NCSBN Exam with Questions and Verified Solutions

NCSBN Exam with Questions and Verified Solutions A woman who is 5 days postpartum and has a history of pregnancy-induced hypertension, calls the hospital triage nurse hotline to ask for advice. She states, "I have had the worst pounding headache for the past two days. Since this afternoon, everything I look at appears blurred. Nothing I have taken helps." What action should the nurse take? a. Explain to the client that changes in her hormones may be the problem. b. Ask the client to explain what exactly she has taken for the headache and how often. c. Advise the client to have someone bring her to the obstetrician's as soon as possible. d. Instruct the client to call 911 to be brought to the nearest emergency room. ANSWER D The nurse is reviewing a new prescription for a client with conjunctivitis that reads: Administer ciprofloxacin solution 1 gtt OD Q4H. Which action should the nurse take next? a. Contact the prescriber to clarify and rewrite the order. b. Apply one drop of the medication in the client's right ear every 4 hours. c. Ask another nurse for their interpretation of the order. d. Squeeze one drop of the medication in the client's left eye every 4 hours. ANSWER A The nurse in an intensive care unit is reviewing the laboratory results for several clients. Which laboratory result indicates that the client has a partially compensated metabolic acidosis?