. The nurse is obtaining a medication history for a client with a new prescription for paroxetine (Paxil). The client reports current use of the MAO
... [Show More] inhibitor isocarboxazid (Marplan). What intervention is most important for the nurse to implement? - Notify the healthcare provider that the client is currently taking Marplan.
. Translator is working with the nurse who is giving discharge instructions to a non-English client. When the translator restates what the nurse is saying it appears that he is saying much more than what the nurse said. What action should the nurse take? - Ask the translator if there is a reason for the lengthiness of the translation
. Which strategy is most important for the nurse to use when assisting a client with myasthenia gravis to devise a daily routine? - Female with a head injury whose pupils are fixed and dilated.
(arrange in order) = middle age woman bleeding- woman w/ blanket- child crying- mother and father. (Mine didn't have a middle age woman bleeding, instead it had an old man wandering and - correct order is: wandering old man, woman w/blanket, man holding baby, and mother & father)
(Select all that apply) Determining pain level for 3mo old infant - infant will clinch fists, increase pulse, restlessness, increased respiratory effort
3. A male Muslim client with pneumonia is scheduled to receive a dose of an intravenous antibiotic but refuses to allow the nurse to begin the medication, stating he cannot allow fluids to enter his body once he is cleansed for prayer. What action should the nurse implement? - Reschedule administration of the antibiotic until after he completes his prayers
5.A child is to receive vancomycin (Vancocin) 40 mg/kg IV one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer - Answer: 800 Rationale: First, convert the child's weight to kg: 44 pounds divided by
2.2pound/kg = 20 kg. Next calculate the mg/kg/dose, 40 mg x 20 kg = 800mg
5yr old burn victim has pot of hot liquid fall on him, what should nurse tell mother to do first- - nurse should tell mother to remove clothing and place in cool bath
6. While assisting a postpartum client with perineal care, the nurse notes that her vaginal bleeding spurts rather than trickles from the vagina. The uterine fundus is firm and the client's vital signs are pulse 88 beats/minute; respiratory rate, 21 breaths/minute; and blood pressure, 104/68 mmHg. What action should the nurse take next? - Compare current vital signs with previous vital signs
39 to 48 Glucose - Notify healthcare provider of client's status
A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take? - Have the parent take the child for emergency help
A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in his eye. Which action should the school nurse take? - Have the parent take the child for emergency help
A 14-year-old male client arrives at the emergency room in status epilepticus. He was diagnosed with a seizure disorder in childhood. What is the most likely cause of his present condition? - Acute withdrawal from anticonvulsant medication.
A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease 6 months ago. Because of secondary complications often associated with this illness the nurse plans to carefully assess for signs of what condition? - Anemia
A 40-year-old client with type 1 diabetes developed chronic kidney (CKD) disease 6 months ago. Because of secondary complications often associated with this illness the nurse plans to carefully assess for signs of what condition? - Anemia
A 60 year-old female client takes NPH insulin each morning. What would necessitate holding this clients usual morning NPH insulin dose? - The client is NPO for surgical debridement of a leg ulcer at 11.00am.
A 68-year-old male has been admitted to the hospital with abdominal pain, anemia and bloody stools. He complains of feeling weak and dizzy. He has rectal pressure and needs to urinate and move his bowels. - The nurse should help him onto the bedpan/with the urinal
A client admitted to the hospital is suspected of having meningitis. The nurse should plan to prepare the client for which diagnostic test? - Lumbar puncture
A client at 38 weeks gestation is in active labor, and a vaginal birth after Cesarean section (VBAC) is planned. Vaginal exam indicates that the client is 6cm dilated, 90% effaced, and the station 0 with intact membranes. As the client's contraction become stronger, the fetal heart rate decelerates during the contraction but returns to baseline. What action should be taken? - Continue to monitor the client's labor progress.
A client at 38-weeks gestation complains of abdominal pain. The nurse notes that her abdomen is rigid. What is the probable cause of these findings? - Unknown
A client diagnosed with acute epididymitis secondary to a sexually transmitted disease receives a prescription for ceftriaxone (Rocephin). Prior to administering the prescription, which [Show Less]