A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse? - Administer epinephrine IM Rationale: When using the urgent vs. non-urgent approach to client care, the nurse should determine that the priority action is administering epinephrine IM to the child. During an anaphylactic reaction, histamine release causes bronchoconstriction and vasodilation. This is an emergency bec...

A nurse is providing teaching to a group of new parents about medications. The nurse should include that ASPIRIN is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? A. Reye's Syndrome B. Visual Disturbances C. Diabetes mellitus D. Wilm's Tumor - A A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the fo...

NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. Relevant info: Heart rate 110/min Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after receiving a new prescription 3 months ago. Client reports feeling nervous and being irritable. Client is alert and oriented to person place and time. Skin moist and intact some sweating noted on forehead. Heart rate regular and fast. Respir...

A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? Increase in hematocrit increase in respiratory rate Decrease in heart rate Decrease in capillary refill time - Correct Answer: Decrease in heart rate Fluid volume deficit causes tachycardia. With correction of the imbalance, the heart rate should return to the expect...

1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? - Contractions 2. A nurse is providing teaching to an older client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? - Eat a light snack before bedtime 3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricu...

RN on a MS. Which of the following clients needs will the nurse assign to an AP? - Reapplying a condom catheter for a client who has urinary incontinence RN delegating the ambulation of a client who had knee arthroplasty . Which of the following info should the nurse share with the AP? - client ambulates with his slippers on over his ant embolic stockings client uses a front wheeled walker when ambulating client had pain meds 30 minutes ago RN is making assignments. Which of the foll...

2. The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational session? a. Smoke from tobacco products clings to your clothing and hair. b. Smoking affects the cilia lining the upper airways in the lungs. c. Smoking can affect the color of the patient’s fingernails. d. Smoking tobacco products can be very expensive. ANS: B A normal defense ...

A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take a. Ensure the state health department has been notified b. Administer antitoxin c. Educate the family to avoid sharing personal belongings d. Assess for skin necrosis - a. Ensure the state health department has been notified A nurse is caring for a client who has been admitted to the hospital. (NGN) – - Provide frequent rest periods - Restrict clie...

1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? - a. "You don't have to go through with the treatment." 2. While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's CPM device. Which of the following actions should the nurse take first? - c. Remove th...

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? - Contractions A nurse is providing teaching to an older client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? - Eat a light snack before bedtime A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tach...