MS3 final Flashcards

A client is having a bone marrow aspiration and biopsy. What action by the nurse takes priority?

What is the nurse’s priority when caring for a client who just completed a bone marrow aspiration and biopsy?

A client is having a bone marrow aspiration and biopsy and is extremely anxious. What action by the nurse is most appropriate?

An older adult client asks the nurse why “people my age” have weaker immune systems than younger people. What responses by the nurse are best? SATA

Which factors place the client at risk for a hematologic health problem? SATA

A hospitalized client has a platelet count of 58,000/mm3. What action by the nurse is most appropriate?

A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client would the nurse assess first?

A nurse is caring for four clients. After reviewing todays laboratory results, which client should the nurse see first

A nurse works in a gerontology clinic. What age-related changes cause the nurse to alter standard assessment techniques from those used for younger adults? SATA

What age-related changes related to the hematologic system will the nurse expect during health assessment? SATA

A nurse is caring for a client with leukemia. The student asks why the client is still at risk for infection when the WBCs are high. What response by the registered nurse is best

The nurse is caring for a client with leukemia who has the priority problem of fatigue. What action by the client best indicates that an important goal for this problem has been met?

The family of a neutropenic client reports the client is not acting right. What action by the nurse is the priority?

A client has thrombocytopenia. What client statement indicates the client understands self-management of this condition?

A nurse is teaching a client with a cerebellar function impairment which statement would the nurse include in this client's discharge teaching?

The nurse is performing an assessment of cranial nerve III which testing is appropriate

During a lumbar puncture which position should the patient be i

An 84 year old client who is usually alert and oriented experiences an acute cognitive decline which of the following factors would the nurse anticipate as contributing to this neurologic change(SATA)

The nurse is teaching the daughter of a client who has middle stage alzheimer disease the daughter asks will the sertraline my mother is taking improver her dementia how would the nurse respond about the purpose of the drug

A client with early-stage alzheimer disease is admitted to the hospital with chest pain which nursing action is most appropriate to manage this clients dementia

The nurse observes a client with late-stage alzheimer disease eat breakfast afterward the client states I am hungry and want breakfast what is the nurse's best response

The nurse is teaching a family caregiver about how best to communicate with the client who has been diagnosed alzheimer disease which statement by the caregiver indicates a need for further teaching

The nurse teaches assistive personnel (AP) about how to care for a client with early-stage alzheimer disease which statement would the nurse include

After teaching the wife of a client who has Parkinson disease the nurse assesses the wife's understanding which statement by the client's wife indicates that she correctly understands changes with this disease

The nurse plans care for a client with parkinson disease which intervention would the nurse include in this client's plan of care

A nurse teaches assistive personnel(AP) about how to care for a client with parkinson disease which statement would the nurse include as part of this teaching

A nurse obtains a focused health history for a client who is suspected of having bacterial meningitis which question would the nurse ask

The nurse plans care for a client with epilepsy who is admitted to the hospital which interventions would the nurse include in this client's plan of care (SATA)

The nurse assesses a client who has parkinson disease which signs and symptoms would the nurse recognize as a key feature of this disease(SATA)

The nurse initiates care for a client with a cervical spine cord injury who arrives via emergency medical services what action would the nurse take first

A client who had a complete spinal cord injury at level L5-S1 is admitted with a sacral pressure injury what other assessment finding will the nurse anticipate for this client

The nurse is performing a focused assessment of left posterior temporal lobe functions will assess the patient for

Which problem can the nurse expect for a patient who has a positive romberg test result

A nurse assesses a client who is recovering from anterior cervical discectomy and fusion which complications should alert the nurse to urgently communicate with the healthcare provider

A nurse is caring for a client with paraplegia who is scheduled to participate in a rehabilitation program the client states I don't understand the need for rehabilitation the paralysis will not go away and it will not get better how would the nurse respond

After teaching a client with a high thoracic spinal cord injury the nurse assesses the client's understanding which statement by the client indicates a correct understanding of how to prevent respiratory problems at home

