macellen education agencies

A Patient was admitted for shortness of breath. The nurse connects the patient to the cardiac monitor. According to the strip below, which treatment is appropriate for the patient? a. administer adenosine b. administer a thiazide medication c. adminster an oral anticoagulant d. administer a beta blocker correct answersc. An acute myocardial infarction patient ambulated in the hospital hallway. When evaluating the patient response, which would indicate the exercise level should be decrease...

A nurse is caring for a client who is post procedure following lumbar puncture & reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply.) A. Use the Glasgow Coma Scale when assessing the client B. Assist the client to a supine position C. Administer an opioid medication D. Encourage the client to increase fluid intake E. Instruct the client to perform deep breathing & coughing exercises correct answersB. Assist the c...

A patient complains of shoulder pain when the nurse moves the patient's arm behind the back. Which question should the nurse ask? a. "Are you able to feed yourself without difficulty?" b. "Do you have difficulty when you are putting on a shirt?" c. "Are you able to sleep through the night without waking?" d. "Do you ever have trouble lowering yourself to the toilet?" correct answersB A patient with left knee pain is diagnosed with bursitis. The nurse will exp...

1. A patient admitted with syncope has continuous ECG monitoring. An examination of the rhythm strip reveals the following: atrial rate 74 beats/min and regular; ventricular rate 62 beats/min and irregular; P wave normal shape; PR interval lengthens progressively until a P wave is not conducted; QRS normal shape. The priority nursing intervention would be to a. give epinephrine 1 mg IV push. b. prepare for synchronized cardioversion. c. observe for symptoms of hypotension or angina. d. app...

A 77-year-old woman is brought to the emergency department by her family after she has had diarrhea for 3 days. The family tells the nurse that she has not been eating or drinking well, but that she has been taking her diuretics for congestive heart failure (CHF). Her laboratory results include a potassium level of 3.0 mEq/L. What does the nurse include in the patient's medication teaching? Select all that apply. 1 Diuretics increase fluid retention. 2 Laxatives can lead to fluid imbalance....

The nurse instructor is teaching a group of nursing students about adventitious heart sounds. The instructor explains that auscultation of the heart requires familiarization with normal and abnormal heart sounds. What would the instructor tell these students a ventricular gallop indicates in an adult? correct answersHeart failure A client has undergone cardiac catheterization and will be discharged today. What information should the nurse emphasize during discharge teaching? correct answersAv...

A registered nurse is teaching a patient about palliative care (PC). Which information about PC stated by the patient indicates a need for further teaching? "It focuses on relief of pain and stress associated with a severe illness." "It is provided in hospital, outpatient, and community settings." "It focuses on the care of terminally ill patients with less than 6 months to live." "It is given simultaneously with curative treatment that meets the patient's goals." ...

When caring for a patient with Acute Viral Hepatitis B, the nurse should implement which of the following precautions? correct answersStandard percautions You are the nurse caring for a 60 year old female patient who is post-op laparoscopic cholecystectomy. Which of the following dietary recommendations would be most important to include in your discharge teaching? A. "Use caution when eating high fiber foods." B. "It is best to eat three balanced meals a day." C. "Check ...

Metabolic alkalosis (Because gastric secretions are rich in HCl acid, the patient who is vomiting will lose a significant amount of gastric acid and be at an increased risk for metabolic alkalosis.) correct answersYou are admitting a patient with complaints of abdominal pain, nausea, and vomiting. A proximal bowel obstruction is suspected. Which acid-base imbalance do you anticipate in this patient? Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory alkalosis 3.1 m...

A patient has been on opioids for 3 months to control pain caused by injuries from a motor vehicle crash. The patient asks about the risk of withdrawal symptoms when the drugs are no longer needed. How should the nurse respond to the patient? correct answers"As long as you taper the drug dose down slowly, you should not experience withdrawal symptoms." The nurse is caring for a patient with lung cancer who has been receiving morphine for 2 weeks and reports the medication is no longer e...

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 answersa. check with the...

The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific care does the nurse anticipate for this patient? correct answersChanging wound dressings A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient? correct answ...

Angina pectoris correct answersis a warning sigh of an impending acute MI A nurse is admitting a client who has a suspected myocardial infarction(MI) and a history of angina which of the following findings will help the nurse distinguish angina from an MI correct answersAngina can be relieved with rest and nitroglycerin A nurse o cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of myocardial infarction (MI) and reports that his dyspnea began 2 weeks ago. wh...

A woman has been diagnosed with breast cancer and is being treated aggressively with a chemotherapeutic regimen. As a result of this regimen, she has an inability to fight infection due to the fact that her bone marrow is unable to produce a sufficient amount of what? correct answerslymphocytes During a mumps outbreak at a local school, a patient, who is a school teacher, is exposed. She has previously been immunized for mumps. What type of immunity does she possess? correct answersacquired i...

1. A patient is admitted to the ED complaining of severe abdominal pain, stating that he has been vomiting "coffee-ground" like emesis. The patient is diagnosed with a perforated gastric ulcer and is informed that he needs surgery. When can the patient most likely anticipate that the surgery will be scheduled? A) Within 24 hours B) Within the next week C) Without delay because the bleed is emergent D) As soon as all the day's elective surgeries have been completed correct answersC...

Which method is best to use when confirming initial placement of a blindly inserted small-bore NG feeding tube? a. x-ray. b. air insufflation. c. observing patient for coughing. d. pH measurement of gastric aspirate. correct answersa. x-ray. A patient is receiving peripheral parenteral nutrition. The parenteral nutrition solution is completed before the new solution arrives on the unit. The nurse gives a. 20% intralipids. b. 5% dextrose solution. c. 0.45% normal saline solution. d...

1. The student nurse studying the gastrointestinal system understands that chyme refers to what? a. Hormones that reduce gastric acidity b. Liquefied food ready for digestion c. Nutrients after being absorbed d. Secretions that help digest food correct answersb A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies allergies to medication. What action by the nurse is best? a. Ask the client about shellfish allergies. b. Document this information on the chart. ...

The client reports that a previously sensitive area of skin no longer responds to temperature changes or painful stimuli. This finding indicates a functional abnormality for which skin layer? A. Stratum corneum B. Adipose layer C. Epidermis D. Dermis correct answersD. Dermis During skin inspection the nurse observes three lesions on the client's right knee. The lesions are round, have a raised border, and are grouped in a "smiley face" pattern. Which descriptors does the nurse ...

A patient who has received a maximum dose of nitroglycerin continues to report chest pain. What is the next medication that the nurse should administer to the patient? A. Ticagrelor B. Morphine sulfate C. Docusate D. Esmolol correct answersB. Morphine Sulfate When planning emergent care for a patient with a suspected myocardial infarction (MI), what should the nurse anticipate administrating? A. Oxygen, nitroglycerin, aspirin, morphine B. Nitroglycerin, lorazepam, oxygen, warfarin C. A...

While obtaining assessment information on a patient with hypertension, the nurse recognizes that a modifiable risk factor for development of hypertension is: a. low calcium diet b. excessive alcohol intake c. family history of hypertension d. consumption of a high protein diet correct answersb. excessive alcohol intake A patient is admitted to the hospital with a hypertensive crisis. What would you expect to see when you assess the patient's blood pressure? a. BP 196/116 b. BP 150/90...