A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
a. Heart rate 90/min
b. Absent bowel
sounds c. Hgb 8.2
g/dl
d. Gastric pH of 3.0 (normal 0-4)
A nurse is caring for a client who has diabetes insipidus. Which of
the following medications should the nurse plan to administer?
a.
Desmopressin
b. Regular
insulin c.
Furosemide
d. Lithium carbonate
A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should
the nurse monitor?
a. Fasting blood
glucose b. Stool for
occult blood
c. Urine for white blood
cells d. Serum calcium -
A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain
separate categories of data.)
a. Obtain a sputum sample for
culture b. Prepare the client for a
chest x-ray c. Initiate airborne
precautions
d. Administer ondansertron.
A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate? a. Transmucosal fentanyl
b. Intramuscular
meperidine c. Oral
acetaminophen
d. Intravenous dexamethasone
A nurse is admitting a client who reports chest pain and has been placed on
,a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
a. PR
interval b.
QRS duration
,c. T wave
d. ST segment
A nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following instructions should the
nurse include?
a. Pat the skin on the radiation site to
dry it b. Apply OTC moisturizer to the
radiation site
c. Cover the radiation site loosely with a gauze wrap before
dressing d. Use a soft washcloth to clean the area around the
radiation site
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications?
a.
Diphenhydramine
b.
Acetaminophen
c. Pantoprazole
d. Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
a. Lungs clear
b. Apical pulse 82/min
c. Hyperactive bowel
sounds d. Blood pressure
90/50 mm Hg
A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse should recognize these findings as indication of
which of the following conditions?
a. Metabolic
acidosis b.
Metabolic alkalosis
c. Compensated respiratory
alkalosis d. Uncompensated
respiratory acidosis
A nurse is caring for a client who has a deep partial thickness burns over
15% of her body which of the following labs should the nurse expect during
the first 24 hours
, a. Decreased
BUN b.
Hypoglycemia
c. Hypoalbuminemia
d. Decreased Hematocrit