QUESTIONS AND CORRECT DETAILED ANSWES GUARANTEED
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The nurse identifies the presence of clear fluid on the surgical dressing of a client who just
returned to the unit following lumbar spinal surgery. Which action should the nurse implement
immediately? - Answer>>> Test the fluid on the dressing for glucose
A pt who is admitted for primary hypothyroidism has early signs of myxedema coma. In
assessing the pt, in which sequence should the nurse complete these actions? - Answer>>> -
Observe breathing patterns
-assess blood pressure
-measure body temp
-palpate for pedal edema
A pediatric client is taking the beta-adrenergic blocking agent propranolol. In developing a
teaching plan, the nurse should teach the parents to report which sign of overdose? - Answer>>>
Bradycardia
The nurse is demonstrating correct transfer procedures to the unlicensed assistive personnel
working on a rehab unit. The UAP asks the nurse how to safely move a physically disabled pt
from the... wheelchair to the bed. Which action should the nurse recommend? - Answer>>>
Place the pt locked wheelchair on the pt strong side next to the bed
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and never
falling. Which action should the nurse take? - Answer>>> Continue to obtain pt data needed to
complete the fall risk survey
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking
in hot baths at night with no relief of his discomfort. Which action should the nurse take? -
Answer>>> Encourage the pt to use cooler water and apply calamine lotion after soaking.
, A pt with rheumatoid arthritis starts a new prescription for subcutaneously once weekly. The
nurse emphasizes the importance of reporting which problem to the healthcare provider? -
Answer>>> Joint stiffness
An adult female tells the nurse that though she is afraid that her abusive boyfriend might one day
kill her, she keeps hoping that he will change. Which action should the nurse take first? -
Answer>>> Explore the pt readiness to discuss the situation
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt is weak
and begins coughing while attempting to drink through a straw. Which intervention should the
nurse implement? - Answer>>> Teach coughing and deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit placement. When
reviewing the information, which statement should the nurse recognize as needing additional
education? - Answer>>> Empty the pouch when it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis gravidarum.
Which action is most important for the nurse to implement? - Answer>>> initiate prescribed IV
fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt arrival, the
nurse should ensure that the pt bed is in which position? - Answer>>> Picture with the bed
sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse
numerous questions about the procedure. In preparing the pt for the procedure, which
intervention has the highest priority? - Answer>>> Instruct pt to write down questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at the wound.
Before reporting this finding to the provider, the nurse should review which of the pt lab values?
- Answer>>> culture for sensitive organisms
A pt with a lower respiratory tract infection receives a prescription for ciprofloxacin 500mg PO
every 12hrs. When the client requests an afternoon snack, which dietary choice should the nurse
provide? - Answer>>> Cinnamon apple sauce