A client is transported to the recovery area of the ambulatory care unit after cataract
surgery. In which position does the nurse place the client -
... [Show More] CORRECT ANSWER: semifowler
A client who experienced a brain attach (stroke) exhibits right-sided unilateral neglect.
The nurse caring for this client plans to place the client's personal care items -
CORRECT ANSWER: within the client's reach on the right side
A client who experiences frequent episodes of chest pain is admitted to the hospital for
cardiac monitoring. The client suddenly complains of chest pain and the nurse obtains a
12 lead ECG. Which finding would the nurse expect to note in the event of an ischemic
episode - CORRECT ANSWER: ST-segment depression
A client who is recovering from a brain attack (stroke) has residual dysphagia. Which
measure does the nurse plan to implement at mealtimes - CORRECT ANSWER:
alternating liquids with solids
A client who sustained a fx of the left arm requires the application of a plaster cast. The
nurse tells the client that the procedure for applying the cast involves - CORRECT
ANSWER: applying soft padding and stockinette over the fractured arm, followed by the
application of the cast material
A client with a leg fx who has been placed in skeletal traction is transported to the ortho
unit after surgery. Which finding would indicate the need to contact the ortho specialist -
CORRECT ANSWER: the traction ropes are unable to move the pulleys
A client with a SCI suddenly complains of a pounding headache. The nurse quickly
assesses the client and notes that the client is diaphoretic, that his BP has increased
and that his HR has slowed. Suspecting that the client is experiencing autonomic
dysreflexia, the nurse elevates the HOB and immediately - CORRECT ANSWER:
checks the client's bladder for distention
A client with cancer of the larynx is receiving extenal radiation therapy of the neck.
Which s/e related specifically to the site of irradiation does the nurse tell the client to
expect - CORRECT ANSWER: dysphagia
A client with CKD is undergoing his first hemodialysis tx, and the nurse is monitoring
the clients for signs of disequilibrium syndrome. For which signs of this syndrome does
the nurse monitor the client - CORRECT ANSWER: h/a and confusion
A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the
hospital with a dx of dehydration. For which clinical manifestations that correlate with
this fluid imbalance would the nurse assess the client SATA
a) increased BP
b) decreased resp depth [Show Less]