Question & answers,
graded A+, 100% pass
A 38-Year-Old Female Client Is Admitted To The Mental Health Unit After a Recent
Manic Episode Of Spending Large Amounts Of Money On New Furniture, Making
Excessive Long-Distance Phone Calls, And Not Sleeping For Three Days. During
The Admission Process, The Client Is Wearing a Green Bathing Suit. What
Intervention Should The Nurse Implement?
Assess The Client's Needs For Food, Liquids, And Rest.
During a Group Therapy Session, a Client With Hypomania Threatens To Strike
Another Client. What Intervention Is Best For The Nurse To Implement?
Firmly Inform The Client That Acting Out Anger Is Not Acceptable.
A Client Who Is a Laboratory Technician And Has a History Of Allergic Rhinitis,
Asthma, And Multiple Food Allergies Is Scheduled For Surgery. Which Action
Should The Nurse Implement?
Document a Possible Type I Latex Allergy.
In Reviewing The Medical Record, The Nurse Notes That a Client's Last Eye
Examination Revealed An Iop Of 28 Mmhg. What Information Should The Nurse
Ask The Client?
Use Of Prescribed Eye Drops Since Last Exam By Ophthalmologist.
Which Action Should The Nurse Implement To Assess For Jvd In a Client With Hf?
, Observe The Vertical Distention Of The Veins As The Client Is Gradually
Elevated To An Upright Position.
The Nurse Identifies a Client's Laboratory Results And Identifies An Elevated Serum
Ammonia Level. Which Pathophysiological Process Contributes To This Finding?
Failure Of The Liver To Convert Ammonia Absorbed From The Bowel To Urea.
A Client With Gerd Is Unconscious And Unresponsive To Stimuli. The Nurse Places
The Client In a Side-Lying Position. The Nurse Should Monitor For The Risk Of
Which Complication?
Aspiration Pneumonia.
A Client Returns To The Unit After Abdominal Nissen Fundoplication For Treatment
Of Gerd. After 4 Hours, The Nurse Determines The Client Has No Drainage From
The Ngt And Has Absent Bowel Sounds. What Action Should The Nurse Implement?
Irrigate The Ngt With Normal Saline.
A Male Client Who Is Admitted With a Bleeding Peptic Ulcer Develops Sudden,
Severe Upper Abdominal Pain. The Client Becomes Diaphoretic And Draws His
Knees Over His Abdomen. Which Finding Should The Nurse Report To The
Healthcare Provider?
A Rigid, Boardlike Abdomen.
A Client Returns To The Postoperative Unit After a Gastroduodenostomy (Billroth I)
For Treatment Of a Perforated Ulcer. The Healthcare Provider's Prescriptions Include
Morphine With a Patient-Controlled Analgesia (Pca), Nasogastric Tube (Ngt) To Low
Intermittent Nasogastric Suction, And Iv Fluids And Antibiotics. The Client
Complains Of Increasing Abdominal Pain 12 Hours After Returning To The Surgical
Unit. The Nurse Determines The Client Has No Bowel Sounds, And 200 Ml Of
Bright Red Nasogastric Drainage Is In The Suction Canister In The Past Hour. What
Is The Priority Action The Nurse Should Implement?
Notify The Healthcare Provider.
A Patient Returns From Surgery Following An Abdominal-Perineal Resection With a
Sigmoid Colostomy And Abdominal And Perineal Incisions. The Colostomy Is
Dressed With Petroleum Jelly Gauze And Dry Gauze Dressings. The Perineal Incision
Is Partially Closed And Has Two Drains Attached To Jackson-Pratt Suction. On The
First Postoperative Day, The Nurse Gives The Highest Priority To
a. Teaching About a Low-Residue Diet.
b. Monitoring Drainage From The Stoma.
c. Assessing The Perineal Drainage And Incision.
d. Encouraging Acceptance Of The Colostomy Site.
Maintain Dry Perineal Dressings
What Information In a Client's History Indicates The Highest Risk Factor For
Hepatitis C?
