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A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? A. Administer the first dose of antibiotic therapy B. Observe the color, consistency, and amount of sputum C. Encourage the client to consume plenty of warm liquids D. Send the specimen to the lab for analysis Correct Answer: B. Observe the color, consistency, and amount of sputum A client is brought to the ED by ambulance in cardiac arrest with cardiopulmo...

While assessing a client with diabetes mellitus, the nurse observes an absence of hair growth on the client's legs. What additional assessment provides further data to support this finding? a. Palpate for the presence of femoral pulses bilaterally. b. Assess for the presence of a positive Homan's sign. c. Observe the appearance of the skin on the client's legs. d. Watch the client's posture and balance during ambulation. 2. The healthcare provider prescribes 15 mg/kg of Streptomycin ...

Which of the following professional organizations best supports critical care nursing practice? a. American Association of Critical-Care Nursesb. American Heart Association c. American Nurses Association d. Society of Critical Care Medicine - Answer- a. American Association of Critical-Care Nurses 2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in certification. Which credential would be most applicable forthe nurse to se...

1) Identify who of the following patients suffers from critical illness. A patient: 1. With chronic airflow limitation whose VS are: BP 110/72, P 110, R 16. 2. With acute bronchospasm and whose VS are: BP 100/60, P 124, R 32. 3. Who was involved in a motor vehicle accident whose VS are: BP 124/74, P 74, R 18. 4. On chronic dialysis with no urine output and whose VS are: BP 98/50, P 108, R 12

A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: A. Expressing feelings of low self-worth B. Discussing remorse and guilt for actions C. Displaying dependence on others D. Expressing anger toward others Answer D: The suicidal client has d

Question No : 1 - Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of: A. primary prevention. B. secondary prevention. C. tertiary prevention. D. primary health care prevention. Answer: B Explanation: Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation Question No : 2 - Which of the following foods is a complete protein? A. corn B. eggs C. peanutsDsunfl...

A young adult who was un a motorcycle accudent us brought to the emergency room wuth a closed head unjury wuth suspected subdural hematoma. Although the cluent complauns of a severe headache, he us alert and answers questuons appropruately. The nurse would questuon whuch of the followung orders? 1. “Promethazune (Phenergan) 25 mg UM 3 h.” 2. “Morphune sulfate 10 mg UM q3-4h.” 3. “Docusate soduum (Colace) 50 mg PO bud.” 4. “Ranutudune (Zantac) 50 mg UVPB q12h.” Strategy: All ...

QUESTION 1 Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy? A. Positive inotropes B. Vasodilators C. Diuretics D. Antidysrhythmics Answer: A Explanation: (A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescrib...

A papular lesion is noted on the perineum of the laboring client. Which initial action is most appropriate? A. Document the finding B. Report the finding to the doctor C. Prepare the client for a C-section D. Continue primary care as prescribed Answer B: Any lesion should be reported to the doctor. This can indicate a herpes lesion. Clients with open lesions related to herpes are delivered by Cesarean section because there is a possibility of transmission of the infection to the fetus with d...

client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: A. Expressing feelings of low self-worth B. Discussing remorse and guilt for actions C. Displaying dependence on others D. Expressing anger toward others Answer D: The suicidal client has difficulty expressing anger toward others. The depressed suicidal client frequently expresses feelings of low self-worth, feelings of remorse and gui...

A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? Metformin A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour for 2 hours. The client received a single bolus of 500 mL of intravenous fluid. Urine output for the subsequent hour was 25 mL. Daily laboratory ...

A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription? 1.Endotracheal intubation 2.100 units of NPH insulin 3.Intravenous infusion of normal saline 4.Intravenous infusion of sodium bicarbonate Intravenous infusion of normal saline The primary goal of treatment in hyperosmolar hyperglycemic syndrome (HHS)...

Comprehensive Review for the NCLEX-RN Examination by Linda Anne Silvestri PhD RN FAAN (Author), Angela Elizabeth Silvestri PhD APRN FNP-BC CNE (Author)

A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? a. Conduct mental health assessments. b. Prescribe psychotropic medication. c. Establish therapeutic relationships. d. Individualize nursing care plans. ANS: B In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners and clinical nurse specialists who have taken special courses on prescribing medication. T...

Clara Barton is known for: a. becoming the first black public health nurse. b. establishing the Henry Street Settlement. c. founding the American Red Cross. d. publicizing the inadequacies of hospital-based nursing schools. ANS: C The American Red Cross, founded by Clara Barton in 1882, assisted in efforts to continue public health nursing. DIF: Knowledge REF: p. 11 2. Students are assigned to write to their state leaders about an issue affecting their community. One student writes about...

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: a . Objective. b . Reflective. c . Subjective. d . Introspective. ANS: A Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data is what the person says about him or herself during history taking. The ter...

Bates Guide To Physical Examination and History Taking 13th Edition Bickley TestBank

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In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? A) Food B) Warmth C) Security D) Comfort 2. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? A) "I cannot give this medication as it is written. I have no idea of what you mean." B) "Would you please clarify what you have written so I am sure I am reading it correctly?" C) "I am having difficulty reading ...

In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? A) Food B) Warmth C) Security D) Comfort 2. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? A) "I cannot give this medication as it is written. I have no idea of what you mean." B) "Would you please clarify what you have written so I am sure I am reading it correctly?" C) "I am having difficulty reading ...