Save
Students also studied
FON-E8: Flashcards Pt. 7 Fluids & Electrolytes Medication Technician Training Guid... Chapte
19 terms 11 terms 85 terms 32 terms
StudyMisoSoup Preview acrawford1282 Preview marshalltoothman13 Preview ave
A female client presents in the emergency A. Has she taken a bath since the rape occurred?
department and tells the nurse that she was
raped last night. Which question is most
important for the nurse to ask?
A. Has she taken a bath since the rape
occurred?
B. Is the place where she lives a safe
place?
C. Does she know the person who raped
her?
D. Did she report the rape to the police
department?
The nurse is completing the admission B. Sluggish and unequal pupillary responses
assessment of a 3-year old who is admitted
with bacterial meningitis and
hydrocephalus. Which assessment finding is
evidence that the child is experiencing
increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary
responses
C. Increased head circumference and
bulging fontanels
D. Blood pressure fluctuations and
syncope
,A client with acute pancreatitis is admitted A. Abdominal pain decreases when lying supine
with severe, piercing abdominal pain and
an elevated serum amylase. Which
additional information is the client most
likely to report to the nurse?
A. Abdominal pain decreases when lying
supine
B. Pain lasts an hour and leaves the
abdomen tender
C. Right upper quadrant pain refers to right
scapula
D. Drinks alcohol until intoxicated at least
twice weekly.
A child newly diagnosed with sickle cell A. Instructions about how much fluid the child should drink daily
anemia (SCA) is being discharged from the
hospital. Which information is most
important for the nurse to provide the
parents prior to discharge?
A. Instructions about how much fluid the
child should drink daily.
B. Signs of addiction to opioid pain
medications
C. Information about non-pharmaceutical
pain relief measures
D. Referral for social services for the child
and family
To auscultate for a carotid bruit, the nurse I placed the red dot on the base of the neck on the right side
places the stethoscope at what location.
(Select the location on the image with a
red dot).
After receiving report on an inpatient acute D. The client with a bowel obstruction due to a volvulus who is experiencing
care unit, which client should the nurse abdominal rigidity
assess first?
A. The client with an obstruction of the
large intestine who is experiencing
abdominal distention
B. The client who had surgery yesterday
and is experiencing a paralytic ileus with
absent bowel sounds
C. The client with a small bowel obstruction
who has a nasogastric tube that is draining
greenish fluid
D. The client with a bowel obstruction due
to a volvulus who is experiencing
abdominal rigidity
, A teenager presents to the emergency D. Respiratory alkalosis
department with palpitations after vaping
at a party. The client is anxious, fearful, and
hyperventilating. The nurse anticipates the
client developing which acid base
imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
A client with dyspnea is being admitted to Fowlers
the medical unit. To best prepare for the
client's arrival, the nurse should ensure that
the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers
The nurse is taking the blood pressure A. Frequent syncope
measurement of a client with Parkinson's C. Flat affect
disease. Which information in the client's D. Blurred vision
admission assessment is relevant to the
nurse's plan for taking the blood pressure
reading? (Select all the apply)
A. Frequent syncope
B. Occasional nocturia
C. Flat affect
D. Blurred vision
E. Frequent drooling
While caring for a client's postoperative B. Culture for sensitive organisms
dressing, the nurse observes purulent
drainage at the wound. Before reporting
this finding to the healthcare provider, the
nurse should review which of the client's
laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
D. Creatinine level