NURSCLARE

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. The correct answer is D: Measure the urine output for the...

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client’s heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? a. Measure and document the cl...

2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? A. Stroke secondary to hemorrhage

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c . A) to measure oxygenation and ventilation B) to quantify the base deficit for the adequacy of cellular perfusion C) *to gauge end−organ perfusion and tissue hypoxia ** D) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool...

The nurse is preparing to administer an immunization to a four-year-old child. Which of the following actions should the nurse plan to take? A- Place the child in a prone position for the immunization B- request that the child's caregiver leave the room during the immunization C- administer the immunization using a 24-gauge needle D- inject the immunization slowly after aspirating for 3 seconds Answer - c The nurse should administer an immunization for a 4-year-old child using a 24- gau...

The most cost-effective screening test for determining HIV status is which of the following? a. Western blot b. Enzyme-linked immunosorbent assay c. Venereal Disease Research Laboratory test d. Viral load Question2. Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? a. Erythrocyte sedimentation rate b. White blood cell count c. Polymorphonuclear cells d. C-reactive protein (CRP)

Question 5.Question : Which of the following statements concerning the musculoskeletal examination is true? Student Answer: The uninvolved side should be examined initially and then compared to the involved side. The part of the body that is causing the patient pain should be examined first. When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid causing pain. Radiographs should always be obtained prior to examination so as not t...

Question 19. A 50-year-old female presents to the urgent care clinic complaining of left lower quadrant pain. She has associated nausea and vomiting, and her vital signs are as follows: temperature 102.5°F, pulse 110, blood pressure 150/90, pulse oximetry 99% on room air. What is the best test to evaluate this patient?

Chvostek and Trousseau signs indicate which electrolyte imbalance? Hypocalcemia Hypercalcemia Hyperkalemia Hypokalemia Two clinical signs of hypocalcemia are the Chvostek sign and Trousseau sign. These clinical signs are not indicative of any of the other options.

Question 3 . Question : What is the primary cause of respiratory distress syndrome (RDS) of the newborn? Student Answer: Immature immune system Small alveoli Surfactant deficiency Anemia

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 followingcomplications? a. Vomiting b. Hypertension c. Epigastric pain d. Contractions 2. A nurse is providing teaching to an older adult client about methods to promotenighttime sleep. Which of the following instructions should the nurse include? a. Stay in bed at least 1 hr if unable to fall asleep b. Take a 1 hr nap during the day c. Perform...

How does women’s anatomy make them more susceptible to UTIs? Selected Answer: d. Their urethras are shorter. Question 2 2 out of 2 points The primary endocrine disorders affecting women are diabetes mellitus and: Selected Answer: b. Thyroid conditions

QUESTION 5 1. Margery is a 78-year-old female who comes to you with non-specific complaints of fatigue and red blood in the toilet after having stools she attributes to her hemorrhoids bleeding for the past 4 months. What type of anemia would you suspect? In Mary’s case, whose complaints include non-specific complaints of fatigue and red blood in the toilet after having stools and which she attributes to hemorrhoids bleeding for the past 4 months, the practitioner could consider iron defici...

2. Your 82-year-old patient comes to the clinic with complaints of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days. His PMH includes hernia repair, HTN, and atrial fibrillation. Your examination leads you to suspect a small bowel obstruction. What is your diagnostic test of choice to determine the diagnosis? The initial diagnostic test for small bowel obstruction is the plain abdominal x-ray with flat and upright views. This radiologic test identifies multiple a...

Tinea pedis is also known as “athlete’s foot.” What is the most common presentation of athlete’s foot? According to the CDC, athlete's foot is typically characterized by skin fissures or scales that can be red and itchy. Additionally, tinea pedis is a common dermatophyte infection and can present with many different signs and symptoms. It may present in classic ringworm pattern, involve interdigitally, and in the soles of the foot. 1. Interdigital - Erythema and scaling between...

1. When performing an assessment on patients over 65 years of age, what are at least three (3) key symptoms that may indicate cardiovascular disease? When assessing a patient over 65 years old, the key symptoms that may indicate cardiovascular disease include dizziness, syncope, orthopnea, angina, edema, and claudication. Syncope can occur due to asystole or an intermittent symptom may be due to an underlying arrhythmia. Orthopnea may indicate a patient with heart failure. Intermittent claud...

2. What other diagnostic testing would you perform to evaluate for cataracts? Diagnostic testing to evaluate cataracts includes visual acuity and examination of the eye. After initial screening, a referral to an ophthalmologist for a complete evaluation is recommended. Pupillary dilation and slit lamp exam would reveal white, gray, or brownish opacities if a patient developed a cataract. Small cataracts indicate dark areas on the red reflex in a dilated eye while for large cataracts, the red ...

1. You see a 66-year-old patient who is otherwise healthy, and their vaccine history is unknown. What immunizations would you consider giving this patient? A-A 66-year old patient who is otherwise healthy with an unknown vaccine history can be given the following immunization based on the recommendations of CDC: Influenza inactivated (IIV) or Influenza recombinant (RIV), Tetanus, diphtheria, pertussis (Tdap or Td), Zoster recombinant (RZV) preferred, or Zoset live (ZVL), and Pneumococcal pol...

1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Identify nurses who accept the change to help influence other staff nurses B. Provide a brief overview of the new scheduling system immediately before it implementation C. Introduce the new scheduling system by describi...

A 59−year−old male client is brought to the emergency room where he is assessed to have a Glasgow Coma Scale of 3. Based on this assessment, howshould the nurse characterize the client’s condition? a. The client has increased intracranial pressure b. He has a good prognosis for recovery c. This client is conscious, but is not oriented to time and place d. He is in a coma, and has a very poor prognosis Correct D