STUDY EXAMS AND STUDY GUIDES SUMMARIES ESSAY ALL VERIFIED

At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The nurse obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? a. Check the hematocrit results. b. Administer pain ...

A patient being treated for trichomoniasis receives a prescription for metronidazole. What instructions should she be given? Take this medication with food Do not take this medication if you are pregnant Take this medication on an empty stomach Alcohol should be avoided when taking this medication D. Metronidazole may be associated with a disulfiram reaction when mixed with alcohol. Advice that should be given to all patients who take metronidazole is to avoid alcohol entirely while th...

For which of the following patients would a comprehensive health history be appropriate? A. A new patient with the chief complaint of "I sprained my ankle" B. An established patient with the chief complaint of "I have an upper respiratory infection" C. A new patient with the chief complaint of "I am here to establish care" D. A new patient with the chief complaint of "I cut my hand" ANS: C Feedback: This patient is here to establish care, and because she is new to you, a comprehe...

The nurse has completed giving discharge instructions to a client who has had a total joint replacement (TJR) of the knee with a metal prosthetic system. The nurse determines that the client understands the instructions if the client makes which statement? 1."Changes in the shape of the knee are expected." 2."Fever, redness, and increased pain are expected." 3."All caregivers should be told about the metal implant." 4."Bleeding gums or black stools may occur, but this is normal."...

1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's refusal D) Ask th...

1. A 12-year-old female is seen by the school nurse after recently experiencing increasing difficulty sitting and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression. What action should the nurse take next? - Gather additional data by taking a health history and measuring vital signs 2. When asked to help develop interventions to combat obesity among children, the community health nurse should st...

The nurse is preparing assignments for the day shift. It is most important that the client with which diagnosis and description is assigned to a registered nurse? Menorrhagia: 24 hours post vaginal hysterectomy. Myocardial Infarction: 4-days post infarction, transferred from ICU yesterday. Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol. Pneumonia: A 4-year-old who is receiving IV antibiotics. - Depression: Admitted during the night, fol...

COF Holders - selling, ;easing, and/or servicing PFE's COF can only get one if - they are an employee of a firm with a company certificate S96 can do - sales only (people who work for sales company must hav this) W96 can do - sales, servicing and maintenance (COF holders who work for servicing companies must have this) The 2 company certifications which the FDNY issues to private companies? - 1) sales only 2) full service of PFE's What sized PFE do you not need a COF for? (Home...

The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? A.Suctions oral secretions from mouth B.Positions head of bed flat when changing sheets C.Takes temperature using the axillary method D.Keeps head of bed elevated at 30 degrees - B Rationale: Positioning the head of the bed flat when enteral feedings are in progress puts the client at risk for aspiration...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. - D 2. A client has altered renal function and is be...

The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper quadrant. What action should the nurse take next? - Note the character and frequency of bowel sounds During inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of the...

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - Discuss small, low fat, low sugar meal preparation techniques. A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention should the nurse instr...

The nurse is caring for a group of clients with the help of a licensed practical nurse (LPN) and an experienced unlicensed assistive personnel (UAP). Which procedures can the nurse delegate to the UAP? (Select all that apply) Suicide precautions are initiated for a child admitted to the mental health unit following an intentional narcotic overdose. After a visitor leaves, the nurse finds a package of cigarettes in the client's room. Which intervention is most important for the nurse to impleme...

The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? - Premedicate the client with an analgesic before ambulating. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? - Check the client status and lead placement. The LPN/LVN in a medical un...

An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)? A. A carotid bruit B. A hypotensive blood pressure C. hyperreflexic deep tendon relexes. D. Decreased bowel sounds - a Which clinical manifestation further supports an assessment ...

Examples of negative style questions - "Which response should the nurse question?" "Which response indicates the nurse needs to reteach the patient?" Note: most questions on the HESI are written in positive style, not negative How to determine priority for answers - In addition to ADPIE, ABC, and picking the least invasive intervention first, you can use Maslow's hierarchy of needs to set priorities for what should be done first 1. Physiological: food, water, warmth, rest 2. Safe...

1.- All persons conducting hot work operations or performing fire watch shall? Be trained in the use of portable fire extinguishers, and shall be capable of extinguishing fires when they are limited in size and spread such that they can readily be extinguished using a portable fire extinguisher. 4.-In the event of a fire extinguisher has been discharged, what to do next? A fully charged replacement is required before work can resume. The C of F holder is recommended to be trained for the use...

The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? A. Ask another nurse to go back with the medication when the client's hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the medication C. Return the medication to the client's drawer on the cart and document the client refused the dose D. Leave the medica...

1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? A. Checking the client's blood pressure B. Checking the client's peripheral pulses C. Checking the most recent potassium level D. Checking the client's intake-and-output record for the last 24 hours - A. Checking the client's blood pressure Checking the client's blood pressure Enalapril maleate is an angiotensin-converti...

The nurse is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softner B. Administer prescribed PRN sleep medications. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal sprays. - A. Administer Prescribed stool softner The nurse is palpating the right upper hypochond...