A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the
nurses priority? - ANStachycardia
A nurse is caring for a client who is undergoing hemodialysis to treat end stage kidney disease.
The client reports muscle cramps, and tingling sensation in their hands. Which of the following
medications should the nurse plan to minister? - ANSCalcium carbonate
A nurse is providing teaching to a client who is receiving chemotherapy and has a new
prescription for epoetin alfa. Which of the following client statements indicates an understanding
of the teaching? - ANS" I will monitor my blood pressure while taking this medication"
- common adverse effect: hypertension
A nurse is caring for a group of clients. The nurse should plan to make a referral to physical
therapy for which of the following clients? - ANSA client who is receiving preoperative teaching
for a right knee arthroplasty
A nurse is providing teaching to a female client who has a history of UTIs. Which of the following
information should the nurse include in the teaching? - ANSTake daily cranberry supplements
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - ANS"I should take this medication with a meal."
A nurse is caring for a client who is receiving total parenteral nutrition. A new bag is not
available when the current infusion is nearly completed. which of the following actions should
the nurse take? - ANSAdminister dextrose 10% in the water until the new bag arrives.
A nurse in a community clinic is caring for a client who reports an increase in the frequency of of
migraine headaches. To help reduce the risk of migraine headaches which of the following foods
should the nurse recommend to avoid? - ANSAged cheese
A nurse is preparing a client who has supra, ventricular tachycardia for elective cardioversion.
Which of the following prescribe medication should the nurse instruct the client to withhold for
48 hours prior to cardioversion? - ANSDigoxin
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive
cough. Which of the following action should the nurse take first? - ANSInitiate airborne
precautions
, A nurse is caring for a client who has stage three pressure injury. Which of the following findings
contributes to delayed wound healing? - ANSUrine output 25ml/hr
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The
client appears anxious and restless, the high-pressure alarm is sounding. Which of the following
actions should the nurse take first? - ANSInstruct the client to allow the machine to breathe for
them.
A nurse is caring for a client who has hepatic encephalopathy and is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is an
adverse effect of this medication? - ANSHypokalemia
A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for
the past three days. Which of the following findings should indicate to the nurse of the clients
experiencing fluid volume deficit? - ANSHeart rate 110/min
A nurse is caring for a client who has pancreatitis. The nurse should expect which of the
following laboratory results to be below the expected reference range? - ANSCalcium
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the
following precautions should the nurse implement? - ANSEnsure that the client has a patent IV.
A nurse is assessing a client who has had a plaster cast applied to their left leg two hours ago.
Which of the following actions should the nurse take? - ANSCheck that one finger fits between
the cast in the leg.
A nurse is caring for a client one hour following a cardiac catherization. The nurse notes the
information of a hematoma at the insertion site and a decreased pulse rate in the affected
extremity. Which of the following interventions of the nurses priority? - ANSApply firm pressure
to the insertion site
A nurse is teaching a class about client rights. Which of the following instructions should the
nurse include? - ANSA client should sign an informed consent before receiving a placebo during
a research trial.
A nurse in a providers office is caring for a client who requests sildenafil to treat erectile
dysfunction. Which of the following statements should the nurse make? - ANSYou will not be
able to use sildenafil if you are taking nitroglycerin.
(The client should not use sildenafil when taking nitroglycerin because both medications can
cause vasodilation and lead to significant hypotension)
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