Terms in this set (57)
The test you are having tomorrow requires that you have nothing by mouth
tonight
A 57 year old male client is scheduled
to have a stress-thallium test the
following morning and is NPO after
midnight. At 0130, he is agitated
because he cannot eat and is
demanding food. Which response is
best for the nurse to provide to this
client?
Regenerative function of the skin is absent because the dermal layer has
been destroyed
An adult client is admitted to the
hospital burn unit with partial-
thickness and full-thickness burns
over 40% of the body surface area. In
assessing the potential for skin
regeneration, what should the nurse
remember about full-thickness burns?
Report the findings to the surgeon
, report the findings to the surgeon
After checking the urinary drainage
system for kinks in the tubing, the
nurse determines that a client who has
returned from the post-anesthesia care
has a dark, concentrated urinary
output of 54 ml for the last 2 hours.
What priority nursing action should
be implemented?
5 minutes before and 30 minutes after the next dose
After the fourth dose of gentamicin
sulfate (Garamycin) IV, the nurse
plans to draw blood samples to
determine peak and trough levels.
When are the best times to draw these
samples?
inflammatory with peau d'orange
A client has a staging procedure for
cancer of the breast and ask the nurse
which type of breast cancer has the
poorest prognosis. Which information
should the nurse offer the client?
purulent sputum (indication of infection)
A client has been taking oral
corticosteroids for the past 5 days
because of seasonal allergies. Which
The test you are having tomorrow requires that you have nothing by mouth
tonight
A 57 year old male client is scheduled
to have a stress-thallium test the
following morning and is NPO after
midnight. At 0130, he is agitated
because he cannot eat and is
demanding food. Which response is
best for the nurse to provide to this
client?
Regenerative function of the skin is absent because the dermal layer has
been destroyed
An adult client is admitted to the
hospital burn unit with partial-
thickness and full-thickness burns
over 40% of the body surface area. In
assessing the potential for skin
regeneration, what should the nurse
remember about full-thickness burns?
Report the findings to the surgeon
, report the findings to the surgeon
After checking the urinary drainage
system for kinks in the tubing, the
nurse determines that a client who has
returned from the post-anesthesia care
has a dark, concentrated urinary
output of 54 ml for the last 2 hours.
What priority nursing action should
be implemented?
5 minutes before and 30 minutes after the next dose
After the fourth dose of gentamicin
sulfate (Garamycin) IV, the nurse
plans to draw blood samples to
determine peak and trough levels.
When are the best times to draw these
samples?
inflammatory with peau d'orange
A client has a staging procedure for
cancer of the breast and ask the nurse
which type of breast cancer has the
poorest prognosis. Which information
should the nurse offer the client?
purulent sputum (indication of infection)
A client has been taking oral
corticosteroids for the past 5 days
because of seasonal allergies. Which