A client is scheduled for a percutaneous endoscopic lumbar discectomy which statement by the client indicates a need for further teaching

A nurse assess clients at a community center which client is at greatest risk for low back pain

A nurse assesses a client who is recovering from an open traditional lumbar laminectomy with fusion which complications would the nurse report to the primary healthcare (SATA)

A nurse assess a client with paraplegia from a spinal cord injury and notes reddened areas over the clients hips and sacrum what actions would the nurse take (SATA)

A nurse assesses a client who experienced a spinal cord injury at the T5 level 12 hours ago which assessment findings would the nurse correlate with neurogenic shock (SATA)

A nurse assesses a client who is recovering from an open traditional anterior cervical fusion which assessment findings would alert the nurse to a complication from this procedure (SATA)

A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide(Cytoxan) and methylprednisolone(Medrol)which statement should the nurse include in this clients discharge teaching

A nurse cares for a client who has been diagnosed with huntington gene but has no symptoms the client ask for options related to family planning what is the nurse's best response

An unconscious male patient has just arrived in the emergency department with a head injury caused by a motorcycle crash which planned intervention by the healthcare provider should the nurse question

During the neurological assessment the patient is unable to respond verbally to the nurse but cooperates with the nurse's direction to move his hands and feet. What should the suspect be as a likely cause of these findings?

The nurse recognizes which pathophysiologic feature as a hallmark of guillain barre syndrome

A patient who has numbness and weakness of both feet is hospitalized with Guillain barre syndrome the nurse will anticipate that collaborative interventions at this time will include

The nurse advises a patient with myasthenia gravis (MG) to

A patient who has amyotrophic lateral sclerosis(ALS) is hospitalized with pneumonia which nursing action will be included in the plan of care

A 40 year old patient is diagnosed with early huntington's disease(HD) when teaching the patient the spouse and adult children about this disorder the nurse will provide information about the

When a 74 year old patient seen in the health clinic the new development of a stooped posture shuffling gait and pill rolling type tremor the nurse will anticipate teaching the patient about

A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit which equipment should the nurse have available in the patients assigned room(SATA)

A patient with parkinson's disease is admitted to the hospital for treatment of pneumonia which nursing interventions will be included in the plan of care(SATA)

A patient with bell's palsy refuses to eat while others are present because of embarrassment about drooling the best response by the nurse is to

A patient hospitalized with a new diagnosis of Guillain Barre syndrome has numbness and weakness of both feet the nurse will anticipate teaching the patient about

A patient is hospitalized with a new onset of Guillain barre syndrome the most essential assessment for the nurse to complete is

You suspect bell's palsy in which patient

A nurse plans care for a 77 year old client who is experiencing age related peripheral sensory perception changes which intervention would the nurse include in the client's plan of care

When admitting a patient with acute confusion to the hospital, the nurse will interview the patient about health problems and health history primarily to

When teaching patients who are at risk for Bell's palsy because of previous herpes simplex infection, which information should the nurse include?

What action should the nurse incorporate when administering a mental status examination to a patient with delirium

A patient is diagnosed with moderate dementia after multiple strokes. What would the nurse expect to find during assessment of the patient? (

While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. Which action should the nurse take?

A nurse teaches a client who is recovering from an open traditional cervical spine fusion which statement would the nurse include in this clients post operative instructions

A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action should the nurse include in the plan of care?

While administering a mental status examination to a patient with delirium the nurse should

The nurse is caring for a patient who is being evaluated for a possible metastatic spinal cord which of these data obtained when assessing the patient requires most immediate action by the nurse

A patient with a history of a T2 spinal cord tells the nurse I feel awful today my head is throbbing and I feel sick to my stomach which actio n should the nurse take first

A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with a 1+ pedal pulse. What action would the nurse perform first?

A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic intervention does the nurse recommend?

A client has a bone density score of -2.8. What intervention would the nurse anticipate based on this assessment?

When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will

A client who had a partial gastrectomy 3 days ago begins experience vertigo sweating and tachycardia about 30 minutes after eating breakfast what postoperative complications would the nurse suspect

After a patient has had a hemorrhoidectomy at an outpatient surgical center, which instructions will the nurse include in discharge teaching?

Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient who has acute pancreatitis?

The nurse is assessing a client who has hepatitis C what extrahepatic complications would the nurse anticipate (SATA)

Which assessment finding is of most concern for a 46-year-old woman with acute pancreatitis?

A woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection. Which intervention should the nurse anticipate?

A patient with knee pain who is diagnosed with bursitis asks the nurse to explain just what bursitis is. The nurse will respond that bursitis is an inflammation of

The nurse is caring for a client who has pain during circumduction of the shoulder when the nurse moves the arm behind the client. Which of the following questions should the nurse ask?

The nurse admitting a patient with acute diverticulitis explains that the initial plan of care is to

A client had an open traditional Whipple procedure this morning. For what priority complication would the nurse assess?

The nurse is performing an initial assessment and notes that the client weighs 186.4 Ib (84.7 kg). Six months ago, the client weighed 211.8 lb (96.2 kg). What action by the nurse is appropriate?

The nurse will be teaching self-management to patients after gastric bypass surgery. Which information will the nurse plan to include?

Which assessment finding is of most concern for a patient with acute pancreatitis?

The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading cause of cirrhosis?

The nurse notes that the primary health care provider documented the presence of mucosal erythroplasia in a client. What does the nurse understand that this most likely means for this client ?

Which daily behavior of a client with GI problems requires further nursing assessment? Select all that apply.

A 26-yr-old patient with a family history of stomach cancer asks the nurse about ways to decrease the risk for developing stomach cancer. The nurse will teach the patient to avoid

Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)?

The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor?

A client has an open traditional hiatal hernia repair this morning. What is the nurse’s priority for client care at this time?

The nurse working with older clients understands age-related changes in the gastrointestinal system. Which changes does this include? (SATA)

The nurse will plan to monitor a patient with an obstructed common bile duct for

A nurse is learning about different surgical procedures and their classifications. Which examples below does this include? (Select all that apply.)

A client is scheduled to have a total hip arthroplasty. What preoperative teaching by the nurse is most important?

A client who had a fractured ankle open reduction internal fixation (ORIF) 4 weeks ago, reports burning pain and tingling in the affected foot. For which potential complication would the nurse anticipate?

A nurse plans care for a client who is recovering from open reduction and internal fixation(ORIF) surgery for a right hip fracture. Which interventions would the nurse include in this plan of care? (Select all that apply.)

A nurse teaches a client with a fractured tibia about external fixation. Which advantages of external fixation for the immobilization of fractures would the nurse share with the client? (Select all that apply.)

A nurse cares for a client with a recently fractured tibia. Which assessment would alert the nurse to take immediate action?

A nurse cares for a client who had a bronchoscopy/post endoscopy 2 hours ago. The client asks for a drink of water. What action would the nurse take next?

A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to drink. What action by the nurse is appropriate?

A nurse cares for an older adult who is admitted to the hospital with complications of diverticulitis. Which actions should the nurse include in the plan of care?(Select all that apply.)

Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?

Which statement to the nurse from a patient with jaundice indicates a need for teaching?

What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (SATA)

When caring for a patient with a history of a total gastrectomy, the nurse will monitor for

A nurse teaches a client who is at risk for carpal tunnel syndrome. Which health promotion activities would the nurse include in the health teaching? (SATA)

When assessing for Tinel’s sign in a patient with possible right carpal tunnel syndrome, the nurse will ask the patient about

The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about

Which information in a 67-yr-old woman’s health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

The nurse reviews a list of drugs that can cause secondary osteoporosis. Which drugs are most commonly associated with this health problem? (SATA)

Which medication information will the nurse identify as a potential risk to a patient’s musculoskeletal system?

A nurse assesses a client who has cirrhosis of the liver. Which laboratory findings would the nurse expect in clients with this disorder?

The nurse is reviewing the laboratory profile for a client who has muscular dystrophy. Which laboratory value(s) would the nurse expect to be elevated? (SATA)

The nurse is caring for several clients with osteoporosis. For which client would bisphosphonates not be a good option?

What abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?

Pt post op teaching of gastric bypass

A nurse is caring for a client who has been diagnosed with a small bowel obstruction which assessment findings will the nurse correlate with this diagnosis SATA

A client is admitted with acute pancreatitis. What priority problem would the nurse expect the client to report?

A client is receiving adefovir for management of hepatitis B. What health teaching will the nurse provide for the client about this drug? Select all that apply.

Which action should the nurse take to evaluate treatment effectiveness for a patient who has hepatic encephalopathy?

The nurse is caring for a patient who has cirrhosis. Which data obtained by the nurse during the assessment will be of most concern?

A patient with acute pancreatitis is NPO and has a nasogastric tube (NG) to suction. Which information obtained by the nurse indicates that these therapies have been effective?

A patient has been admitted with acute liver failure. Which data are most important for the nurse to communicate to the health care provider?

Which part of the HIV infection process is disrupted by the antiretroviral

drug class of protease inhibitors?

Which statement made by the client with stage HIV-III disease (AIDS) whose CD4+ T-cell count has increased from 125 cells/mm3 (0.2 × 109/L) to 400 cells/mm3 (0.2 × 109/L) indicates to the nurse that more teaching is needed?

The client on combination antiretroviral therapy calls the nurse to report that he is on vacation and the bag with his drugs was accidentally left on the airplane, so he missed all of yesterday’s dosages. What action does the the nurse recommend?

• Take today’s dosages as normally prescribed and continue to

follow your therapy program.”

What is the most important question for the nurse to ask before giving the first dose of fosamprenavir to a client newly prescribed this drug?

Which activities can the nurse postpone or eliminate for the client who Has extreme fatigue today? Select all that apply.

Which dietary change does the nurse suggest for the client who has esophageal candidiasis?

Which part of the HIV infection process is disrupted by the antiretroviral drug class of entry inhibitors?

Which food, drink, or herbal supplement does the nurse teach the client taking tipranavir to avoid?

A client who is HIV positive and receiving combination antiretroviral therapy tells the nurse she is now pregnant. Which drug does the nurse expect to be suspended during this patient’s pregnancy?

A client with known HIV 2 is admitted to the hospital with fever night sweats and severe cough laboratory results include CD4+ cell count of 180/mm3 and a negative tuberculosis(TB) skin test 4 days ago. What action would the nurse take first?

A student nurse is learning about human immunodeficiency virus(HIV) infection which statements about HIV infection are correct SATA

A client with human immunodeficiency virus (HIV) has had a sudden decline in status with a large increase in viral load what action should the nurse take first

The nurse is caring for a client diagnosed with human immune deficiency virus the clients CD4+ cell count is 399/mm3 what action by the nurse is best

The nurse is caring for a patient who is HIV positive and has a previous history of drug and alcohol abuse the patient is being treated with combination therapies including didanosine (videx) which laboratory findings would most concern the nurse

• Increased serum amylase and triglycerides and decreased serum calcium

Which statement(s) regarding type III hypersensitivity reactions is/are true? Select all that apply.

Which new-onset condition or symptom in a client who has systemic lupus erythematosus (SLE) now taking hydroxychloroquine does the nurse deem to have the highest priority for immediate reporting to prevent harm

Which statement(s) regarding type I hypersensitivity reactions is/are true? Select all that apply.

Which action will the nurse perform first for a client in anaphylaxis to prevent harm?

Which specific information will the nurse teach to the client with

systemic lupus erythematosus newly prescribed belimumab therapy?

Which statements by assistive personnel indicate understanding regarding infection control measures needed to care for a client who has possible Clostridium ^difficile infection? Select all that apply.

The nurse takes a history for a client administered to the hospital. Which factors in the nursing history indicate that the client is at risk for infection? Select all that apply.

A client is diagnosed with C. difficile infection. What nursing action is the

priority for the client?.

When obtaining a health history and physical assessment from a 68-year old male client who has a history of an enlarged prostate, which finding does the nurse consider it significant? Select all that apply.

