructions?

a nurse is reinforcing discharge teaching with a client prescribed verapamil to treat angina what should be the nursing instructions

a nurse at a providers office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. the client reports fatigue and feeling overwhelmed by personal responsibilities. which of the following findings should the nurse identify as an indication the provider might need to increase the clients dosage?

a nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. which of the following instructions should the nurse include?

a nurse caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. the nurse should explain to the client about the need to monitor which of the follow laboratory values

a nurse is caring for a client who is about to begin taking Propulthiouracil PTU to treat hyperthyroidism. the nurse should instruct the instruct the client to report which of the following adverse effects

a nurse is teaching a client about self administering regular insulin. the nurse should instruct the client to rotate injection sites to prevent which of the following

a nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine containing contrast dye. the nurse should identify that an interaction between metformin and the IV contrast dye increases the clients risk for which of the following conditions?

a nurse is providing teaching to a client about taking fludrocoritsone to treat adrenocortical insufficiency. which of the following instructions should the nurse include?

a nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes and who also has what?

a nurse is teaching a client who is about to begin levothyroxine therapy to treat hypothyroidism. which of the following instructions should the nurse include?

a nurse is caring for a client taking PTU and reports weight gain, drowsiness and depression. the nurse should identify that the client is experiencing which of the following adverse reactions

a nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. which of the actions should the nurse instruct the client to take?

a nurse is assessing a client who has a new prescription for levothyroxine the nurse should identify which of the following findings as a contraindication

a nurse is educaton the parent of a child who has Prader willi syndrome and has been prescribed somatropin. which of the following statements by a parent indicates understanding of the teaching?

a nurse is teaching a client who has a prescription for glipizide what instruction should the nurse include

a nurse is teaching a client about acarbose to treat 2 diabetes. which of the following instructions should the nurse include?

a nurse is caring for a client who is about to begin insulin glargine therapy. the nurse should identify the need for additional precautions because the client also takes which drugs ?

a nurse is caring for a client who is begin taking somatropin. the nurse should explain the need to monitor which of the following lab values?

a nurse is caring for a client who takes repaglinide 15 to 30 minutes before each meal to treat type 2 DM. the client asks if i skip a meal what should i do? which of the following responsese should the nurse make?

a nurse is teaching a client who has a prescripiton for pramlinitide therapy to treat type 1 DM. which of the following instructions should the nurse include?

which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?

a nurse is caring for a client who is taking metformin to treat type 2 dm and reports muscle pain. which of the following adverse reactions should the nurse suspect?

a nurse is caring for a client who is taking desmopressin. the nurse should make whihc of the following assessments to evaluate the drugs effectiveness?

when considering replacement therapy options for a client who has chronic adrenocoritcal insufficiency, a nurse should recognize the provider will choose which drug?

a nurse administers pramlintide at 0800 to a client who has type 1 DM. at which of the following times should nurse expect the drug to exert its peak ?

a nurse is caring for a client who is taking pioglitazone to treat type 2 dm. the nurse should monitor for which of the following findiings ?

a nurse is caring for a male client who has an upper urinary tract infection. the nurse should identify that the infection is in which of the following portions of the urinary tract

a nurse is reinforcing teaching with a client who has a urinary tract infection and a prescription for cipro. which of the following instructions should the nurse include?

a nurse is assisting with the development of plan of care for a client who has cystitis. which of the following interventions should the nurse include in the plan of care?

a nurse is reviewing the medical record of an older adult male client. the nurse should identify that which of the following findings place the client at risk for developing a uti?

a nurse is collecting data from a client who has urosepsis. which of the following findings should the nurse expect?

a nurse is caring for a client who has a new prescription for maraviroc therapy. the nurse should instruct the client to report which of the following adverse effects?

a nurse should recognize that realtegravir is used to treat clients who have which of the following conditions?

a nurse is caring for a client who has a prescription for cisplatin to treat testicular cancer. the nurse should instruct the client to report which of the following adverse effects?

a nurse is teaching a client about recommended immunizations. which of the following immunizations should the nurse recommend the client receive starting 50 years of age?

a nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug?

a nurse is teaching a client about maraviroc. which of the following instructions should the nurse include?

a nurse is teaching a guardian of a child about the recommended age range to recieve the hpv vaccine which of the following age ranges should the nurse include?

