24 hours after john has a bone marrow aspiration, the nurse
evaluates which of the following as an appropriate client
outcome Correct Answer There is no bleeding at aspiration
site
50mg is equal to Correct Answer 50,000 micrograms
A ___________ is generally relieved by sitting up in a forward
leaning position Correct Answer Dyspnoea on exertion
A 10 year old child with a history of asthma uses an inhaled
bronchodilator only when needed. He takes no other
medications routinely. His best peak expiratory flow rate is 270
L/min. the childs current peak flow reading is 180 L/min. the
nurse interprets this reading as indicating which of the following
Correct Answer The child needs to start a short acting inhaled
B2 agonist medication
A 24 year old female client, who is on her honeymoon, comes to
an ambulatory care clinic in moderate distress with a probable
diagnosis of acute cystitis
• which of the following symptoms would the nurse expect the
client to report during the assessment Correct Answer
frequency and burning on urination
A 34 year old Japanese tourist, takayuki hamadi, is admitted to
the hospital after experiencing multiple trauma as a result of an
automobile accident. He has three fractured ribs, a hairline
fracture of the pelvis, a compound fracture of his right tibia and
,fibula, and soft tissue injuries. He is in severe pain when he
arrives on the unit after emergency surgery.
Takayuki reports severe pain and requests frequent medication.
A nursing assistant expresses her surprise, saying, 'i thought
asian people were very stoic about pain. ' your initial course of
action should be Correct Answer Discuss her behaviour with
her after you leave the room
A 36 year old woman has been admitted to the hospital for knee
surgery. Information obtained by the nurse during the
preoperative assessment that should be reported to the surgeon
before surgery is performed includes the patients Correct
Answer knowledge of the possibility of an early, unplanned
pregnancy
A 40 year old divorced mother of four school children is
hospitalized with metastatic cancer of the ovary. The nurse finds
the patient crying, and she tells the nurse that she does not know
what will happen to her children when she dies. The most
appropriate response by the nurse is Correct Answer Why
don't we talk about the options you have for the care of your
children
A 42 year old woman is interested in making dietary changes to
reduce her risk of colon cancer. What dietary selections would
the nurse suggest Correct Answer Bran muffin, skim milk, sir
fried broccoli
A 48 year old complains of chest pain. Signs and symptoms that
would support a diagnosis of myocardial infarction would
,include Correct Answer Nausea and vomiting and cool,
clammy pale skin
A 63 year old man has terminal cancer of the liver and is cared
for by his wife at home. His abdominal pain has become
increasingly severe, and he now says it is intense most of the
time. The nurse recognizes that teaching regarding pain
management has been effective when the patient Correct
Answer Takes analgesics around the clock on a regular
schedule, using additional doses for the breakthrough pain
A characteristic feature of the elated client is Correct Answer
Increased motor and though activity
A child is to receive Trilafon 24 mg po BD. The medication is
available as 16 mg/5ml. how may ml will you administer
Correct Answer 7.5
A child was bitten on the hand by a dog who had recently
received a rabies shot. The nursing priority for this child would
be directed toward ensuring that the Correct Answer Rabies
antibodies develop within 48 hours
A child who has an arterial blood gas that depicts respiratory
acidosis will show Correct Answer pH is acidic, PaO2 is
lowered and PaCO2 is raised
A child who weighs 20 kgs is prescribed 300 mg of paracetamol.
The stock supply is 120 mg in 5 mls. The volume to be
administered is Correct Answer 12.5mls
, A client asks the nurse, should I tell my husband I have AIDS.
The nurses most appropriate response would be Correct
Answer You are having difficulty deciding what to say
A client expresses the belief that he is the illegitimate son of a
famous family. This is an example of Correct Answer A
delusion of grandeur
A client has received 25ml of packed red blood cells when she
began to experience low back pain and mild itching. After
stopping the transfusion the nurse should Correct Answer
Collect blood and urine samples to be sent to the laboratory
A client is admitted to ED following a car accident. He
complains of abdominal discomfort. The nurse encourages the
client to lie down. The reason for this action is Correct Answer
To decrease abdominal pain
A client is admitted to the emergency room with crushing chest
injuries sustained in a car accident. Which of the following signs
would indicate a possible pneumothorax Correct Answer
Diminished or absent breath sounds on the affected side
A client is anxious and is hyperventilating. In order to prevent
respiratory alkalosis the nurse will Correct Answer Have the
client breathe deeply and slowly
A client is charted nitrazepam (mogadon) tablets to sleep. She
refuses to take them at 9pm. She tells you that the other nurses
always leave the tablets on the locker and she takes them when