Study guides, Class notes & Summaries

A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table B. Explain the procedure C. Obtain ABGs D. Administer benzocaine spray Correct Answer - A A nurse at a provider's office is reviewing information with a client scheduled for pulmonary function tests. Which of the following information should the nurse include? A...

A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include in the teaching? a. check with the provider about taking current medications when consuming bowel prep b. consume a normal diet until starting bowel prep c. expect the bowel prep to not begin acting until the day after the prep is consumed d. discontinue the bowel prep once feces start to be expelled Correct Answer - a. check with t...

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? - bounding pedal pulse - capillary refill less than 2 seconds - pain that increases with passive movement - areas of warmth on the cast Correct Answer - Pain that increases with passive movement The nurse should identify that a client who has compartment syndrome experiences pain that increases with passive m...

How do you ensure that medication reaches the inner ear? Correct Answer - Press gently on the tragus which requires an incident report? -putting restraints on a moveable part of the bed -putting a mask on a TB patient before transport -administer meds 30 min before -patient receives additional 250 ml of IV fluid Correct Answer - patient receives additional 250 ml of IV fluid If you have a patient who is angry with a dx, what do you do? Correct Answer - reassure them that this is an ap...

A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? Correct Answer - Ensure the client has a patient IV. The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report tothe provider?...

When administering a transfusion of packed red blood cells, it is important to.... Correct Answer - make sure the entire unit is transfused within 4 hours A patient who is anticipating total hip replacement is considering autologous transfusion. When teaching this patient about autologous transfusion, it is important to emphasize that... Correct Answer - It reduces the risk of mismatched blood A type of protein the immune system produces to neutralize a threat of some kind, such as an inco...

traction weights are on the floor Correct Answer - move patient up in bed cholecystits and cholelithiasis food Correct Answer - avoid fatty food and high protein food example : egg yolks ace inhibitor meds for blood pressure Correct Answer - discontinue meds if develop a cough tuberculosis medication Correct Answer - pyramidazine when accessing the port Correct Answer - palpate it first nausea and vomiting from chemo meds give Correct Answer - ondanstron acute kidney failrue wi...

A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh high compression stockings. Which action should the nurse take? a. elevate legs for 10 min, 2-3 times a day while wearing stockings b. apply the stockings in the morning upon awakening and before getting out of bed c. roll the stockings down to the knees to relieve discomfort on the legs d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs to rest Correct Answer -...

1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a."large incisions will be made in the eschar to improve circulation" b. " I can call the doctor back here if you want me to" c. "a piece of skin will be removed and grafted over the burned area" d. "dead tissue ...

A nurse is caring for a client who has a history of angina and is scheduled for exercise electrocardiography at 1100. Which of the following statements by the client requires the nurse to contact the provider for possible rescheduling? A. "I'm still hungry after the bowl of cereal I ate at 0700" B. "I didn't tale my heart pills this morning because the doctor told me not to" C. "I have had chest pain a couple of time since I saw my doctor in the office last week" D. "I smoked a ciga...