A nurse is completing a skin assessment of the client with anemia . Which of the
following findings should the nurse expect?
A. absent skin turgor
B. spoon shaped nails
C. Shiny hairless legs
D. yellow mucous membranes
Give this one a try later!
spoon shaped nails
The answer is B deformities of the nails such as being spoon shaped are
findings with a client in anemia.
Increasing PaCo2 levels for a patient in status asthmaticus is a sign of improvement.
True or False?
,Give this one a try later!
False
Rationale: Status asthmaticus is a rapid onset, severe, and persistent asthma
that does not respond to conventional therapy. Patients are often
hospitalized for treatment. Increasing levels of PaCO2 indicate a worsening
condition with inadequate gas exchange.
A nurse is planning care for patient who has AIDS. What are some nursing actions that
the nurse can implement?
Give this one a try later!
Assess risk factors
Monitor I&O
Obtain daily weights check for weight loss
Monitor nutritional intake
Assess skin integrity
Assess pain
Assess lungs resp. status
Check vitals
Assess neuro
The patient is diagnosed with leukemia and is immunocompromised. The patient's
absolute neutrophil count is 750. What should the nurse teach to the patient and the
family on ways to decrease risk of infection?
Give this one a try later!
, Hand hygiene
Keep nails trimmed
Do not cut cuticles
Use lotion to avoid breakdown
Avoid crowds
Monitor temperature
Report chills
Cook food thoroughly
Do not go to buffets or sushi
Wear gloves when handling meat
No pet feces, don't change litter
Avoid sharp razors
No mouthwash
A 7 year old patient was diagnosed with sickle cell disease at birth. She was playing
outside in the snow when she developed severe abdominal pain. Her parents
immediately took her to the emergency room, suspecting a sickle cell crisis. Describe
the nursing process for the patient with sickle cell crisis.
Give this one a try later!
Assess pain level
Assess respiratory level
Cardiac status
Focused abdominal assessment
Manage pain with analgesics, opioids
Swollen joints should be elevated
Reinforce teachings about signs and symptoms
Which of the following should a patient do after using a metered dose inhaler (MDI)
containing a corticosteroid?
A. Wait at least 5 minutes before drinking any liquid
B. Use a soft bristle toothbrush for brushing teeth during the next 24 hours
, C. Monitor for hyperthermia which could be a sign of an infection
D. Rinse mouth with water immediately after use
Give this one a try later!
Rinse mouth with water immediately after use
Rationale: Rinsing the mouth with water after using an MDI with
corticosteroid is necessary to avoid development of thrush in the oral
cavity.
What evaluation most illustrates that the patient with heart failure has met outcomes
for the nursing diagnosis, "Activity intolerance related to decreased cardiac output"?
A. Exhibits decreased peripheral edema
B. Maintains heart rate, blood pressure, respiratory rate, and pulse oximetry within the
targeted range
C. Avoids situations that produce stress
D. Performs and records daily weights
Give this one a try later!
Maintains heart rate, blood pressure, respiratory rate, and pulse oximetry
within the targeted range
Rationale: Patients with HF who exhibit stable VS shows that they have been
able to adjust and plan activities to include rest and allow their bodies to
adjust. A decrease in peripheral edema illustrates a reduction of fluid,
avoiding situations that produce stress shows a move toward decreasing
anxiety, and performing and recording daily weights shows adherence to
the therapeutic regimen.
A nurse in a clinical receives a phone call from a client seeking information about a
new prescription following information about a new prescription for erythropoietin.
following findings should the nurse expect?
A. absent skin turgor
B. spoon shaped nails
C. Shiny hairless legs
D. yellow mucous membranes
Give this one a try later!
spoon shaped nails
The answer is B deformities of the nails such as being spoon shaped are
findings with a client in anemia.
Increasing PaCo2 levels for a patient in status asthmaticus is a sign of improvement.
True or False?
,Give this one a try later!
False
Rationale: Status asthmaticus is a rapid onset, severe, and persistent asthma
that does not respond to conventional therapy. Patients are often
hospitalized for treatment. Increasing levels of PaCO2 indicate a worsening
condition with inadequate gas exchange.
A nurse is planning care for patient who has AIDS. What are some nursing actions that
the nurse can implement?
Give this one a try later!
Assess risk factors
Monitor I&O
Obtain daily weights check for weight loss
Monitor nutritional intake
Assess skin integrity
Assess pain
Assess lungs resp. status
Check vitals
Assess neuro
The patient is diagnosed with leukemia and is immunocompromised. The patient's
absolute neutrophil count is 750. What should the nurse teach to the patient and the
family on ways to decrease risk of infection?
Give this one a try later!
, Hand hygiene
Keep nails trimmed
Do not cut cuticles
Use lotion to avoid breakdown
Avoid crowds
Monitor temperature
Report chills
Cook food thoroughly
Do not go to buffets or sushi
Wear gloves when handling meat
No pet feces, don't change litter
Avoid sharp razors
No mouthwash
A 7 year old patient was diagnosed with sickle cell disease at birth. She was playing
outside in the snow when she developed severe abdominal pain. Her parents
immediately took her to the emergency room, suspecting a sickle cell crisis. Describe
the nursing process for the patient with sickle cell crisis.
Give this one a try later!
Assess pain level
Assess respiratory level
Cardiac status
Focused abdominal assessment
Manage pain with analgesics, opioids
Swollen joints should be elevated
Reinforce teachings about signs and symptoms
Which of the following should a patient do after using a metered dose inhaler (MDI)
containing a corticosteroid?
A. Wait at least 5 minutes before drinking any liquid
B. Use a soft bristle toothbrush for brushing teeth during the next 24 hours
, C. Monitor for hyperthermia which could be a sign of an infection
D. Rinse mouth with water immediately after use
Give this one a try later!
Rinse mouth with water immediately after use
Rationale: Rinsing the mouth with water after using an MDI with
corticosteroid is necessary to avoid development of thrush in the oral
cavity.
What evaluation most illustrates that the patient with heart failure has met outcomes
for the nursing diagnosis, "Activity intolerance related to decreased cardiac output"?
A. Exhibits decreased peripheral edema
B. Maintains heart rate, blood pressure, respiratory rate, and pulse oximetry within the
targeted range
C. Avoids situations that produce stress
D. Performs and records daily weights
Give this one a try later!
Maintains heart rate, blood pressure, respiratory rate, and pulse oximetry
within the targeted range
Rationale: Patients with HF who exhibit stable VS shows that they have been
able to adjust and plan activities to include rest and allow their bodies to
adjust. A decrease in peripheral edema illustrates a reduction of fluid,
avoiding situations that produce stress shows a move toward decreasing
anxiety, and performing and recording daily weights shows adherence to
the therapeutic regimen.
A nurse in a clinical receives a phone call from a client seeking information about a
new prescription following information about a new prescription for erythropoietin.
