Academicmaterials

A 48-year-old man was just diagnosed with Huntington's disease. His 20-year-old son is upset about his father's diagnosis. How can the nurse best help this young man? A. Provide emotional and psychologic support. B. Encourage him to get diagnostic genetic testing done. C. Tell him the cognitive deterioration will be treated with counseling. D. Tell him the chorea and psychiatric disorders can be treated with haloperidol (Haldol). - ️️A. Provide emotional and psychologic support. ...

What accurately describes rejection following transplantation? A. Hyperacute rejection can be treated with OKT3. B. Acute rejection can be treated with sirolimus or tacrolimus. C. Chronic rejection can be treated with tacrolimus or cyclosporine. D. Hyperacute reaction can usually be avoided if crossmatching is done before the transplantation. - ️️D Rationale: A positive crossmatch indicates that the recipient has cytotoxic antibodies to the donor's antigens and is an absolute contr...

A nurse is caring for a school-age client who was diagnosed with sickle cell anemia and has been admitted for a vaso-occlusive crisis. Which of the following findings has the highest priority? - Correct Answer-Slurred speech A nurse is collecting data on a newborn who was delivered 30 mins ago at the gestational age of 37 weeks. Which of the following findings requires further intervention? - Correct Answer-Abdominal distension A nurse is reinforcing teaching about the diet for dumping syn...

A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. Which response is best for the nurse to provide? - Correct AnswerEstrogen deficiency causes the vaginal tissue to become dry and thinner Which discharge instruction is most important for a client after a kidney transplant? - Correct Answer-Use daily reminders to take immunosuppressants The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the nurse t...

A nurse assesses a client who is recovering after a coronary catheterization. Which assessment findings in the first few hours after the procedure require immediate action by the nurse (Select all that apply.) A Blood pressure of 140/88 mm Hg B Serum potassium of 2.9 mEq/L C Warmth and redness at the site D Expanding groin hematoma E Rhythm changes on the cardiac monitor - Correct Answer-B D E A nurse reviews a client's laboratory results. Which findings should alert the nurse to the ...

A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in the teaching? - Correct Answer-Use diaphragmatic breathing. When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as - Correct Answer-emergency. Emergency surgery means that the client requires immediate attention and the disorder may be life threatening. Urgent surgery means that the client requires prompt attent...

Trends in the incidence and death rates of cancer include the fact that a. lung cancer is the most common type of cancer in men. b. a higher percentage of women than men have lung cancer. c. breast cancer is the leading cause of cancer deaths in women. d. African Americans have a higher death rate from cancer than whites. - Correct Answer-d Rationale: Cancer incidence and death rates are disproportionately higher among African Americans than among other minority groups and white people. ...

A patient has had cataract extractions and the nurse is providing discharge instructions. What should the nurse encourage the patient to do at home? - Correct Answer-Avoid bending the head below the waist A nurse is assessing a pediatric client in a public health clinic. The parent states that the client has been sneezing and rubbing the eyes. The nurse observes the client's eyes and documents objective symptoms of watery and red eyes. When reporting to the physician the assessment find...

week."b. "My blood pressure shouldn't be high because I took my BP medication this morning."c. "I took my warfarin last night according to my usually schedule."d. "I will check my BP because I took a reduced dose of insulin this morning." - ️️c A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse should recognize that an increase in which of the following is diagnostic of a MI?a. myoglobinb. c-reactive proteinc. creatine kinase- MBd....

A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first? a. monitor bp q45 minutes b. lower the head of the chair and elevate feet c. stop dialysis treatment d. administer 5% albumin IV - ️️c. stop dialysis treatment A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml. The presc...

What process involves blood being brought by the incoming capillaries into the kidney, which contains nitrogenous substances to be excreted as waste? Filtration Active transport Osmosis Diffusion - ️️Filtration RATIONALE: Capillary blood from the renal arteries filters into the kidney for processing as the first step. A nurse evaluates the laboratory reports on electrolyte values carefully to assess the balance between positive and negative ions. What is responsible for the regulati...

A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the following responses should the nurse make? - Correct Answer-"Acute episodes are usually followed by remissions, which can last varying lengths of time." a nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Whats priority? - Corr...

Which description of pain is consistent with a diagnosis of rheumatoid arthritis? Joint pain is worse in the morning and involves symmetric joints. Joint pain is better in the morning and worsens throughout the day. Joint pain is consistent throughout the day and is relieved by pain medication. Joint pain is worse during the day and involves unilateral joints. - ️️Joint pain is worse in the morning and involves symmetric joints. Rheumatoid arthritis (RA) is an autoimmune disease that c...

1. A 65-year-old was diagnosed and treated for right lower lobe pneumonia 4 days ago. Today, the patient came to the ED reporting abrupt onset of chest pain that is worse with inspiration. The nurse knows that the symptoms are consistent with: a) Pleurisy b) Stable angina c) Bacteremia d) Meningitis - Correct Answer-a) Pleurisy 2. The ED nurse is caring for Ginny, a 45-year-old female with a recent history of sexual assault. Ginny came to the ED crying and shaking and stated that she had...

Which intervention should the nurse plan to implement when caring for a client who has just undergone a right above-the-knee amputation? A) Maintain the residual limb on three pillows at all times. B) Place a large tourniquet at the client's bedside. C) Apply constant, direct pressure to the residual limb. D) Do not allow the client to lie in the prone position. - ️️B) Place a large tourniquet at the client's bedside. A large tourniquet should be placed in plain sight at the cli...

A 27-year-old female patient presents to the ICU after a severe thoracic burn injury. She presents with the following vitals: BP of 90/67, HR of 135, temperature of 100.1, and respiratory rate of 24. She is unconscious, unresponsive, and has purpura present on both lower calves. It's suspected this patient is experiencing DIC as a result of hypovolemic shock. Which of the orders should the nurse QUESTION from the physician? A. IV bolus of NS 0.9% B. Administer STAT order of RBC's C...

1. The nurse is completing preoperative assessment on a male client who states, "I am allergic to codeine." Which intervention should the nurse implement first? 1. Apply an allergy bracelet on the client's wrist 2. Label the client's allergies on the front of the chair 3. Ask the client what happens when he takes codeine 4. Document the allergy on the medication administration record - ️️3. Ask the client what happens when he takes codeine 2. Which lab result would require...

A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? A) Perform pin site care daily B) Remove the overbed trapeze C) Remove the boot every 2 hr D) Keep the weights on a stable, flat surface - ️️A) Perform pin site care daily The nurse should perform pin site care daily with chlorhexidine solution or use a solution according to facility protocol....

The client is complaining of excruciating pain in a foot that has been amputated. The family tells the nurse that the client is just addicted to pain medications. What is the nurse's best response? - Correct Answer-"He is experiencing phantom limb pain." A client has had abdominal surgery and has orders to be ambulated three times a day. Oral pain medication has been ordered for the client. What should the nurse do to facilitate ambulation? - Correct Answer-Mediate 1 hour prior to ...

a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the respiratory status of this child, which symptom indicates the nurse that he is experiencing respiratory distress? - Correct Answer-A high pitched cry. An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal for breakfast. Which cereal should the nurse provide? - Correct Answer-rice total number of confirmed pregnancies regardless of the outcome - Correct AnswerGravida number of births after 20...