a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of
... [Show More] the following findings is an adverse effect of the medication?
- hypokalemia
a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the client appears anxious and restless, and the high-pressure alarm is sounding. which of the following actions should the nurse take first?
- instruct the client to allow the machine to breathe for them
a nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this risk, which of the following dietary alterations should the nurse recommend?
- add cabbage to the diet
a home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. which of the following neurological deficits should the nurse expect to find when assessing the client? –
visual spatial deficits
left hemianopsia
one-sided neglect
a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? - nonrebreather mask
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the client has dyspnea with a productive cough and is using accessory muscles to breathe. which of the following actions should the nurse take first?
- place the client in high-fowler's position
a nurse is planning care for a client who has extensive burn injuries and is immunocompromised. which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection.
- avoid placing plants or flowers in the client's room
an older adult client is brought to an emergency department by a family member. which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration?
- Urine specific gravity of 1.045
a nurse in an emergency department is reviewing the providers prescriptions for a client who sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse expect?
- administer an opioid analgesic to the client
a nurse is assessing a client who has had a suspected stroke. the nurse should place the priority on which of the following findings?
- dysphagia
a nurse is teaching a young adult client how to perform testicular self-examination. which of the following instructions should the nurse include?
- roll each testicle between the thumb and fingers
a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. which of the following statements by the client indicates an understanding of the teaching?
- I should take this medication with a meal
a nurse is teaching a client who has venous insufficiency about self-care. which of the following statements should the nurse identify as an indication that the client understands the teaching? - I will wear clean graduated compression stockings every day
a nurse is assessing a client who has acute cholecystitis. which of the following findings is the nurse's priority?
- tachycardia
a nurse is reviewing the health record of a client who is scheduled for allergy skin testing. the nurse should postpone the testing and report to the provider with if the following findings?
- current medications
a nurse is caring for a group of clients. the nurse should plan to make a referral to physical therapy for which of the following clients?
- a client who is receiving preoperative teaching for a right knee arthroplasty
a nurse is caring for a client who has DKA. which of the following laboratory findings should the nurse expect?
- BUN 32 mg/dl
a nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. which of the following statements should the nurse include in the teaching
- you should cut the opening of the skin barrier one-eighth inch wider than the stoma [Show Less]