1. A nurse is assisting with he care of a client following a left femoral cardiac angiography. Thee nurse should place a sandbag on the client over which
... [Show More] of the following areas?: left groin
2. A nurse is reviewing the lab results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas ABG values include: pH 7.22
PaCO2 68 mm Hg base excess -2 PaO2 78 mm Hg
oxygen saturation 80%
Bicarbonate 28 mEq/L.: respiratory acidosis
3. A nurse is reinforcing discharge instructions with a client who has hepati- tis A. Which of the following statements by the client indicates an under- standing of the teaching?: I will abstain from sexual intercourse
4. A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance which of the following actions should the nurse take first?: cover the clients wound with a moist sterile dressing
5. Based on a clients recent history a nurse suspects that a client is be- ginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?: Do you sleep well at night
6. A nurse collecting data from a client who has manifestations of appen- dicitis. Where should the nurse palpate to monitor for pain at Mcburneys point?: Mcburneys point is found between the naval and the anterior iliac crest (left lower)
7. A nurse is reinforcing teaching about excercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?: I should avoid injecting insulin into my thigh if I am going to go running
8. A nurse is caring for a client who is postoperative following a tracheosto- my and has copies and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin the clients secretions?: pro- vide humidified oxygen
9. A nurse is reviewing the lab results of a client who is taking cyclosporine following a kidney transplant. Which of the following lab findings should the
nurse identify as the most important to report to the provider?: increase in serum creatinine
10. A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?: breath in through nose and out through pursed lips
11. A nurse is contributing to the plan of care for a client who has a spinal cord injury at level C8 who is admitted for comprehensive rehabilitation. Which of the following long term goals is appropriate with regard to the clients mobility?: propel a wheelchair equipped with knobs on the wheels
12. A nurse is reinforcing teaching about an esophagogastrodudenscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching?: you will remain NPO for 8 hours before the procedure
13. A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?: drop is systolic BP more than 10 mm Hg on inspiration
14. A nurse is assisting in the care of a client who is 2 hours postoperative following a wedge resection of the left lung and has a chest tube to section. Which of the following is the priority finding the nurse should report to the provider?: abdomen is distended
15. A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching?: avoid medications in a capsule or enteric form
16. A nurse is caring for a [Show Less]