Intravenous Drug Abuse
graded A+, 100% pass
A 38-Year-Old Female Client Is Admitted To The Mental Health Unit After a Recent
Manic Episode Of Spending Large Amounts Of Money On New Furniture, Making
Excessive Long-Distance Phone Calls, And Not Sleeping For Three Days. During
The Admission Process, The Client Is Wearing a Green Bathing Suit. What
Intervention Should The Nurse Implement?
Assess The Client's Needs For Food, Liquids, And Rest.
During a Group Therapy Session, a Client With Hypomania Threatens To Strike
Another Client. What Intervention Is Best For The Nurse To Implement?
Firmly Inform The Client That Acting Out Anger Is Not Acceptable.
A Client Who Is a Laboratory Technician And Has a History Of Allergic Rhinitis,
Asthma, And Multiple Food Allergies Is Scheduled For Surgery. Which Action
Should The Nurse Implement?
Document a Possible Type I Latex Allergy.
In Reviewing The Medical Record, The Nurse Notes That a Client's Last Eye
Examination Revealed An Iop Of 28 Mmhg. What Information Should The Nurse
Ask The Client?
Use Of Prescribed Eye Drops Since Last Exam By Ophthalmologist.
Which Action Should The Nurse Implement To Assess For Jvd In a Client With Hf?
, Observe The Vertical Distention Of The Veins As The Client Is Gradually
Elevated To An Upright Position.
The Nurse Identifies a Client's Laboratory Results And Identifies An Elevated Serum
Ammonia Level. Which Pathophysiological Process Contributes To This Finding?
Failure Of The Liver To Convert Ammonia Absorbed From The Bowel To Urea.
A Client With Gerd Is Unconscious And Unresponsive To Stimuli. The Nurse Places
The Client In a Side-Lying Position. The Nurse Should Monitor For The Risk Of
Which Complication?
Aspiration Pneumonia.
A Client Returns To The Unit After Abdominal Nissen Fundoplication For Treatment
Of Gerd. After 4 Hours, The Nurse Determines The Client Has No Drainage From
The Ngt And Has Absent Bowel Sounds. What Action Should The Nurse Implement?
Irrigate The Ngt With Normal Saline.
A Male Client Who Is Admitted With a Bleeding Peptic Ulcer Develops Sudden,
Severe Upper Abdominal Pain. The Client Becomes Diaphoretic And Draws His
Knees Over His Abdomen. Which Finding Should The Nurse Report To The
Healthcare Provider?
A Rigid, Boardlike Abdomen.
A Client Returns To The Postoperative Unit After a Gastroduodenostomy (Billroth I)
For Treatment Of a Perforated Ulcer. The Healthcare Provider's Prescriptions Include
Morphine With a Patient-Controlled Analgesia (Pca), Nasogastric Tube (Ngt) To Low
Intermittent Nasogastric Suction, And Iv Fluids And Antibiotics. The Client
Complains Of Increasing Abdominal Pain 12 Hours After Returning To The Surgical
Unit. The Nurse Determines The Client Has No Bowel Sounds, And 200 Ml Of
Bright Red Nasogastric Drainage Is In The Suction Canister In The Past Hour. What
Is The Priority Action The Nurse Should Implement?
Notify The Healthcare Provider.
A Patient Returns From Surgery Following An Abdominal-Perineal Resection With a
Sigmoid Colostomy And Abdominal And Perineal Incisions. The Colostomy Is
Dressed With Petroleum Jelly Gauze And Dry Gauze Dressings. The Perineal Incision
Is Partially Closed And Has Two Drains Attached To Jackson-Pratt Suction. On The
First Postoperative Day, The Nurse Gives The Highest Priority To
a. Teaching About a Low-Residue Diet.
b. Monitoring Drainage From The Stoma.
c. Assessing The Perineal Drainage And Incision.
d. Encouraging Acceptance Of The Colostomy Site.
Maintain Dry Perineal Dressings
What Information In a Client's History Indicates The Highest Risk Factor For
Hepatitis C?
Intravenous Drug Abuse
