- A client who had a right hip replacement 3 day ago is pale has diminished breath sound over the leftlower lung fields, a temperature of 100.2 F, and an oxygen saturation rate of 90%. The client is scheduled tobe transferred to a skilled nursing facility (SNF) tomorrow for rehabilitative critical pathway. Based on theclient's symptoms, what recommendation should the nurse give the healthcare provider?
- Suicide precautions are initiated for a child admitted to the mental health unit following an intentionalnarcotic overdose. After a visitor leaves, the nurse finds a package of cigarettes in the client's room. Whichintervention is most important for the nurse to implement?
- The nurse is teaching a client how to perform colostomy irrigations. When observing the client's returndemonstration, which action indicated that the client understood the teaching?
- Following a motor vehicle collision, an adult female with a ruptured spleen and a blood pressure of70/44, had an emergency splenectomy. Twelve hours after the surgery, her urine output is 25 ml/hourfor the last two hours. What pathophysiological reason supports the nurse's decision to report thisfinding to the healthcare provider?
- How do inflation and unemployment move about one another?
- The nurse note a visible prolapse of the umbilical cord after a client experiences spontaneous rupture ofthe membranes during labor. What intervention should the nurse implement immediately?
- A nurse with 10 years experience working in the emergency room is reassigned to he perinatal unit towork an 8 hour shift. Which client is best to assign to this nurse?
- While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client staresinto the distance and appears to be concentrating on something other than the lesson the nurse is presenting.What action should the nurse take?
- A client who was admitted yesterday with severe dehydration is complaining of pain a 24 gauge IV withnormal saline is infusing at a rate of 150 ml/hour. Which intervention should the nurse implement first?
- After repositioning an immobile client, the nurse observes an area of hyperemia. To assess for blanching,what action should the nurse take?
- The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation to cardiopulmonaryresuscitation (CPR) should the nurse implement?
- A client with atrial fibrillation receives a new prescription for dabigatran. What instruction should thenurse include in this client's teaching plan?
- After several hours of non-productive coughing, a client presents to the emergency room complainingof chest tightness and shortness of breath. History includes end stage chronic obstructive pulmonary disease(COPD) and diabetes mellitus. While completing the pulmonary assessment, the nurse hears wheezing andpoor air movement bilaterally. Which actions should the nurse implement? (Select all that apply.)
- One person can can have absolute value in both categories.
- A female client with acute respiratory distress syndrome (ARDS) is chemically paralyzed and sedatedwhile she is on as assist-control ventilator using 50% FIO2. Which assessment finding warrants immediateintervention by the nurse?
- Which intervention should the nurse include in the plan of care for a child with tetanus?
- During an annual physical examination, an older woman's fasting blood sugar(FBS) is determined to be 140 mg/dl or 7.8 mmol/L (SI). Which additional finding obtained during a follow-up visit 2 weeks later is most indicative that the client has diabetes mellitus (DM)?
- When performing postural drainage on a client with Chronic Obstructive Pulmonary Disease (COPD),which approach should the nurse use?
- The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and anunlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?
- What is the most important determinant of living standards?