A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include?

A nurse is instructing a client how to self- administer enfuvirtide. Which of the following instructions should the nurse include?

a nurse is teaching about immunizations . which of the following information should the nurse include in the teaching?

a nurse is teaching a client who has a new prescription imatinib to treat chronic myeloid leukemia. which of the following instructions should the nurse include?

a nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditons?

a nurse is caring for a client who has a new prescription for ritonavir and zidovudine is prescribed with ritonavir for which of the following reasons?

a nurse is preparing to administer enfuvirtide to a client. which of the following actions should the nurse plan to perform?

a nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV 1. the nurse should instruct the client to report which oft he following adverse reactions to the drug?

A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take. (Select all that apply).

A nurse is teaching the guardian of a 4- month- old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include?

A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity?

A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse reaction to the drug.

A nurse is caring for a client who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider?

A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity?

A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen?

A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following types of over-the-counter drugs while receiving the therapy?

A nurse should recognize that maraviroc is used in the treatment of which of the following conditions?

A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe?

THE LPN IS OBSERVING THE CLIENTS CARDIAC RHYTHM ON THE MONITOR SCREEN AND NOTES THAT THERE IS AN ADDITIONAL PROMINENT WAVE FOLLOWING EACH T WAVE AND SUSPECTS THE PRESCENCE OF U WAVES. WHAT ACTIONS SHOULD THE LPN TAKE?

what are some causes of Fluid Volume Deficit ?

suspected data for a client with fluid volume deficit?

interventions for fluid volume deficit?

a client with kidney damage or failure is at high risk for what?

possible causes of fluid volume excess ?

Objective and Subjective data collection for a client who is experiencing fluid volume excess?

interventions for a client who is experiencing fluid volume excess?

what type of diet should a person experiencing fluid volume excess be on?

HYPOkalemia

food sources for potassium

causes of hypokalemia

s/s of HYPOkalemia

a nurse is caring for a group of clients who have mobility issues. which of the following clients is at the greatest risk for a complication?

1. a 3 year old client who has a burned foot
2. an 80 year old client who has a fractured hip
3. a 30 year old client who has a cast applied for a fractured ankle
4. a 42 year old client who has an indwelling urinary catheter

a nurse manager has established staff nurse committees to address unit issues, instituted an open door policy for talking about concerns, and supported the professional development of all staff members. which of the following leadership is this nurse manager?

1. Laissez- faire
2. autocratic
3. democratic
4. transformational

an experienced nurse is serving as a mentor to a newly licensed nurse. which of the following actions should the mentor perform?

1. establish a set of goals for the newly licensed nurse to achieve
2. establish a set timeframe with the newly licensed nurse for the mentorship
3. serve as a guide and teacher for the newly licensed nurse in an established relationship
4. develop a program of study for for the newly licensed nurse to follow

a nurse on a medical surgical unit is planning for a group of clients. which of the following clients should the nurse attend to first?

1. a newly admitted client who is scheduled to have an indwelling urinary catheter inserted
2. a client who has kidney stones and reports flank pain of 6 on a scale of 0 to 10
3. a client diagnosed with early stage chronic kidney disease who has a serum creatinine level of 2.0 mg/dl
4. a client who has a cast newly applied on the forearm and reports tingling of the fingers

a nurse is a member of a quality improvement committee seeking to reduce the risk of adverse events in a health care facility. when reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event? \

1. paralysis of a clients lower extremeties occurred following epidural anesthesia
2. a client fall during ambulation did not result in client injury
3. a complaint that a nurse was culturally insensitive was made by a client's family member
4. surgery to the wrong site was stopped prior to a procedure.

a nurse in an urgent care facility is preparing to administer a stat dose of medication to a toddler who is accompanied by their parent. the child is not wearing an identification band. How should the nurse identify the client?

1. ask the child to say their name
2. say the childs name and ask them if that is correct
3. ask the parent to identify the child by name
4. hold the medication until the child receives an id band

a nurse is reviewing a new prescription by a provider. the nurse should verify that which of the following components of a prescription are present? Select all that apply

1. dat and time of prescription
2. client's diagnosis
3. dosage of medication
4. route of administration
5. generic name of medication
6. providers signature

A nurse receives a telephone prescription from a provider. The provider states " administer three-tenths of a milligram of nitroglycerin orally to the client." How should the nurse trasncribe "three-tenths of a milligram" on the MAR?

