A male client diagnosed with primary hyperaldosteronism is receiving spironolactone. Which potential side effect should the nurse educate the client
... [Show More] regarding?
Select all that apply
1. Erectile dysfunction
2. Gastrointestinal upset
3. Gynecomastia
4. Hypernatremia
5. Hypokalemia
1. Erectile dysfunction
2. Gastrointestinal upset
3. Gynecomastia
The nurse is preparing discharge teaching for a client diagnosed with peripheral vascular disease (PVD). Which teaching points should the nurse include about foot and leg care?
Select all that apply
1. Wear soft cotton socks
2. Avoid hot whirlpools
3. Rub feet dry
4. Wash feet every other day
5. Clear pathways in house
1. Wear soft cotton socks
2. Avoid hot whirlpools
5. Clear pathways in house
AD
The nurse is caring for a client diagnosed with Guillain-Barre' Syndrome. What assessment finding would the nurse expect see in this client?
Select all that apply
1. Areflexia
2. Dysphagia
3. Hemiplegia
4. Orthostatic hypotension
5. Hypertonia
1. Areflexia
2. Dysphagia
4. Orthostatic hypotension
A client received a severe burn to the right hand. When dressing the wound, it is important for the nurse to do what?
1. Apply a wet to dry dressing for debridement.
2. Wrap each digit individually to prevent webbing.
3. Open blisters to allow drainage prior to dressing.
4. Allow the client to do as much of the dressing change as possible.
2. Wrap each digit individually to prevent webbing.
The edrophonium (Tensilon) test has been prescribed for a client. Which statement by the client would indicate to the nurse that the client understands this test?
1. "This medication will be given to me as an IM injection immediately after my muscles are tired."
2. "This test will determine if I have multiple sclerosis."
3. "The test is positive if my muscles do not get stronger after injection with this medication."
4. "I will be asked to perform a repetitive movement to test my muscles."
4. "I will be asked to perform a repetitive movement to test my muscles."
A client is admitted to the emergency department after sustaining burns to the chest and legs during a house fire. Which assessment should the nurse perform immediately?
1. Respiratory
2. Cardiac
3. Airway
4. Neurological
3. Airway
What is the priority nursing action for a client that was admitted with tingling of the toes and feet after having the flu for several days when the client begins to have numbness in the legs and hips?
1. Notify the primary healthcare provider
2. Monitor for paresthesia in the fingers and hands
3. Insert an indwelling urinary catheter
4. Assist the client with performing passive range of motion
1. Notify the primary healthcare provider
A client reports excruciating paroxysmal facial pain occurring after feeling a cool breeze and drinking cold beverages. Based on this client's reports, what disorder does the nurse suspect?
1. Bell's palsy
2. Submucous cleft palate
3. Trigeminal neuralgia
4. Temporomandibular joint disorder (TMD)
3. Trigeminal neuralgia
The nurse is reviewing sequential lab results on a newly admitted client with multiple health issues. Critical changes in which body system require the nurse to immediately notify the primary healthcare provider?
1. Renal
2. Endocrine
3. Pulmonary
4. Cardiovascular
1. Renal
A client with chronic arterial occlusive disease has a bypass graft of the left femoral artery. Postoperatively, the client develops left leg pain and coolness in the left foot. What is the priority action by the nurse?
1. Elevate the leg.
2. Check distal pulses.
3. Increase the IV rate.
4. Notify the primary healthcare provider.
4. Notify the primary healthcare provider.
What should be included in the discharge teaching plan for a client who has lymphedema post right mastectomy?
Select all that apply
1. Use a thimble when sewing.
2. Wear a heavy duty oven mitt for removing hot objects from the oven.
3. Long sleeves should be worn to prevent insect bites.
4. Shave underarms with an electric razor.
5. Avoid wearing jewelry.
1. Use a thimble when sewing.
2. Wear a heavy duty oven mitt for removing hot objects from the oven.
3. Long sleeves should be worn to prevent insect bites.
4. Shave underarms with an electric razor
What should the nurse include in the teaching plan for a client who has iron deficiency anemia?
Select all that apply
1. Consume iron rich foods such as dried lentils, peas, and beans.
2. Notify primary healthcare provider of glossitis, anorexia, and paresthesia.
3. Iron is needed for white blood cell development.
4. Educate about ferrous sulfate supplement.
5. After drinking liquid iron, follow immediately by water.
1. Consume iron rich foods such as dried lentils, peas, and beans.
2. Notify primary healthcare provider of glossitis, anorexia, and paresthesia.
4. Educate about ferrous sulfate supplement. [Show Less]