A nurse in an intensive care unit is planning care for a client who has alcohol withdrawal
syndrome. Which of the following should the nurse include in the plan of care?
a.Administer disulfiram.
b.Provide frequent orientation to time and place.
c.Engage the client in group therapy.
d.Perform gastric lavage.
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, b.Provide frequent orientation to time and place.
A nurse is caring for a client who reports chest pain. Which of the following findings
indicates myocardial damage?
A. aPTT 80 seconds
B. Troponin I 1.8 ng/mL
C. Erythrocyte sedimentation rate 17 mm/hr
D. Human B-type natriuretic peptide 88 pg/mL
Give this one a try later!
B. Troponin I 1.8 ng/mL
The nurses assessing a client plus blood glucose level of 250 mg/dl. Which of the
following clinical manifestations are associated with this finding?
a.Confusion (hypoglycemia)
b.Thirst
c.Diaphoresis (hypoglycemia)
d.Shakiness (hypoglycemia)
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b.Thirst
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
,B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Give this one a try later!
C. Monitor the client for 1 hr after meals
A nurse is caring for a client who is receiving systematic desensitization therapy to treat
agoraphobia. Which of the following client statements should indicate to the nurse that
the treatment has been effective?
A. I have been able to watch a church service on television without anxiety
B. I was able to sit on a park bench for 30 minutes
C. I enjoyed a visit from four of my work friends at my house
D. I had a panic attack when driving by the grocery store
Give this one a try later!
B. I was able to sit on a park bench for 30 minutes
A nurse is reviewing the results of an ABG performed on a client with chronic
emphysema. Which of the following results suggests the need for further treatment?
a.paO2 level of 89 mm Hg
b.PaCO2 level of 55 mm Hg
c.HCO2 level of 25 mEq/L
d.pH level of 7.37
Give this one a try later!
, b.PaCO2 level of 55 mm Hg
A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following
should the nurse plan to take?
A. Wear an N95 respiratory mask while caring for the toddler
B. Place the toddler in a room with negative air pressure
C. Use a designated stethoscope when caring for the toddler
D. Remove the disposable gown after leaving the toddler's room
Give this one a try later!
C. Use a designated stethoscope when caring for the toddler
A nurse is caring for a client who has just given birth to a stillborn newborn. Which of the
following is the priority task for the nurse to facilities in the client grief process
Give this one a try later!
Acknowledging the reality of the newborn's death
a nurse is preparing to discharge a newborn who has an atrial septal defect. The nurse
should expect the provider to refer the client to which of the following inter professional
team members?
a. case manager
b. physical therapist
syndrome. Which of the following should the nurse include in the plan of care?
a.Administer disulfiram.
b.Provide frequent orientation to time and place.
c.Engage the client in group therapy.
d.Perform gastric lavage.
Give this one a try later!
, b.Provide frequent orientation to time and place.
A nurse is caring for a client who reports chest pain. Which of the following findings
indicates myocardial damage?
A. aPTT 80 seconds
B. Troponin I 1.8 ng/mL
C. Erythrocyte sedimentation rate 17 mm/hr
D. Human B-type natriuretic peptide 88 pg/mL
Give this one a try later!
B. Troponin I 1.8 ng/mL
The nurses assessing a client plus blood glucose level of 250 mg/dl. Which of the
following clinical manifestations are associated with this finding?
a.Confusion (hypoglycemia)
b.Thirst
c.Diaphoresis (hypoglycemia)
d.Shakiness (hypoglycemia)
Give this one a try later!
b.Thirst
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
,B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
Give this one a try later!
C. Monitor the client for 1 hr after meals
A nurse is caring for a client who is receiving systematic desensitization therapy to treat
agoraphobia. Which of the following client statements should indicate to the nurse that
the treatment has been effective?
A. I have been able to watch a church service on television without anxiety
B. I was able to sit on a park bench for 30 minutes
C. I enjoyed a visit from four of my work friends at my house
D. I had a panic attack when driving by the grocery store
Give this one a try later!
B. I was able to sit on a park bench for 30 minutes
A nurse is reviewing the results of an ABG performed on a client with chronic
emphysema. Which of the following results suggests the need for further treatment?
a.paO2 level of 89 mm Hg
b.PaCO2 level of 55 mm Hg
c.HCO2 level of 25 mEq/L
d.pH level of 7.37
Give this one a try later!
, b.PaCO2 level of 55 mm Hg
A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following
should the nurse plan to take?
A. Wear an N95 respiratory mask while caring for the toddler
B. Place the toddler in a room with negative air pressure
C. Use a designated stethoscope when caring for the toddler
D. Remove the disposable gown after leaving the toddler's room
Give this one a try later!
C. Use a designated stethoscope when caring for the toddler
A nurse is caring for a client who has just given birth to a stillborn newborn. Which of the
following is the priority task for the nurse to facilities in the client grief process
Give this one a try later!
Acknowledging the reality of the newborn's death
a nurse is preparing to discharge a newborn who has an atrial septal defect. The nurse
should expect the provider to refer the client to which of the following inter professional
team members?
a. case manager
b. physical therapist
