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An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?
Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?
Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:
A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
Issues addressed in ethics committees include all of the following except:
A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?
Increased cortisol levels might be found in a client with which condition?
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?
The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?
A chemical reaction between drugs prior to their administration or absorption is known as:
A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:
A client is assessed by the nurse as experiencing a crisis. The nurse plans to:
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
When a client has a chest drainage system in place, where should the system be placed?
The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
Which of the following symptoms is most characteristic of a client with cancer of the lungs?
Kleinman’s Explanatory Model of Health and Illness is significant because:
Which of the following needs immediate medical attention and emergency intervention? The client who:
Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?
In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:
Ethical and moral issues concerning restraints include all of the following except:
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?
Which of the following observations is most important when assessing a client’s breathing?
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:
A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?
A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
A client has sustained a hyphema. What intervention should the nurse take?
The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
The physician’s role in case management includes all of the following except:
Nursing care for a client undergoing chemotherapy includes assessment for signs of bone marrow depression. Which finding accounts for some of the symptoms related to bone marrow depression?
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
Which of the following is responsible for laws mandating the reporting of certain infections and diseases?
A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?
Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
When giving an intramuscular injection to an infant. Which of the following sites is preferred?
A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre’ Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre’ Syndrome with the patient?
A 21-year-old college student has just learned that she contracted genital herpes from her sexual partner. After completing the initial history and assessment, the nurse has data concerning areas pertinent to the disease. The data is likely to include all but which of the following?
Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?
To manage time most effectively, the nurse responds to which of the following stimuli first:
A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:
The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
A nurse is working in a pediatric clinic and a 25 year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?
A client has a 10% dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time. The nurse knows that the phenytoin:
When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
Which of the following describes the stages of domestic violence in an intimate relationship?
Clients who take iron preparations should be warned of the possible side effects, which might include:
Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?
Which of the following foods present a problem for a client diagnosed with Celiac Disease?
Which of the following strategies should the nurse include when planning care for children of migrant workers?
What happens if folic acid is given to treat anemia without determining its underlying cause?
Which of the following is the most appropriate diet for a client who is unable to swallow?
Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?
A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?
Which of the following NSAIDS is most commonly used for a brief time for acute pain?
Which statement best describes electrolytes in intracellular and extracellular fluid?
A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:
TESTED 07 May 2024