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1. A client admitted to the hospital with a diagnosis of cirrhosis has massive ascites and difficulty breathing. The nurse performs which intervention as a priority measure to assist the client with breathing? a) repositions side to side every 2 hours b) elevates the head of the bed 60 degrees c) auscultates the lung field every 4 hours d) encourages deep breathing exercises every 2 hours - Answer-1) B - The client is having difficulty breathing because of upward pressure on the diaphragm...

what medications interact with grapefruit? - Answer-calcium channel blockers: diltiazem, nifedipine, verapamil, etc statins caffeine SSRIs be sure to practice math! - Answer- stent placement using the femoral approach puts you at risk for retroperitoneal hemorrhage - Answer- what are early signs of bleeding into the retroperitoneal space? - Answer-hypotension, back pain, flank ecchymosis (grey turner sign), hematoma formation, diminshed distal pulses what is the grey-turner sign a...

A.EBP requires compliance by the client. D.EBP questions long-standing nursing practice. E.Lack of resources - Answer-There are many barriers that affect the actual implementation of evidence-based practice (EBP) in a nursing environment. Which statements reflect the most significant concerns of nurses in the community-focused setting? Select all that apply. A.EBP requires compliance by the client. B.EBP requires little support. C.EBP demands change. D.EBP questions long-standing nursin...

Pitocin: Indication? Adverse Effects/Monitoring? - Answer- Given to strengthen contractions and labor. Can cause uterine hyperstimulation. Contractions should be NO LONGER than 90 seconds and no closer than 2 minutes apart. If they are any more than that; slow pitocin How to Mix insulins (step 1-5) - Answer- 1. Draw up the total amount of (AIR) 2. Air into N 3. Air into R 4. Draw up R 5. Draw up N IM injection - Needle size + length? Sub-Q Size + length? - Answer- IM: 21g 1 inc...

a - Answer-The client has been vomiting and has weak, flabby muscles. The client's pulse is irregular. The nurse would correctly suspect what type of imbalance? a. Hypokalemia b. Hyperkalemia c. Hopocalcemia d. Hypercalcemia b - Answer-The client is receiving potassium supplements. What is the most important nursing implication when administering this drug? a. It cannot be given as an IV bolus b. It must be diluted c. It must be chilled before administration d. It must be given o...

A client is being prepped for a surgical procedure and the nurse is reviewing the informed consent with the client. The client asks, "Is there any other way to take care of this without have surgery?" The nurse has a duty to first: A. Reassure the client that the surgery is the best treatment option B. Tell the client if they don't want they surgery, they don't have to have it C. Notify the surgeon that the client has additional question about alternatives to surgery D. Call the surgeo...

After total hip replacement position - Answer-No adduction No flexion Knee amputation post position - Answer-supin 24 hr prone position for shock - Answer-modified trendenberg head elevated, leg elevated 20 degree tetralog of fallot - Answer-DROP defect of septal Rright ventricular hypertrophy Overriding aorta Pulmonary stasis-cyanosis 1teaspoon= ?ml 1 tablespoon= ? ml 1 oz = ? ml 1 cup- ? oz F= - Answer-1 teaspoon= 5 ml 1 tablespoon=15ml 1 oz=30 ml 1 cup= 8 oz F=9/5C+...

1. The intensive care unit (ICU) charge nurse will determine that teaching about hemodynamic monitoring for a new staff nurse has been effective when the new nurse A) Positions the zero-reference stopcock line level with the phlebostatic axis. B) Balances and calibrates the hemodynamic monitoring equipment every hour. C) Rechecks the location of the phlebostatic axis when changing the patient's position. D) Ensures that the patient is lying supine with the head of the bed flat for all readi...

A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which of the following statements made by the new graduate nurse requires the preceptor to intervene? a. "I will use the information from my assessment to figure out if your antihypertensive medication is working effectively." b. "Nursing assessment data are used only to provide informat...

After receiving report at the start of the evening shift, which of the following clients should the nurse attend to first? (a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L. (b) A 21-year-old woman with sickle cell anemia with pain of 6 on a scale of 1-10. (c) A 55-year-old woman with ovarian cancer waiting to be discharged. (d) A 72-year-old man with chronic obstructive pulmonary disease (COPD) and a pulse oximetry of 96% on room air. ...

DO NOT delegate (E.A.T.) - Answers-E- evaluate A- assess T- teach Addisons - Answers-down, down, down, up, down hyponatremia, hypotension, decreased blood volume, hyperkalemia, hypoglycemia Cushings - Answers-up, up, up, down, up hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia No Pee, No ___ - Answers-K - No potassium without adequate urine output Transmisson of Airborne - Answers-My- Measles Chicken- chicken pox/ varicella Hez- Herpez Zoster/shi...

A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with "walking pneumonia". From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent? A. Fungi B. Streptococcus pneumoniae C. Mycoplasma pneumoniae D. Influenza - Answers-C. Mycoplasma pneumoniae A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough a...

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing activities is this approach useful? a. Making accurate nursing diagnoses b. Establishing priorities of care c. Communicating concerns more concisely d. Integrating science into nursing care - Answer-b. Maslow's hierarchy of basic human needs is useful for establishing priorities of care. The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursi...

The nurse is taking the health history of a patient being treated for Emphysema and Chronic Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Capacity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of cardiac failure - Answer-1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volume of air exhaled from full inhalation to full exha...

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - Answer-Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you assess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do something. How should you address questi...

What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? - Answer-Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated urine (from excess water resorption), elevated urine osmolality, mental status changes from cerebral edema. Diabetes insipidus is associated with what sodium level? - Answer-Hypernatremia Psychogenic polydipsia results in urine that is: - Answer-diluted with low osmolality and hyponatremia How would you determine the...

The most common cancer found on the auricle is: -Answer- Basal cell carcinoma Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? -Answer- Antihistimines A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proc...

feminist perspective - Answer-A perspective that acknowledges the oppression of women within a patriarchal society that also struggles toward the elimination of sexist oppression and the domination of all human beings. Alcohol Consumption and Women Recommended daily intake limit? Possible Risks? - Answer-Alcohol is hazardous for a woman who has either more than 7 drinks per week or more than 3 drinks per day. This amount put's women at risk for developing AUD (Alcohol Dependance Disorder). ...

Epidemiological studies show that Hashimoto's disease occurs most commonly in: - Answer-Middle-aged to older women Which of the following would you recommend on an annual basis for an elderly patient with type 2 diabetes? - Answer- A middle-aged patient newly diagnosed with type 2 diabetes wants to start an exercise program. All of the following statements are true except: - Answer-Strenuous exercise is contraindicated for most patients with type 2 diabetes because of a higher risk of hyp...

A 10-year-old boy complains of sudden onset of scrotal pain upon awakening that morning. He is also complaining of severe nausea and vomiting. During the physical examination, the nurse practitioner finds a tender, warm, and swollen left scrotum. The cremasteric reflex is negative and the urine dipstick is negative for leukocytes, nitrites, and blood. - Answer-Testicular torsion A 10-year-old boy complains of sudden onset of scrotal pain upon awakening that morning. He is also complaining of ...