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Med Surg - The Hematologic System A healthcare professional is caring for a patient who is about to begin iron dextran (INFeD) therapy. When administering the drug IM, the healthcare professional should take which of the following actions? - Administer a test dose - Monitor blood pressure - Have epinephrine available - Use the Z-track technique A healthcare professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent thrombus formation. The health...

1. A client in the 28th week gestation comes to the emergency department because she thinks that she is in labor. To confirm a diagnosis of preterm labor, the nurse would expect physical examination to reveal: a. Irregular uterine contractions with no cervical dilatation b. Painful contractions with no cervical dilatation c. Regular uterine contractions with cervical dilatation d. Regular uterine contractions with no cervical dilatation Ans: C – regular uterine contractions (every 10 m...

Maternal Child Acute and infectious respiratory illnesses: Croup effects under the age of 5 - bark cough - comfort, treat fever, fluids, corticosteroids and nebulae treatments if needed, humid environments Signs of respiratory distress - dyspnea - rapid breathing Infectious mononucleosis (not on take home test) sore throat, swelling of lymph nodes, rash on trunk, effects young adults, mild analgesics, ampicillin or amoxicillin, throat licensers, corticosteroids for respiratory distress ...

Maternal HESI Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client? a. the client's readiness to learn b. the client's educational background c. the order in which the information is presented d. the extent to which the pregnancy is planned A A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which...

Maternal child The nurse understands that prenatal growth and development proceed in a cephalocaudal pattern, meaning that The brain will develop first One of the assessments performed in the delivery room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits? Two arteries and one vein Which part of the mature sperm contains the male chromosomes? The head of the sperm Dizygotic twins develop from two fertilized ova and may be the same...

MCH Study Guide Test 1/50 questions 1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the parameters of education for Self breast exams, and what is normal for a woman to note when doing breast exam? Lumps bumps do your own breast exam 10 days after menstrual 2. What is the most common complaint with the menstrual cycle? Dysmenorrhea = painful menstrual teach heat diet exercise pharmacology NSAIDS and complications; stress, diet, body fat medicati...

Maternal 1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect? a. Reports increased urinary output b. Diaphoresis c. Reports blurred vision d. Shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct the client ...

MATERNAL 1. A nurse is reinforcing teaching about newborn home safety precautions with a group of new mothers. Which of the following instructions should the nurse include? "Crib slats should be no more than 2.25 inches apart." 2. A nurse is reinforcing teaching with a client who is at 16 weeks of gestation, has diabetes mellitus, and has a BMI of 31. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "My intake should...

Maternal A nurse in a woman's health clinic is providing teaching about nutritionalintake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? Calcium The recommendation for calcium intake during pregnancy is the same as that for women who are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/day for women between the ages of 19 and 50 years old. Vitamin E The re...

Maternal A nurse is performing a vaginal exam on a client who is in active labor. The nurse notesthe umbilical cord protruding through the cervix. Which of the following actions shouldthe nurse take? Administer oxytocin to the client via intravenous infusion. Apply oxygen at 2 L/min via nasal cannula. Prepare for insertion of an intrauterine pressure catheter. Assist the client into the knee-chest position. 1. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid wi...

Management of Surgical Unit The nurse manager is the charge nurse on a busy surgical unit in a major metropolitan hospital. The charge nurse is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The charge nurse for the previous night shift is giving verbal report to Ms. Hatch and the oncoming staff nurses. During the report, one of the UAPs interrupts to state that a client is vomiting. How should Ms. Hatch respond...

Management of an Oncology Unit RN Case Study This scenario demonstrates leadership and management on an oncology unit. Using effective leadership skills, the charge nurse demonstrates skill in priority setting, delegation, supervision, and client care assignments. Students on the oncology unit have the opportunity to observe effective communication and team collaboration resulting in the provision of safe client care. Ms. Young asks the nurse about the lab data and the nurse responds by s...

Management of a Pediatric Unit Which phone message requires the most immediate response by Ms. Sanku? A school social worker who is reporting that a local teenager who often hangs out around the clinic has made death threats and expressed thoughts of suicide. Which situation requires the most immediate follow-up by the nurse? A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken. Which child requires the most immedi...

LPN HESI MATERNAL Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain to a client in the first trimester? (Select all that apply.) 1. Displacement of the colon. 2. Tightening of the anal sphincter. 3. Change in nutrient absorption. 4. Shifting of liver placement. 5. Decrease in peristalsis. 6. Increase bile production. 1. Displacement of the colon. 5. Decrease in peristalsis. During pregnancy, the enlarging uterus compresses and disp...

Section 1 Nursing Process: Assessment The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask before starting the admission process. Raymond tells the nurse that his significant other is downstairs and that he would like for him to stay in the room with him. How should the nurse respond? "Your healthcare provider (HCP) wants you to get some rest." Raymond is requesting an opportunity for psychosocial support, which sh...

HESI STROKE Which statement about transient ischemic at- tack (TM) is accurate? a. TIAs do not cause permanent brain damage. b. TIA increases the risk of stroke. c. Symptoms of a TIA usually resolve in 10- 15 minutes. d. After a TIA, a patient is prescribed a beta blocker. B The nurse is preparing to discharge a patient with transient ischemic attacks. What treatment areas does the nurse include in discharge teaching? (Select all that apply.) a. Reduction of high blood pressure b. Dru...

HESI RN Medical Surgical EXAM The nurse is assessing a clients laboratory values following the administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome? A. Hemoglobin of 10 g/dl B. Serum calcium of 5mg/dl C. Serum PTT of 10 seconds D. Oxygen saturation of 90% Answer: B TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 is low and so is an indicator of possibl...

HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A. Measure the urine specific gravity. B. Obtain IV fluids for infusion per protocol. C. Prepare for insertion of a central venous catheter. D. Auscultate the client's b...

HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A. Measure the urine specific gravity. B. Obtain IV fluids for infusion per protocol. C. Prepare for insertion of a central venous catheter. D. Auscultate the client's b...

HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A. Measure the urine specific gravity. B. Obtain IV fluids for infusion per protocol. C. Prepare for insertion of a central venous catheter. D. Auscultate the client's b...