A nurse is admitting a client who has arthritic pain and reports
taking ibuprofen several times daily for 3 years. Which of the
following tests
... [Show More] should the nurse monitor?
a. Stool for occult blood
b. Urine for white blood cells
c. Fasting blood glucose
d. Serum calcium
ANS: A
A nurse in the emergency department is assessing a client.
Which of the following actions should the nurse take first?
(Exhibit)
a. Obtain sputum sample for culture
b. Prepare the client for chest x-ray
c. Initiate airborne precautions
d. Administer
Ondansetron ANS: C
A nurse is contacting the provider of a client who has cancer and
is experiencing breakthrough pain. Which of the following
prescriptions should the nurse anticipate?
a. Intravenous dexamethasone
b. Transmucosal fentanyl
c. Oral acetaminophen
d. Intramuscular
meperidine ANS: D; p.624
A nurse is admitting a client who reports chest pain and has been
placed on a telemetry monitor. Which of the following should the
nurse analyze to determine whether the client is experiencing a
myocardial infarction?
a. QRS duration
b. ST segment
c. T wave
d. PR
interval ANS:
B
A nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following instructions
should the nurse include?
a. Apply over the counter moisturizer to the radiation site
b. Cover the radiation site loosely with a gauze wrap before
dressing
c. Use a soft washcloth to clean the area around the radiation site
d. Pat the skin on the radiation
site to dry it ANS: D; p. 584
A nurse is caring for a client who is receiving a blood transfusion.
The nurse observes that the client has bounding peripheral pulses,
hypertension, and distended jugular veins. The nurse should
anticipate administering which of the following prescribed
medications?
a. Acetaminophen
b. Furosemide
c. Diphenhydramine
d. Pantopraz
ole ANS: B
A nurse is assessing a client who is receiving magnesium sulfate IV
for the treatment of hypomagnesemia, which of the following
findings indicates effectiveness of the medication?
a. Lungs clear
b. Hyperactive bowel sounds
c. Blood pressure 90/50 mm Hg
d. Apical pulse
82/min ANS: D
A nurse is preparing a client for a lumbar puncture which of the
following images indicates the position the nurse should assist
the client for this procedure?
A nurse is reviewing a client’s ABG results: pH 7.42, PaCO2 30
mmHg, and HCO3 21 mEq/L. The nurse should recognize these
findings as an indication of which of the following conditions?
a. Compensated respiratory alkalosis
b. Uncompensated respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis
ANS: A; p.283
A nurse is assessing a client who has acute pancreatitis and has
been receiving total parenteral nutrition for the past 72 hr. Which of
the following findings requires the nurse to intervene?
a. Right upper quadrant pain
b. WBC count of 13,000/mm³
c. Crackles in bilateral lower lobes
d. Capillary blood glucose level 164 mg/dL
ANS: C pg. 350 left lung effusion and atelectasis is common in older
adults, can precipitate pneumonia
A nurse is caring for a group of clients. The nurse should obtain a
blood pressure using only the left extremity from which of the
following clients?
a. A client who has left-sided Bell’s Palsy
b. A client who has a peripherally inserted central catheter (PICC)
in the left arm
c. A client who has right-sided weakness due to Parkinson’s
disease
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d. A client who has right upper extremity
arteriovenous fistula ANS: D
A nurse in a long-term facility is caring for a bedridden client.
Which of the following findings should alert the nurse to a
potential complication of the client's immobility?
a. Blurred vision
b. Confusion
c. Polyuria
d. Diarrh
ea ANS: B
A client is assessing a client who has pericarditis. In which of the
following areas should the nurse place the stethoscope to b [Show Less]