,The nurse is assessing a middle-aged Increase in abdominal fat deposits.
man for risk factors r/t chronic illness.
Which finding should the nurse
further assess?
The nurse is caring for a male client Determine the time the client last voided
who had an inguinal herniorrhaphy
three hrs. ago. The client's lower abd.
is distended and assesses dullness to
percussion. What is the priority
action?
The nurse is caring for a client with return to pre-illness wt.
HIV who develops Mycobacterium
avium complex (MAC). What is the
most significant desired outcome?
A 26-year-old with Hodgkin's disease Permanent sterility occurs in male clients who
is scheduled to undergo radiation receive radiation
therapy. The pt. expresses concern
about the effect of radiation on his
ability to have children. What info
should the nurse provide?
A pt. had abdominal surgery two Asst. pt. to ambulate in the hall
days ago has prescriptions for
intravenous morphine sulfate 4 mg
every two hours and a clear liquid
diet. The pt. c/o feeling distended
and has sharp, cramping gas pains.
What nursing intervention should be
implemented?
, A pt. with Ménière's disease is Turn off the tv and the lights
incapacitated by vertigo and is lying
in bed grasping the side rail and
staring at the television. Which
nursing intervention should the nurse
implement?
A pt. who has a chronic cough with Pt. is to remain NPO until the gag reflex returns.
blood-tinged sputum returns to the
unit after a bronchoscopy. What
intervention should be implemented
in the immediate post-procedure
period?
The nurse is assessing a pt. with a Observe for coughing colored sputum after
cuffed tracheostomy tube in place drinking a small amount of colored water
who is breathing spontaneously. To
evaluate if the pt. can tolerate cuff
deflation to promote swallowing and
speaking, what action should the
nurse implement?
A pt. is admitted to the ED with a Deviation of the trachea toward the opposite side
tension pneumothorax. Which of the pneumothorax
assessment should the nurse expect
to find?
Apt. with sickle cell anemia is Evaluate the pts. pain and effectiveness of narcotic
admitted with severe abd. pain and analgesics
the diagnosis is sickle cell crisis.
What is the most important nursing
action to implement?
man for risk factors r/t chronic illness.
Which finding should the nurse
further assess?
The nurse is caring for a male client Determine the time the client last voided
who had an inguinal herniorrhaphy
three hrs. ago. The client's lower abd.
is distended and assesses dullness to
percussion. What is the priority
action?
The nurse is caring for a client with return to pre-illness wt.
HIV who develops Mycobacterium
avium complex (MAC). What is the
most significant desired outcome?
A 26-year-old with Hodgkin's disease Permanent sterility occurs in male clients who
is scheduled to undergo radiation receive radiation
therapy. The pt. expresses concern
about the effect of radiation on his
ability to have children. What info
should the nurse provide?
A pt. had abdominal surgery two Asst. pt. to ambulate in the hall
days ago has prescriptions for
intravenous morphine sulfate 4 mg
every two hours and a clear liquid
diet. The pt. c/o feeling distended
and has sharp, cramping gas pains.
What nursing intervention should be
implemented?
, A pt. with Ménière's disease is Turn off the tv and the lights
incapacitated by vertigo and is lying
in bed grasping the side rail and
staring at the television. Which
nursing intervention should the nurse
implement?
A pt. who has a chronic cough with Pt. is to remain NPO until the gag reflex returns.
blood-tinged sputum returns to the
unit after a bronchoscopy. What
intervention should be implemented
in the immediate post-procedure
period?
The nurse is assessing a pt. with a Observe for coughing colored sputum after
cuffed tracheostomy tube in place drinking a small amount of colored water
who is breathing spontaneously. To
evaluate if the pt. can tolerate cuff
deflation to promote swallowing and
speaking, what action should the
nurse implement?
A pt. is admitted to the ED with a Deviation of the trachea toward the opposite side
tension pneumothorax. Which of the pneumothorax
assessment should the nurse expect
to find?
Apt. with sickle cell anemia is Evaluate the pts. pain and effectiveness of narcotic
admitted with severe abd. pain and analgesics
the diagnosis is sickle cell crisis.
What is the most important nursing
action to implement?
