Current assessment findings for a client who is withdrawing from barbiturates are: blood
pressure 135/90, temperature 97.6 F, pulse rate of 98 beats/minute, and respiratory rate
22 breaths/minute. The client is also experiencing insomnia, restlessness, confusion, and
pronounced muscle twitching. What action should the nurse take?
Notify the healthcare provider of the client's status.
Assess vital signs q15 minutes until stable.
Place the client in a vest-type restraining jacket.
Encourage the client to take a warm bath to help relax
Give this one a try later!
Notify the healthcare provider of the client's status
,A client is receiving a continuous IV infusion and intermittent IV antibiotics. The nurse
should plan to collaborate with the case manager regarding which aspect of this client's
care?
Determination of the compatibility of the intravenous fluids and prescribed antibiotics.
Provision of nursing staff education about safe administration of IV antibiotics.
Maintenance of data related to the number of IV infiltration occurrences in the hospital.
Evaluation of the need for continued IV antibiotics to achieve the desired outcomes.
Give this one a try later!
Evaluation of the need for continued IV antibiotics to achieve the desired
outcomes.
What assessment findings should the nurse identify before referring a client for further
evaluation to rule out skin cancer? (Select all that apply.)
White patches.
Cherry angiomas.
Border irregularity.
Lesion with asymmetry.
Lesion with color variations.
Lesion of 3 to 5 mm diameter.
Give this one a try later!
Border irregularity.
Lesion with asymmetry.
, A nurse is caring for a male client with paranoid schizophrenia who believes that his
antipsychotic medications are poison. Which intervention is best for the nurse to
implement?
Describe the need for consistently taking medications.
Offer the medication in a concentrated form.
Discard the medication and document the client's refusal.
Approach the client with the medication 30 minutes later.
Give this one a try later!
Approach the client with the medication 30 minutes later
A 60-year-old homeless man who complains of a cough, late-afternoon fever, and night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin test.
Which action should the nurse implement?
Refer for further diagnostic evaluation.
Determine exposure of others to the tuberculosis.
Begin anti-tubercular drug therapy.
Quarantine or isolate to control communicability.
Give this one a try later!
Refer for further diagnostic evaluation.
The nurse calculates the mean arterial pressure (MAP) for a client whose blood pressure
is 152/90. What is the MAP in mm Hg? (Enter numeric value only. If rounding is required,
pressure 135/90, temperature 97.6 F, pulse rate of 98 beats/minute, and respiratory rate
22 breaths/minute. The client is also experiencing insomnia, restlessness, confusion, and
pronounced muscle twitching. What action should the nurse take?
Notify the healthcare provider of the client's status.
Assess vital signs q15 minutes until stable.
Place the client in a vest-type restraining jacket.
Encourage the client to take a warm bath to help relax
Give this one a try later!
Notify the healthcare provider of the client's status
,A client is receiving a continuous IV infusion and intermittent IV antibiotics. The nurse
should plan to collaborate with the case manager regarding which aspect of this client's
care?
Determination of the compatibility of the intravenous fluids and prescribed antibiotics.
Provision of nursing staff education about safe administration of IV antibiotics.
Maintenance of data related to the number of IV infiltration occurrences in the hospital.
Evaluation of the need for continued IV antibiotics to achieve the desired outcomes.
Give this one a try later!
Evaluation of the need for continued IV antibiotics to achieve the desired
outcomes.
What assessment findings should the nurse identify before referring a client for further
evaluation to rule out skin cancer? (Select all that apply.)
White patches.
Cherry angiomas.
Border irregularity.
Lesion with asymmetry.
Lesion with color variations.
Lesion of 3 to 5 mm diameter.
Give this one a try later!
Border irregularity.
Lesion with asymmetry.
, A nurse is caring for a male client with paranoid schizophrenia who believes that his
antipsychotic medications are poison. Which intervention is best for the nurse to
implement?
Describe the need for consistently taking medications.
Offer the medication in a concentrated form.
Discard the medication and document the client's refusal.
Approach the client with the medication 30 minutes later.
Give this one a try later!
Approach the client with the medication 30 minutes later
A 60-year-old homeless man who complains of a cough, late-afternoon fever, and night
sweats has a 10 mm induration after receiving a purified protein derivative (PPD) skin test.
Which action should the nurse implement?
Refer for further diagnostic evaluation.
Determine exposure of others to the tuberculosis.
Begin anti-tubercular drug therapy.
Quarantine or isolate to control communicability.
Give this one a try later!
Refer for further diagnostic evaluation.
The nurse calculates the mean arterial pressure (MAP) for a client whose blood pressure
is 152/90. What is the MAP in mm Hg? (Enter numeric value only. If rounding is required,
