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Terms in this set (100)
1 A nurse is assessing for Intense pain with movement
early signs of compartment
syndrome for a client who
has a short-leg fiberglass
cast. Which of the following
findings should the nurse
expect?
2 A nurse is monitoring a Chills
client who is receiving 2
units packed RBCs. Which
of the following
manifestations indicates a
hemolytic transfusion
reaction?
3 A nurse is caring for a Place two bed pillows between the legs when in bed
client who had a total hip
arthroplasty. Which of the
following actions should
the nurse take to prevent
hip dislocation?
4 A nurse is assessing a Latex
client who is preoperative
and reports an allergy to
bananas. The nurse should
recognize that the client is
at risk for an allergic cross-
reactivity to which of the
following substances
,5 A nurse is teaching a Hold breaths about 3 to 5 seconds before exhaling
client about the use of an
incentive spirometer. Which
of the following instructions
should the nurse include in
the teaching?
6 A nurse is caring for a Initiate cardiac monitoring for the clients
client who arrives at the
emergency department
and reports vomiting and
diarrhea for the past 3
days. The client's serum
potassium level is
2.8mEq/L. Which of the
following interventions
should the nurse implement
first?
7 A nurse is preparing to Hang the drainage bag below the client's abdomen
administer peritoneal
dialysis to a client. Which of
the following actions
should the nurse take?
8 A nurse is preforming a Disequilibrium with movement
cranial nerve assessment
on a client following a head
injury. Which of the
following findings should
the nurse expect if the
client has impaired function
of the vestibulocochlear
nerve (cranial nerve VIII)?
9 A nurse is planning care apply compression stockings to the lower extremities
for a client who is one day
postoperative Following an
open cholecystectomy.
Which of the following
interventions should the
nurse include in the plan of
care?
, 10 A nurse is caring for a Furosemide 40mg IV bolus every 6 hr
male client who has an
exacerbation of heart
failure. Which of the
following prescriptions
should the nurse expect to
receive from the provider?
(click on the "exhibit" button
for additional information
about the client. There are
3 tabs that contain separate
categories of data.)
11 A nurse is providing a " I should expect less than 25 mL of secretions per day
discharge teaching to a in the drainage devices"
client following a modified
left radical mastectomy
with breast expander.
Which of the following
statements by the client
indicates an understanding
of the teaching?
12 A nurse is teaching a "Exhale Fully before bringing the inhaler to your lips "
client about using a
metered-dose rescue
inhaler. Which of the
following statements
should the nurse include I
the first teaching?
13 A nurse is caring for a Calcium level 11.5 mg/dL
client who has been
receiving total parental
nutrition (TPN) for 1 week.
For which of the following
findings should the nurse
notify the provider?