QUESTIONS AND CORRECT ANSWERS
◉Initiate airborne particulate isolation precautions . Answer: A client is
admitted with a deep and productive cough, hemophytisis, and a low
grade fever. The client's Mantoux skin test has 15mm induration. Which
intervention should the nurse implement first?
◉Provide a bedside commode for toileting . Answer: A client is
hospitalized after experiencing a myocardial infarction (MI) to reduce
cardiac workload, which intervention should the nurse include in the
client's plan of care?
◉Leukopenia . Answer: A client is receiving combination
chemotherapy for treatment of metastatic carcinoma. When monitoring
the client for systemic side effects, which assessment findings warrant
intervention by the nurse?
◉Complete blood count . Answer: A client takes daily supplemental
iron tablets for iron deficiency anemia reports feeling increasingly
fatigued. Which laboratory values should the nurse review?
◉Blood pressure . Answer: A client with COPD arrives at the
emergency department reporting of shortness of breath upon exertion
, and _____ weakness. The client ___ the nurse was normally receiving
dialysis three times a week but missed the last treatment. The client's
serum potassium is 4.8 mEq/L and creatinine of 1.4 ___ , accompanied
with a blood pressure of 200/120 mmHg. The client has salt crystals
present on the skin. Which finding is most important for the nurse to
bring to the attention of the healthcare provider?
◉Administer a PRN bronchodilator . Answer: A client with chronic
obstructive pulmonary disease (COPD) is admitted to a non-emergent
cholecystectomy. The admission arterial blood gas ) ABG PCO2 48
mmHG?
◉Irregular apical pulse . Answer: A client with Cushing's syndrome is
recovering from an elective laparoscopic procedure. Which assessment
finding warrants immediate intervention by the nurse?
◉Return for periodic liver functions studies . Answer: A client with
gouty arthritis reports tenderness and swelling of the right ankle and
great toe. The nurse observes the area of inflammation. The client
receives prescriptions for colchicine and indomethacin, Which
instruction should the nurse include in the discharge teaching?
◉Observe for change in breathing pattern . Answer: A client with heart
failure is receiving intravenous fluids at 125 ml/hour. The nurse observes
an increased jugular venous distention. Which assessment should the
nurse make before reporting to the healthcare provider