A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following statements by the client
... [Show More] indicates an understanding of the teaching? - ...ANSWER...I will count my heart beats before taking this medication.
A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - ...ANSWER...I will monitor my blood pressure while taking this medication.
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following should the nurse plan to administer? - ...ANSWER...Regular insulin 20 units IV bolus
A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. The nurse should identify
which of the following findings as an indication of a myocardial infarction(MI)? - ...ANSWER...Troponin 8 ng/mL
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ...ANSWER...Remain with the client for the first 15 minutes of the infusion.
RATIONALE : The nurse should remain with the client for the first 15 to 30 min of the infusion because hemolytic reactions usually occur during the infusion of the first 50 mL of blood.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy(ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ...ANSWER...Stone fragments in the urine
RATIONALE: ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to confirm the passage of stones.
A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? - ...ANSWER...Ibuprofen can cause gastrointestinal bleeding in older adult clients.
A nurse is caring for a client who is experiencing a tonicclonic seizure. Which of the following actions should the nurse take? - ...ANSWER...Loosen restrictive clothing
A nurse is assessing a client who has Cushing's disease. Which of the following findings should the nurse expect? - ...ANSWER...Muscle atrophy
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure ulcer. Which of the following actions should the nurse take? - ...ANSWER...Use a 30 mL syringe
RATIONALE: The nurse should use a 30-mL to 60-mL syringe with an 18- or 19-gauge catheter to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a wound. To maintain healthy granulation tissue, the wound irrigation should be delivered at between 4 and 15 psi.
A nurse is reviewing the laboratory results of a client who had a recent exposure to hepatitis C virus. Which of the following tests should the nurse identify as indicating the presence of hepatitis C antibodies? - ...ANSWER...Enzyme immunoassay (EIA)
A nurse in an emergency department is assessing a client who has a detached retina. Which of the following should the nurse expect the client to report? - ...ANSWER...It's like a curtain closed over my eye.
RATIONALE: A retinal detachment is the separation of the retina from the epithelium. It can occur because of trauma,
cataract surgery, retinopathy, or uveitis. Clients who have retinal detachment typically report the sensation of a curtain being pulled over part of the visual field.
A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify which of the following sounds the nurse should document in the client's medical record by listening to audio clip. - ...ANSWER...Pericardial friction rub
A nurse is caring for a client who has active bleeding from peptic ulcer disease. Which of the following findings is an indication that the client is experiencing compensatory shock? - ...ANSWER...Increased heart rate
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further screening? - ...ANSWER...Shellfish allergy
A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. Which of the following instructions should the nurse include in the teaching? - ...ANSWER...Consume at least 30 g of fiber daily
A nurse is caring for a client who has type 1 diabetes mellitus and has had acute bronchitis for the past 3 days. Which of the following statements should the nurse include when instructing the client? - ...ANSWER...Take insulin even if you are unable to eat your regular diet.
A nurse is reviewing the laboratory report of a client who is receiving nonsurgical treatment for Cushing's disease. Which of the following laboratory findings should the nurse identify as a positive outcome of the treatment? - ...ANSWER...Decreased sodium
A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. The nurse should identify that which of the following values is an indication of an adverse effect of the [Show Less]