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A nurse is caring for a patient with urinary retention due to an enlarged prostate. What would the nurse expect to find upon assessment? a. Increased urinary output b. Difficulty starting urination c. Clear, pale yellow urine d. Strong urge to urinate with no ability to void When assessing a patient's urine for possible infection, which of the following would be a concerning finding? a. Pale yellow color b. Clear consistency c. Cloudy appearance d. Slight odor Which condition is ...

A patient has been receiving chemotherapy and radiation for a diagnosis of non-Hodgkin's lymphoma. In your morning as- sessment, you notice the patient has new onset facial edema, distention of head and neck veins, and dyspnea. Which oncologic emergency would be suspected? a. Hypercalcemia b. Spinal Cord Compression c. Superior Vena Cava Syndrome (SVCS) d. Tumor Lysis Syndrome (TLS) When providing education to a patient newly diagnosed with cir- C. Superior Vena Cava Syn...

The nurse is listing consequences of malignant hyperthermia. Which consequences should be included? (select all that apply) A. Disseminated intravascular coagulation B. Renal failure C. Cardiac dysrhythmias D.Gastroenteritis E. Pulmonary edema Which type of body temperature changes in response to the environment? A. core B. metabolic C. surface D.physiologic

Dizziness and weakness in IV fluids Check the client's blood pressure and heart rate Shakiness and sweating in diabetes Give the client orange juice or glucose tablets Pulse oximetry reading of 88%

Nurse's best initial action for a client rocking back and forth Action that promotes client's autonomy in therapeutic relationship Nurse's response demonstrating empathy to a client feeling misunderstood Client behavior requiring pause in discharge planning Finding indicating disturbance in sensorium and cognition Nurse's priority action for a client expressing worthlessness Behavior indicating progress in recovery from a psychotic episode

When assessing a patient with a partial-thickness burn, the nurse would expect to find (SATA): a. blisters b. exposed fascia c. exposed muscles d. intact nerve endings e. red, shiny, wet appearance Pain management for the burn patient is most effective when (SATA): a. a pain rating tool is used to monitor the patient's level of pain b. painful dressing changes are delayed until the patient's pain is completely relieved c. the patient is informed about and has some control over ...

First-line treatment for major depressive disorder due to their effectiveness and favorable side effect profile. Claiming exclusive understanding of a client by disregarding other Blurred boundaries staff input, which can lead to countertransference and ethical violations. The highest priority nursing intervention for a client in severe cognitive decline, as physiological needs are life-sustaining. An observation that may indicate unresolved distress, anxiety, or Fearful affect continuin

Intervention for bathing assistance Encourage the patient to wash as much Important action for oral care Assess the patient's level of consciousUnderstanding adaptive equipment use I will use a button hook to fasten my Finding to report immediately Pulse oximetry 88% on room air. Next action for elevated temperature Offer acetaminophen as prescribed. Next assessment for irregular radial pulse Obtain an apical pulse for 1 full minute. Drip rate calculation for Heparin IV

Regular oral hygiene is an essential intervention for the client who has had a stroke.Which of the following nursing measures is inappropriate when providing oral hygiene? A: Placing client on back with small pillow under the head B: Keeping portable suctioning equipment at the bedside C: Opening the client's mouth with a padded tongue blade D: Cleaning the clients mouth and teeth with toothbrush A 78 year old client is admitted to the ED with numbness and weakness of the left arm and...

Recent research on the RAISE approach to the treatment of schizophrenia incorporates which of the following elements as important to improving outcomes? (Select all that apply.) a. Early intervention at the first episode of psychosis b. Support for employment or educational pursuits c. Rapid high-dose loading with antipsychotic medication d. Court-ordered sanctions for treatment e. Recovery-focused psychotherapy Which of the following is the primary goal in working with an actively psyc...

A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar state (HHS) 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

A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PCA) pump for pain control. Her oral intake has been ice chips only since surgery. She is now complaining of nausea and bloating, and states that because she had nothing to eat, she is too weak to breastfeed her infant.Which C. Rationale: Impaired bowel motility caused by surgical anesnursing diagnosis has the highest priority? A. Altered nutrition, less than body requirements for lactation B. ...

the oncoming nurse is receiving report on 4 clients. which should be the priority assessment A.) client who has a carotid endarterectomy that day with a blood A.) client who has a carotid endarterectomy that day with a blood pressure of 160/88 mm Hg pressure of 160/88 mm Hg B.) client who is 1 day post bowel resection with absent bowel sounds C.) client with a pulse of 109/min who has history of atrial fibrillation D.) client with pancreatitis whose total parenteral nutrition is almost fi...

A patient with hypothyroidism is prescribed levothyroxine.Which statement by the patient indicates a need for further teaching? A. "I will take this medication every morning on an empty stomach." B."If I feel better, I can stop taking this medication." C."I should have my thyroid levels checked regularly." D."This medication may take a few weeks to show improvement." Correct Answer: B Rationale: Levothyroxine is a lifelong therapy for hypothyroidism. Stopping the...

A nurse is caring for a client with hyperparathyroidism and notes Rationale: that the client's serum calcium level is 13 mg/dL.Which medication The normal serum calcium level is 8.6 to 10.0 mg/dL.This client should the nurse prepare to administer as prescribed to the client? is experiencing hypercalcemia. Calcium gluconate and calcium 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin D Oral iron supplements are prescribed for a 6-year-old chil...

1) A RN is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which meds should the RN prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin Miacalcin 4. Large doses of vitamin D 2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2. Water 3. Apple...

Which teaching by the nurse during the preoperative period best informs the patient regarding the primary purpose of an incentive Proper use entails holding the breath 3 to 5 seconds at a time, spirometer? The nurse interviews a patient scheduled to undergo general anesthesia for a hernia repair. Which information is most important to communicate to the surgeon and anesthesiologist before surgery? a. The patient drinks 3 or 4 cups of coffee every morning before going to work. setting dai...

2. A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis.What is the best position for this client? Side-lying with knees flexed Knee-chest High Fowler's with knees flexed Semi-Fowler's with legs extended on the bed Semi-Fowler's with legs extended on the bed 3. A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client? Taking hourly blood pressures with mechanica...

1) The nurse is assessing a postmenopausal client.Which question should the nurse ask to assess for signs of osteoporosis? A) "Have you experienced any palpitations?" B) "Are you having any low back pain?" C) "Are you having problems with swelling in your feet?" D) "Is constipation a problem for you?" 2) A nurse is conducting a health history on an older adult client. Which assessment finding indicates the client is at risk for osteoporosis? A) Having a body mass i...

The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy? a. Painless vaginal bleeding b. Abdominal cramping c. Throbbing pain in the upper quadrant d. Sudden, stabbing pain in the lower quadrant A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when: a. Her contractions are 2 minutes apart. b. She has back pain and a b...