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,A nurse is providing teaching to a client who has Calcium
hypothyroidism and is receiving levothyroxine. The nurse
should instruct the client that which of the following Calcium limits the development of osteoporosis in clients who are
supplements can interfere with the effectiveness of the postmenopausal and works as an antacid. Calcium supplements can interfere with
medication? the metabolism of a number of medications, including levothyroxine. The nurse
should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is conducting an admission history for a client History of asthma
who is to undergo a CT scan with an IV contrast agent.
The nurse should identify that which of the following A client who has a history of asthma has a greater risk of reacting to the contrast
findings requires further assessment? dye used during the procedure. Other conditions that can result in a reaction to
contrast media include allergies to foods, such as shellfish, eggs, milk, and
chocolate.
A nurse in an ICU is assessing a client who has a traumatic Bradycardia
brain injury. Which of the following findings should the
nurse identify as a component of Cushing's triad? A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other
components of Cushing's triad are severe hypertension and a widened pulse
pressure.
A nurse is planning to irrigate and dress a clean, Use a 30-mL syringe
granulating wound for a client who has a pressure injury.
Which of the following actions should the nurse take? The nurse should use a 30-mL to 60-mL syringe with an 18- or 19- gauge catheter
to deliver the ideal pressure of 8 pounds per square inch (psi) when irrigating a
wound. To maintain healthy granulation tissue, the wound irrigation should be
delivered at between 4 and 15 psi.
A nurse in an emergency department is reviewing the Administer an opioid analgesic to the client.
provider's prescriptions for a client who sustained a
rattlesnake bite to the lower leg. Which of the following The nurse should expect a prescription for an opioid analgesic to promote
prescriptions should the expect? comfort following a rattlesnake bite.
A nurse is reviewing the health record of a client who is Current medications
scheduled for allergy skin testing. The nurse should
postpone the testing and report to the provider which of The nurse should review the client's medication record and identify medications,
the following findings? (Click on the "Exhibit" button for including ACE inhibitors, beta blockers, theophylline, nifedipine, and
additional information about the client). glucocorticoids, such as prednisone, that can alter the allergy skin test results.
These medications can diminish the client's reaction to the allergens. The nurse
should notify the provider and instruct the client to discontinue prednisone for 2
weeks before allergy skin testing.
A nurse is a caring for a client who is on bed rest and has Inject the medication into the anterolateral abdominal wall.
a new prescription for enoxaparin subcutaneous. Which
of the following actions should the nurse take? The nurse should inject the medication into the anterolateral or posterolateral
abdominal wall to enhance medication absorption and prevent hematoma
formation.
A nurse is caring for a client who has a stage III pressure Urine output 25 mL/hr
injury. Which if the following findings contribute to
delayed wound healing? Urinary output reflects fluid status. Inadequate urine output can indicate
dehydration, which can delay wound healing.
, A nurse is caring for a client who has a new prescription 167 mL/hr
for total parenteral nutrition (TPN). The client is to receive
2,000 kcal per day. The TPN solution has 500kcal/L. The
IV pump should be set at how many mL/hr? (Rounding to
the nearest whole number.)
A nurse is teaching a client who has a family history of Add cabbage to the diet.
colorectal cancer. To help mitigate this risk, which of the
following dietary alterations should the nurse To help reduce the risk for colorectal cancer, the client should consume a diet
recommend? that is high in fiber, low in fat, and low in refined carbohydrates. Brassica
vegetables such as cabbage, cauliflower, and broccoli, are high in fiber.
A nurse is caring for a client who has a prescription for Leukopenia
silver sulfadiazine cream to be applied to her burn
wounds. The nurse should evaluate the client for which of Transient leukopenia is an adverse effect of silver sulfadiazine.
the following laboratory findings?
A nurse is teaching a client with systemic erythematosus Infection
who has a new prescription for prednisone. The nurse
should instruct the client to monitor for which of the The nurse should instruct the client to avoid contact with people who are ill and
following adverse effects of this medication? monitor for manifestations of an infection such as a fever or a sore throat.
Prednisone can suppress the client's immune response and mask the
manifestations of an infection.
A nurse is providing preoperative teaching to a client "I understand that I will have a permanent tracheostomy after the surgery."
who will undergo a total laryngectomy. Which of the
following statements indicates that the client understands With a partial laryngectomy, the tracheostomy is temporary. This client will have a
the impact of the surgery? total laryngectomy, so the tracheostomy will be permanent.
A nurse is assessing a client who has systemic Finger contractures
scleroderma. Which of the following findings should the
nurse expect? Scleroderma is a chronic disease that can cause thickening, hardening, or
tightening of the skin, blood vessels, and internal organs. There are 2 types of
scleroderma: localized scleroderma, which mainly affects the skin, and systemic
scleroderma, which can affect internal organs. Manifestations include skin
changes, Raynaud's phenomenon, arthritis, muscle weakness, and dry mucous
membranes. With scleroderma the body produces and deposits too much
collagen, causing thickening and hardening. In addition to the client's skin and
subcutaneous tissues becoming increasingly hard and rigid, the extremities stiffen
and lose mobility. Contractures develop with advanced systemic scleroderma
unless clients follow a regimen of range-of-motion and muscle-strengthening
exercises.