A client is on a 24-hour urine collection. At midpoint during the collection, the client tells the nurse that some of the urine was discarded. What action will the nurse take? Select all that apply.

The nurse is administering  a client undergoing a CT scan with contrast. Which finding does the nurse report as a possible immediate hypersensitivity reaction? Select all that apply.

Which assessment finding would require the nurse to take immediate

action in a client who is 1 hour post kidney biopsy? Select all that apply.

Which client being managed for dehydration does the nurse consider at

greatest risk for possible reduced kidney function?

Which lab finding is indicative of renal function alterations and not dehydration? Select all that apply.

Which symptom(s) in a client during the first 12 hours after a kidney biopsy indicates to the nurse a possible complication from the procedure?

What is the appropriate nursing response when a 66-year-old healthy client asks how often a visit to the eye care provider is recommended?

Which supplement will the nurse recommend to a client who wants to enhance eye health?

Which client statement affirms that nurse teaching about instillation of multiple different eye drops has been effective? Select all that apply.

What finding does the nurse anticipate when assessing a client with a new diagnosis of glaucoma?

Which patient does the nurse identify at highest risk for development of dry age-related macular degeneration (AMD)?

Which symptom will the nurse teach the client who just had surgery to correct a retinal detachment to immediately report to the eye care provider? Select all that apply .

Which assessment data do the nurse anticipate when a client presents to the emergency department reporting the sensation of a foreign body in the eye? Select all that apply.

For which client would the nurse expect to teach intermittent catheterization?

The nurse is caring for an 80-year-old female client with recurrent cystitis.Which teaching will the nurse include in the plan of care? Select all that apply .

A client with diabetes has the following assessment changes after a percutaneous nephrolithotomy procedure. Which change requires immediate nursing intervention?

A 68-year-old male client is seeing the primary care provider for an annual examination. Which assessment finding alerts the nurse to an increased risk for bladder cancer?

A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient’s assigned room (select all that apply)?

The nurse plans care for a client with epilepsy who is admitted to the hospital which interventions would the nurse include in this client's plan of care (SATA)

The nurse assesses a patient with pernicious anemia which finding would the nurse expect

The nurse is teaching a client who has pernicious anemia about necessary dietary changes. Which statement by the client indicates understanding about those changes?

The nurse assesses a client's oral cavity as seen in the photo below what actions by the nurse is most appropriate

Which patient statement to the nurse indicates that the patient understands self care for pernicious anemia

The nurse is performing an assessment on a client with a diagnosis of pernicious anemia which finding would the nurse expect to note in this client

Which condition or symptom does the nurse associate with a patient who has chronic gastritis

The registered nurse is precepting a new nurse who is caring for a client with pernicious anemia as a result of a gastrectomy which statement made by the new nurse indicates understanding of this diagnosis

The nurse is caring for a client with a diagnosis of chronic gastritis the nurse monitors the client knowing that this client is at risk for which vitamin deficiency

After undergoing Billroth 1 gastric surgery the client experiences fatigue and complains of numbness and tingling in the feet and difficulties with balance on the basis of these symptoms the nurse suspects which postoperative complication

A home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery the nurse instructs the client that in this disorder because the stomach lining produces a decreased amount of a substance known as the intrinsic factor the client will need which medication

A client with pernicious anemia asks why she must take vitamin B12 injections for the rest of her life. What is the nurse's best response?

A patient with Parkinson’s disease has bradykinesia. Which action will the nurse include in the plan of care?

A patient has been given a prescription for levodopa carbidopa (Sinemet) for her newly diagnosed parkinson's disease she asks the nurse why are two drugs in this pill the nurse's best response reflects which fact

While a patient is receiving drug therapy for parkinson's disease the nurse monitors for dyskinesia which is manifested by which finding

Which of the following laboratory tests would you order for an older diabetic man with the following complete blood count (CBC) results: hemoglobin = 11 g/dL, hematocrit = 38%, mean corpuscular volume (MCV) = 105 fL, and normal reticulocyte count?