1. .3 mg
2. 3/10's mg
3. 0.30 mg
4. 0.3 mg

a nurse is preparing to administer medication to the client. which of the following should the nurse use to identify the client? select all that apply

1. client's telephone number
2. client's place of birth
3. client's hospital room number
4. client's photograph
5. client's assigned id number

a nurse is asked to administer a medication to a client because a coworker must help with an emergency. the coworker gives the nurse a syringe labeled furosemide 20 mg. the label also includes the client's name and hospital id number. which of the following responses by the nurse is appropriate?

1. "I'll go and give the medication to the client right away"
2. "go with me to identify the client properly, and then i'll give the medication for you"
3. "you should ask the charge nurse to administer the medication"
4. I'll go help with the emergency situation while you administer the medication"

a nurse is administering medications to a client. which of the following actions should the nurse perform during the planning step of the nursing process?

1. identify client allergies
2. calculate the dose
3. explain the purpose of the medication to the client
4. observe the adverse effects of the medication
5. verify the dose

a charge nurse is explaining her understanding of quality improvement to a newly hired LVN. which of the following statements by the newly hired nurse requires further teaching?

1. " the joint commission mandates that accredited agencies have quality improvement programs
2. quality improvement measures the degree to which an agency has met a criterion
3. nurses who provide direct care are an integral component of the quality process

magnet recognition program

which of the following is an iatrogenic risk factor that can increase a client's risk for falls ?

1. decreased visual acuity
2. urinary urgency or nocturia
3. type and number of medications prescribed for the client

a charge nurse receives notification of the admission of a client who is coughing frequently and whose sputum is pink, frothy, and copious. the client has a history of night sweats, anorexia, and weight loss. which ofthe following actions should the nurse take?

1. assign the client to a private room with negative pressure airflow
2. add contact precautions to the clients plan of care
3. wear n95 respirator when entering the client's room
4. ensure the clients enviornment provides 4 exchanges of fresh air per minute
5. institute protective environment precautions as soon as the client arrives?

a nurse is assisting with the plan of care for a client who has cushings syndrome due to chronic corticosterioid use. which of the folllowing actions should the nurse include in the plan of care?

1. check the clien'ts blood glucose for hypoglycemia
2. check for hypertension
3. weight the client weekly
4. insert an indwelling catheter

a nurse is collecting data from a client who has pericarditis. which of the following manifestations should the nurse expect?

1. bradycardia
2. relief of chest pain with deep inspiration
3. dyspnea
4. chest pain that increases when sitting upright

a nurse collecting data from a client who has a closed head injury and is receiving mannitol for manifestations of increase intracranial pressure. which of the following findings indicates the medication is having a therapeutic effect?

1. the clients urine output is 250mL
2. the clients pupils are dilated
3. the clients heart rate is 56/min
4. the client is restless

a nurse is reinforcing discharge teaching with a client who is postoperative following a right mastectomy for breast cancer. the client will be going home with 2 jackson pratt drains. which of the following peices of information should the nurse include in the teaching?

1. cloudy drainage is normal
2. showering is permitted before the drainage tubes are removed
3. avoid wearing deodorant until the drains are removed and incision heals
4. do not begin exercising the arm until the provider removes the drainage tubes.

a nurse is caring for a client who has just returned from the surgical suite following a right nephrectomy. which of the following indicates that the client is meeting successful short term goal following this procedure ?

1. the client requests pain medication upon arrival from surgery
2. a chest x-ray shows consolidation in the right lower lobe
3. urinary output is 35 to 50mL hr consistently
4. the client has slight abdominal distention

a nurse is collecting data from a client who is postop following ESWL. the nurse should identify that which of the following findings is the priority?

1. report of palpitations
2. pink-tinged urine
3. bruising on the flank area
4. stone fragements in the urine

a nurse is collecting data from a client who is admitted to the facility for observation following a closed head injury. which of the following data is the priority for the nurse to collect to detect a change in the client's neurological status?

1. vital signs
2. body posture
3. level of consciousness
4. examination of pupils

A nurse is reinforcing teaching about hypoglycemia with a client who has DM. which of the following manifestations should the nurse include?

