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
RN Adult Medical Surgical Online Practice 2019 A
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 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?
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?
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
- 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
- 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]