A patient has an Hct of 30%, a hemoglobin of 8 g/dL, and an RBC count of 4.0 × 1012/L. What is the morphological classification of this anemia?

A postoperative patient receiving a transfusion of packed red blood cells develops chills, fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion, what action should the nurse take?

The patient’s clinical manifestations are consistent with a febrile, nonhemolytic transfusion reaction. The transfusion should be stopped and antipyretics administered for the fever as ordered. (SATA)

After change-of-shift report, which patient should the nurse assess first?

A client is taking long-term corticosteroids for myasthenia gravis. What teaching is most important

A client with myasthenia gravis has the priority client problem of inadequate nutrition. What assessment finding indicates that the priority goal for this client problem has been met

A client with myasthenia gravis (MG) asks the nurse to explain the disease. What response by the nurse is best

A patient is hospitalized with new onset of Guillain-Barré syndrome. The most essential assessment for the nurse to complete is

A nurse assesses a client with a spinal cord injury at level T5. The client’s blood pressure is 184/95 mm Hg, and the client presents with a flushed face and blurred vision. After raising the head of the bed, what action would the nurse take next?

Which of these nursing actions for a patient with Guillain-Barré syndrome is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?

The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell’s palsy. Which information should the nurse include in teaching the patient?

The primary health care provider prescribes daily celecoxib for a client experiencing persistent joint pain in both knees. Which health teaching will the nurse provide for the client regarding this drug for long-term pain control? Select all that apply.

Which part of the HIV infection process is disrupted by the antiretroviral drug class of entry inhibitors?

Which food, drink, or herbal supplement does the nurse teach the client taking tipranavir to avoid?

A client who is HIV positive and receiving combination antiretroviral therapy tells the nurse she is now pregnant. Which drug does the nurse expect to be suspended during this patient's pregnancy?

Which statement regarding type 1 hypersensitivity reaction is/are true?

Which action will the nurse perform first for a client in anaphylaxis to prevent harm?

Which specific information will the nurse teach to the client with systemic lupus erythematosus newly prescribed belimumab therapy?

How does a mutation in a suppressor gene, such as BRCA1, increase the risk for cancer development?

A client’s cancer is staged as T1,N2,M1 according to the TNM classification system. How does the nurse interpret this report?

Which statement made by a 62 year old client alerts the nurse to the possibility that he may be at increased genetic risk for cancer development?

A client with chemotherapy-induced neutropenia is prescribed filgrastim. The client states, “ The bones in my legs are aching so bad.” What is the appropriate nursing response?

The nurse is caring for a client with a sealed radiation implant for the treatment of cancer. Which nursing intervention is appropriate? SATA

The nurse is teaching a client who has been prescribed an oral chemotherapy agent. What teaching will the nurse include?

A client who was bitten by a spider develops cellulitis of the left lower arm. What assessment findings will the nurse expect when caring for this client? SATA

A client is diagnosed with C.difficile infection. What nursing action is the priority for the client?

Which statement regarding erythrocytes is true?

Which response or health problem does the nurse expect to be present in a client who has a lifelong deficiency of antithrombin III?

Which precaution has the highest priority for prevention of harm when the nurse teaches the client about home care after a bone marrow aspiration?

Which new symptoms in a client who is being managed for sickle cell crisis does the nurse report immediately to prevent harm? SATA

Which intervention is a priority for the nurse to teach the client with polycythemia vera to prevent harm related to injury as a result of impaired platelet function?

A client who is 5 weeks post-transplant after an allogeneic stem cell transplantation for acute lymphocytic leukemia comes to the clinic with a swollen belly and weight gain. Which additional assessment data support the nurse’s suspicion of possible sinusoidal obstructive syndrome (SOS)? SATA

The nurse is preparing to conduct a focused neurologic assessment for a client who had a traumatic brain injury. Which assessment finding is the concern of the nurse?

The is caring for a client following a cerebral angiography. Which assessment finding will the nurse report immediately to the health care provider?