1. bradycardia
2. diaphoresis
3. deep, rapid respirations
4. palpitations
5. shakiness

a nurse is caring for a client who has lung cancer that has metastasized. which of the following findings indicates the client is developing superior vena cava syndrome?

1. irregular cardiac rhythm
2. numbness in the hands
3. muscle cramps
4. facial edema

a nurse is caring for a client who has 20 year history of COPD and is receiving oxygen at 2 L/min via nasal cannula. the client is dyspneic and has an oxygen sat via pulse ox of 85% which of the following actions should the nurse take ?

1. place a nonrebreather mask on the client and increase the oxygen flow to 3L/min
2. prep the client for possibility of endo intubation and mechanical ventilation
3. increase the oxygen flow and request an arterial blood gas determination
4. position the client supine and administer an antianxiety medication

a nurse is preparing an automated external defib. for a client receiving CPR after a cardiac arrest. which of the following actions should the nurse perform first?

1. press the analyze button on the machine
2. stop CPR and move away from the client
3. push the charge button to prepare to shock
4. apply the defib pads to the clients chest

a nurse is reinforcing discharge teaching with a client who has aplastic anemia. which of the following statements should the nurse identify as an indication that the client understands instructions?

1. I need to stay active to prevent blood clots in my legs
2. if i have a bad headache I can take aspirin to get rid of it
3. i should eliminate uncooked foods from my diet for now
4. i should eat more iron fortified cereal to stregthen my blood

a nurse names 3 objects for the client to remember, asks the client to repeat them, and tells the client he will have to repeat them again in a few minutes. after 5 minutes, the nurse asks the client to name the objects. the nurse is using this strategy to test which type of memory?

a nurse is reinforcing discharge teaching with the partner of a client who has AIDS. which of the following statements by the clients partner indicates further teaching?

1. i will dispose of soiled tissues in a separate plastic bags
2. I'll clean blood spills immediately with hot water
3. I know that handwashing is an important preventive measure
4. i will wash soiled clothes in hot water

during a neurological eval. a nurse asks how the client arrived at the appointment and with whom. which of the following types of memory is the nurse testing?

a nurse is reinforcing teaching about dietary modifications for a client with newly diagnosed with cirrhosis. which of the following foods should the nurse recommend ?

1. grilled chicken
2. potato soup
3. fish sticks
4. baked ham

A NURSE IS REINFORCING DISCHARGE TEACHING TO A CLIENT FOLLOWING OPEN RADICAL PROSTATECTOMY. THE CLIENT IS GOING HOME WITH AN INDWELLING URINARY CAT. WHICH OF THE FOLLOWING STATEMENTS BY THE CLIENT INDICATES UNDERSTANDING OF THE TEACHING ?

1. I WILL BE ABLE TO TAKE A TUB BATH IN 1 WEEK

2. i WILL TAKE ACETAMINOPHEN IF i HAVE ANY PAIN

3. i WILL USE SUPPOSITORIES TO PREVENT CONSTIPATION

4. i WILL REGAIN MY BLADDER CONTROL ONCE THE CATHETER IS REMOVED

A NURSE IS COLLECTING A HEALTH HISTORY FROM A CLIENT WHO HAS SKIN CANCER. WHICH OF THE FOLLOWING CLIENTS HISTORY AT THE HIGHEST RISK FACTOR FOR DEVELOPING SKIN CANCER

1. AGE OVER 60

2. GENETIC PREDISPOSITION

3. LIGHT SKINNED RACE

4. OVER EXPOSURE TO SUNLIGHT

A NURSE IS CARING FOR A CLIENT WHO IS RECEIVING CHEMO TO TREAT CANCER. WHICH OF THE FOLLOWING EFFECTS SHOULD THE NURSE ANTICIPATE FROM THE CHEMO>

1. GINGIVAL HYPERPLASIA

2. HIRSUTISM

3. PANCYTOPENIA

4. WEIGHT GAIN

A NURSE IS CARING FOR A CLIENT WHO HAS LUNG CANCER THAT HAS METASTASIZED. WHICH OF THE FOLLOWING INDICATES THE CLIENT IS DEVELOPING SUPERIOR VENA CAVA SYNDROME?

