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,An adult woman with primary Raynaud Continue to monitor the fingers until color returns to normal
phenomenon develops pallor and then
cyanosis of her fingers. After warming her
hands, the fingers turn red and the client
reports a burning sensation. What action should
the nurse take?
A. Apply a cool compress to the affected
fingers for 20 minutes
B. Secure a pulse oximeter to monitor the
client's oxygen saturation
C. Report the finding to the healthcare provider
as soon as possible
D. Continue to monitor the fingers until color
returns to normal
,After a CT scan with intravenous contrast Prepare a dose of epinephrine
medium, a client returns to the room
complaining of shortness of breath and itching.
Which intervention should the nurse
implement?
A. Call respiratory therapy to give a breathing
treatment.
B. Send another nurse for emergency
tracheostomy set
C. Prepare a dose of epinephrine
D. Review the clients complete list of allergies
After hospitalization for SIADH, a client Reorient client to room
develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises
, A cardiac catherization of a client with heart Three main arteries have major blockages, with only 1-5% of the
disease indicates the following blockages: 95% blood flow getting through to the heart muscles
proximal left anterior descending (LAD), 99%
proximal circumflex, and 95% proximal right
coronary artery (RCA) the client later asks the
nurse "What does all of that mean for me?"
What information should the nurse provide.
B. Three main arteries have major blockages,
with only 1-5% of the blood flow getting
through to the heart muscles
A client being admitted to a surgical unit is Elevate head of bed to 60 to 90 degrees
being evaluated for an intestinal obstruction.
The HCP prescribes a NG tube to be inserted
and placed to intermittent low wall suction.
which intervention should the nurse implement
to facilitate proper tube placement.
A. Soak NG tube in warm water
B. Insert tube with clients head tilted back
C. Apply suction while inserting tube
D. Elevate head of bed to 60 to 90 degrees