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
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
A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the
following statements by the client indicates an understanding of the teaching? - ===I will
abstain from sexual intercourse
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
Based on a clients recent history a nurse suspects that a client is beginning 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
A nurse collecting data from a client who has manifestations of appendicitis. 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)
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
A nurse is caring for a client who is postoperative following a tracheostomy and has copies
and tenacious secretions. Which of the following is an acceptable method for the nurse to use
to thin the clients secretions? - ===provide humidified oxygen
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
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
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
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
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
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
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
A nurse is caring for a client after a radical dissection. To which of the following should the
nurse give priority in the immediate postoperative period? - ===ineffective airway clearance
related to thick copious secretions
A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is
no longer certain he wants to have the procedure. Which of the following responses should
the nurse make? - ===Bypass surgery must be very frightening for you
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse should
monitor the client for which of the following manifestations? - ===hypotension
A nurse is collecting data from a client who has emphysema. Which of the following findings
should the nurse expect? - ===dyspnea, barrel chest, clubbing of the fingers, shallow
respirations
A nurse is assisting with thee care of a client who is postoperative and has a closed wound
drainage system in place. Which of the following actions should the nurse take? - ===fully
recollapse the reservoir after emptying it
A nurse is caring for a Client who has Alzheimers disease. The nurse discovers the client
entering the room of another client who comes upset and frightened. Which of the following
actions should the nurse take? - [Show Less]