1. IRREGULAR CARDIAC RHYTHM

2. NUMBNESS IN THE HANDS

3. MUSCLE CRAMPS

4. FACIAL EDEMA

A NURSE IS COLLECTING DATA FROM A CLIENT WHO HAS CANCER AND IS RECEIVING CHEMOTHERAPY BY PERIPHERAL IV INFUSION. THE CLIENT REPORTS PAIN AT THE INSERTION SITE AND THE NURSE NOTES FLUID LEAKING AROUND THE CATHETER. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE FIRST?

1. TAKE A PHOTOGRAPH OF THE PERIPHERAL IV SITE

2. OBTAIN AN RECORD THE CLIENTS VITAL SIGNS

3. STOP THE INFUSION

IDENTIFY ALL MEDICATIONS ADMINISTERED THROUGH THE IV SITE FOR THE PAST 24 HRS

A NURSE IS CARING FOR A CLIENT WHO HAS TESTICULAR CANCER AND IS EXPERIENCING PERIPHERAL NEUORPATHY AS AN ADVERSE EFFECT OF CHEMO. WHICH OF THE FOLLOWING CLIENT MANIFESTATIOS IS AN EXPECTED FINDING OF PERIPHERAL NEUROPATHY?

1. THINNING OF THE SCALP HAIR

2. TINGLING OF THE HANDS AND FEET

3. REDUCED ABILITY TO CONCENTRATE

4. SORES IN THE MUCOUS MEMBRANES

A NURSE IS COLLECTING DATA FROM A CLIENT. WHICH OF THE FOLLOWING FINDINGS IS THE HIGHEST RISK FACTOR FOR DEVELOPING BLADDER CANCER

1. THE CLIENT IS A HAIRDRESSER

2. THE CLIENT USES TOBACCO

3. THE CLIENT IS OVER 60 YEARS

4. THE CLIENT HAS FREQUENT UTIS

A nurse is planning care for client who has cancer and has developed thrombocytopenia following chemotherapy. Which of the following precautions should the nurse offer to minimize the adverse effects of thrombocytopenia?

1. MONITOR VISITORS FOR MANIFESTATIONS OF INFECTION

2. REMIND THE CLIENT TO USE AN ELECTRIC RAZOR

3. ENCOURAGE FREQUENT REST PERIODS

4. INSTRUCT THE CLIENT TO RINSE MOUTH DAILY WITH NORMAL SALINE

A nurse is collecting a health history from a female client who is undergoing screening for breast cancer. Which of the following factors should the nurse identify for placing the client at the greatest risk for developing breast cancer?

1. OBESITY

2. ORAL CONTRACEPTIVE USE

3. ALCOHOL USE

4. OVER 50 YEARS OF AGE

A nurse is providing teaching to a client who has cancer and is receiving external radiation therapy. Which of the following statements by the client indicates an understanding of the teaching?

1. I NEED TO PROTECT THE AREA FROM SUNLIGHT

2. IM GOING TO APPLY SKIN LOTION TO THE AREA EVERY DAY

3. ILL MASSAGE THE AREA ONCE PER DAY

4. ILL WASH THE MARKINGS OFF AFTER EACH THERAPY TREATMENT

A nurse is providing postoperative discharge teaching to a client following a pan hysterectomy for uterine cancer. Which of the following information should the nurse include in the teaching?

1. YOU WILL NEED TO CONTINUE TO USE SOME FORM OF BIRTH CONTROL FOR 6 MONTHS

2. YOU MIGHT EXPERIENCE MANIFESTATIONS OF MENOPAUSE

3. DO NOT LIFT ANYTHING HEAVIER THAN 15 POUNTS

4. PAIN OR BURNING ON URINATION IS AN EXPECTED OUTCOME OF THIS SURGERY

A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3. Which of the following foods should the nurse prohibit the family members from bringing to the client?

1. FRIED CHICKEN FROM A FAST FOOD RESTURAUNT

2. A CASE OF CANNED NUTRITIONAL SUPPLEMENTS

3. A FACTORY SEALED BOX OF CHOCOLATES

4. A FRESH FRUIT BASKET

A nurse is obtaining a health history from a client who has cancer of the cervix. Which of the following manifestations should the nurse expect?

A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse expect?

1. BONE AND JOINT PAIN

2. ENLARGED LYMPH NODES

3. INTERMITTENT HEMATURIA

4. PRODUCTIVE COUGH