The primary health care provider started a client with multiple sclerosis on mitoxantrone therapy. Which statement will the nurse include in teaching the client about this drug?

A client is admitted with a suspected cervical spinal cord injury. What is the nurse’s priority action for this client?

Which statement by the client indicates a need for further teaching by the nurse about preventing back injuries?

The nurse is teaching a client who has osteopenia about alendronate. Which statement by the client indicates a need for further teaching?

the nurse is caring for a client who was admitted with a draining diabetic ulcer on the lower extremity. What personal protective equipment will the nurse teach the staff to use? SATA

Immediately following a colonoscopy, which client behavior will the nurse report to the health care provider? SATA

Which teaching will the nurse include when educating a client who is scheduled to have an esophagogastroduodenoscopy (EGD)? SATA

A nurse is caring for a 34 year old client newly diagnosed with GERD. Which lifestyle change the nurse suggested? SATA

The primary health care provider prescribes bismuth subsalicylate for a client as part of treating H. pylori infection. What health teaching will the nurse include for the client about this drug?

What health teaching will the nurse include to promote gastric health for an adult client? SATA

The nurse is caring for a client with a complete large bowel obstruction. What assessment findings would the nurse expect? SATA

A client has a new diagnosis of irritable bowel syndrome (IBS) with diarrhea. What health teaching by the nurse is appropriate for this client?

A client is receiving adefovir for management of hepatitis B. What health teaching will the nurse provide for the client about this drug?

Which statement by the client who is prescribed to take pancreatic enzyme replacements indicates a need for further teaching by the nurse?

The nurse is planning care for a client who had laparoscopic Whipple surgery. For which complications will the nurse assess? SATA

The nurse is caring for four clients who have been recommended to consider bariatric surgery. Which assessment data require immediate nursing intervention?

What discharge teaching will the nurse provide to a client who had gastric bypass surgery? SATA

Performance of which assessment is a priority for the nurse before giving a client the first oral dose of hormone replacement for hypothyroidism?

Which assessment findings in a client with hyperthyroidism indicate to the nurse that the client is in danger of thyroid storm? SATA

The nurse reviewing the laboratory values of a client with hypoparathyroidism finds a serum calcium level of 7.9 mg/dl (1.76 mmol/L). Which parameter is most important for the nurse to assess to prevent harm?

A client who had the Stretta procedure to treat severe GERD. Which client statement requires further nursing teaching ? SATA

A public health nurse is assessing community clients for oral health disorders. Which clients are identified at highest risk?

Which client being managed for dehydration does the nurse consider at greatest risk for possible reduced kidney function?

Which client assessment data is essential for the nurse to report to the health care provider before a renal scan is performed?

Which adverse drug effects will the nurse assess for in a hospitalized client who is prescribed an anticholinergic drug to manage incontinence? SATA

A 28 year old female client states, “I don’t know why I get cystitis every year. I don’t drink much at work so that I can avoid using the public toilet”. Which teaching by the nurse is most likely to reduce her risk for cystitis? SATA

A client is diagnosed with renal colic. What would the nurse do first?

Which nursing intervention is appropriate when caring for a female client who has undergone a mastectomy and will receive chemotherapy? SATA

Which assessment finding in a client who recently had a right mastectomy 2 days ago will the home health nurse report to the health care provider?

What teaching will the nurse provide to a 30 year old female client who has never been sexually active about decreasing her risk of developing cervical cancer? SATA

The nurse has provided teaching to a client statement indicating that nursing intervention is required ? SATA

The nurse is teaching a client with erectile dysfunction about taking sildenafil to achieve an erection. Which client statement demonstrates an understanding of this drug?

A client with a history of BPH calls the telehealth nurse reporting the sudden onset of testicular pain after moving heavy furniture. What is the appropriate nursing response?

A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stools a day. The nurse will plan to

A young woman who has Crohn’s disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this patient?

The nurse is caring for older client receiving total enteral nutrition via a small-bore nasoduodenal tube. For what priority complication would the nurse assess?

Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of male patients with reproductive problems indicates that the nurse should provide more teaching?