A nurse is monitoring a client who is taking spironolactone for the tx of HTN. Which findings denote adverse effects of this med SATA
a) constipation
b)
... [Show More] tall T waves
c) hyporeflexia
d) shallow resp
e) prolonged PR interval
f) hyperactive bowel sounds - b, e, f
a nurse is providing dietary instructions to a client with COPD who is experiencing a loss of appetitie and complains of feeling "too full to eat". What does the nurse encourage the client to do SATA
a) avoid drinking fluids before and during meal
b) eat a variety of dark-green vegetables such as broccoli
c) have snacks, such as crackers and cheese, b/w meals
d) select foods that are easy to chew and are not gas forming
e) consume high-calorie drinks, such as milkshakes b/w meals - a, d
a nurse is interpreting a CVP reading from a client in whom right ventricular failure has been diagnosed. From this dx, the nurse would expect that the most likely results is a pressure of - 14 cm H2O
a nurse is caring for a client who has just undergone thyroidectomy. Which technique is the best way for the nurse to assess the surgical site for bleeding - checking for moisture on the back of the dressing over the client's neck and shoulders
a client who sustained a major burn is beginning to take an oral diet again. Which b/w meal menu selections meet the client's needs for wound healing and tissue repair SATA
a) apple slices and skim milk
b) whole milk a shake and granola
c) baked potato topped with cheese
d) cheese and whole wheat crackers
e) cauliflower with low fat ranch dip - b-d
a client is found to have hypoparathyroidism. Which nutritional supplement does the nurse, teaching the client about measures to manage the disorder, tell the client to take on a daily basis - calcium carbonate with vitamin D
A nurse participating in a free health screening at the local mall obtains a random blood glucose level of 200 mg/dL on an otherwise healthy client. The nurse tells the client to do which of the following as a next step? - call his HCP to have these values rechecked ASAP
Levothyroxine sodium is prescribed for a client with hypothyroidism, and the nurse provides information to the client about the med. Which occurrences does the nurse tell the client to report to the HCP SATA
a) lethargy
b) chest pain
c) palpitations
d) weight gain
e) constipation
f) rapid heart rate - b, c, f
a nurse is developing a plan of care for an older client with diabetic neuropathy of the lower extremities resulting from type 2 DM. Which problem does the nurse recognize as the highest priority for this client - increased risk for injury
the nurse is teaching a client with newly diagnosed DM who has been prescribed NPH insulin how to recognize s/s of hypoglycemia. The client states that he must look for certain s/s in the late afternoon, indicating to the nurse that he has understood the instructions. What are these s/s SATA
a) shakiness
b) drowsiness
c) blurred vision
d) increased thirst
e) feelings of hunger
f) N&V - a, c, e
Glargine insulin is prescribed for a client with type 1 DM. What does the nurse tell the client about this type of insulin SATA
a) it does not have a peak effect
b) it is usually given once daily, at bedtime
c) it usually has a 24 hour duration of action
d) it may be mixed in a syringe with regular insulin
e) its onset of action comes 4 hours after administration - a-c
a client arrives in the ED after sustaining a chemical splash to the eye. The nurse immediately flushes the eye with copious amounts of normal saline sltn for 15min and then tests the pH of the eye, using litmus paper. The nurse should continue the saline flushes until the pH test reads - 7.40
a nurse educator conducts an informational session for ED nurses about small pox. Which statements by the nurse educator are correct SATA
a) small pox is transmitted by way of the enteric route
b) early manifestations include influenza like symptoms
c) vacinating within 3 days of exposure lowers the risk of active disease
d) the infected person is infectious from the onset of the rash until the scabs separate
e) a difuse red rash noted over the entire body is the first manifestation of the infection
f) airborne precuations are not necessary if the nurse has received the smallpox vaccine - b, c, d
a nurse educator conducts an information session for hospital nurses about skin anthrax. Which statements by the nurse educator are correct SATA
a) skin anthrax can lead to septicemia if it goes untreated
b) symptoms may appear as soon as 24 hours after exposure
c) this type of anthrax results from the inhalation of spores
d) contact precautions are not always necessary with skin anthrax
e) early clinical manifestations include mild upper resp symptoms - a, b, d
a nurse is conducting an admission assessment of a client hospitalized with a dx of Meniere's disease. Which question would elicit information specific to the attacks that occur with this disorder - do you have a feeling of fullness in your ear
A nurse provides d/c instructions to a client who was hospitalized for an acute attack of Meniere's disease. Which statement by the nurse are correct SATA
a) unrestricted salt is allowed in the diet
b) position changes should be made slowly
c) underwater swimming should be avoided
d) it is best to switch to decaffeinated tea and coffee
e) a glass of red wine in the evening will ease symptoms
f) if an acute attack occurs, sit down and keep the eyes closed - b-d, f
a client arrives at the ED and reports a buzzing sound in his ear. The client tells the nurse that an insect flew into his ear. Which intervention does the nurse take first to remove the insect - instilling lidocaine into the ear
a nurse prepares to treat frostbite of the toes of a homeless man who was brought to the ED by the police. Which action by the nurse is appropriate - continuously rewarming the toes in the warm-water bath for 15-20 min
a client who is undergoing hemodialysis is receiving epoeitin alfa. With which nutrients does the nurse instruct the client to supplement his diet to enhance the effects of therapy SATA
a) iron
b) protein
c) calcium
d) folic aicd
e) potassium
f) vitamin D - a) iron
d) folic acid [Show Less]