While completing a health assessment for a young adult female with acute appendicitis, the client
informs the nurse that there is a chance that she may
... [Show More] be pregnant. The operating team is preparing to
take the client to surgery. Which intervention should the nurse implement immediately? - ✔✔Perform a
bedside pregnancy test.
A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It
is most important to report which assessment finding to the health care provider? - ✔✔Hematuria
The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home.
Which information provided by the client indicates understanding? - ✔✔Include no more than 1-2
alcoholic beverages in diet per day
A client is recovering from a transurethral prostatectomy. Which activity should we limited until the first
postoperative visit with his health care provider? - ✔✔Driving in a car.
The home health nurse provides teaching about insulin self injection to a client who was recently
diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an
insulin injection into the abdomen as seen in the video which instruction should the nurse provide? -
✔✔Continue with the insulin injection
The family suspects that acquired immune deficiency syndrome (AIDS) dementia is occurring in their son
who is human immunodeficiency virus (HIV) positive. Which symptom confirms their suspicious? - ✔✔A
change has recently occurred in his handwriting
The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy
two hours ago. The nurse observes the following vital signals, heart rate 140 beats/minute, respirations
26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the
nurse to implement? - ✔✔Encourage the client to splint the incision with a pillow to cough and deep
breathe
After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking
oral antacids without reflux. Her vital signs are heart rate 122 beats/minute, respiration 16 [Show Less]