2 days after an belly hysterectomy, an elderly client with diabetes Mellitus Type II has a
syncopal episode. Her critical signs and symptoms are inside ordinary limites and her sugar is
325 mg/dL. What intervention ought to the nurse enforce first?
A. Give the purchaser 4 oz of orange juice
B. Administer next scheduled dose of metformin (Glucophage)
C. Cancel the clients dinner tray
D. Administer everyday insulin in keeping with sliding scale - ANS-D. Administer normal insulin
in step with sliding scale
36 hours after shipping, the nurse determines a client's fundus is simply above the umbilicus
and displaced to the right of midline. What movement ought to the nurse take first?
A. Palpate the bladder for distention
B. Ask the purchaser while her closing bowel motion happened
C. Catheterize the consumer and record the quantity
D. Assess the quantity of lochia - ANS-A. Palpate the bladder for distention
4 hours after administration of 20U of ordinary insulin, the purchaser becomes shake and
diaphoretic. What motion have to the nurse take?
A. Encourage the purchaser to excercise
B. Administer a PRN dose of 10U of ordinary insulin
C. Give the customer crackers and milk
D. Record the patron's reaction on the diabetic float sheet - ANS-C. Give the client crackers and
milk
A 26 12 months-old primigravida who introduced a 7-pound male infant 26 hours ago tells the
nurse that she is confused approximately when she and her husband can return to having
sexual intercourse. What information should the nurse strengthen with this patron?
A. They may have intercourse while the episiotomy is healed and the lochial flow has stopped
B. They ought to wait to renew sexual activities till the fatigue diverse with a brand new infant
has passed
C. They can resume sexual activity at 6 weeks postpartum
D. It is quality to wait till each events feel up to having sexual sex - ANS-A. They could have
intercourse when the episiotomy is healed and the lochial float has stopped
A 26-12 months-old gravida four, para 0 had a spontaneous abortion at 9 weeks gestation. At
one-house submit dilation and curettage (D&C) the nurse examine the crucial signs and vaginal
bleeding. The patron begins to cry softly. How have to the nurse interfere?
A. Offer to call the social employee to talk about the possiblity of abortion
,B. Reassure the client that the infertility expert can assist
C. Express sorrow for the customer's grief and provide to sit down with her
D. Chart the important signs and symptoms and amount of vaginal bleeding - ANS-C. Express
sorrow for the consumer's grief and offer to sit down together with her
A three yr-antique admitted with fever of unknown origin (FUO) has began vomiting in the past
half of hour. The baby's temperature is a hundred and one.80 F, and the closing dose of
antipyretic remedy turned into given 5 hours in the past. The infant has prescriptions of
acetaminophen (Tylenol) 160 MG in step with 5 mL elixir or a hundred and sixty mg
suppositories PRN fever or pain. What action must the nurse take at the moment?
A. Make the child NPO and keep all medicinal drugs untill the vomiting has stopped
B. Give acetaminophen elixir to make sure the kid's cooperation with swallowing
C. Notify the healthcare company that the kid's fever has come to be dangerously high
D. Use an acetaminophen suppository for the fever for the reason that the kid is vomiting -
ANS-A. Make the child NPO and hold all medications untill the vomiting has stopped
A three-week-old infant is admitted for surgical repair of Pyloric Stenosis. What interventions
should the nurse expect to implement to set up hydration within the immediate postoperative
length?
A. Diaper weights and urin unique gravity
B. Gastronomy feedings in supine function
C. Nipple feedings with glucose water
D. Gavage feedings with 15mL of formula - ANS-C. Nipple feedings with glucose water
A 6-month antique male with Bronchiolitis is admitted to the health facility. In monitoring the
respiration repute of this child, which symptom shows the nurse that he's experiencing
Respiratory Distress?
A. Respiratory of sixty two breaths/minute
B. Abdominal respiration
C. A excessive-pitched cry
D. Dry flushed pores and skin - ANS-C. A high-pitched cry
A 60 year-old patron with cancer of the liver is in Hepatic Coma and unresponsive. What must
the nurse say to family contributors who're inquiring about the condition in their loved one?
A. "Your loved one's condition is very vital, and there was no response within the last 24 hours"
B. "The nurses have not been capable of arouse the customer and the healthcare company
knows the final results."
C. "You need to speak about the situation with the rate nurse in a circle of relatives convention."
D. "The customer's condition is extraordinarily vital. Has your own family made funeral
preparations?" - ANS-A. "Your cherished one's condition is very important, and there has been
no reaction in the last 24 hours"
A sixty seven-12 months-antique woman who lives on my own tripped on a rug in her domestic
and fractured her proper hip. The nurse knows that which predisposing element contributes to
the occurrence of hip fractures among aged women.
,A. Urinary retention resulting in renal calculi formation
B. Failing eyesight resulting in an dangerous surroundings
C. Osteoporosis resulting from hormonal changes
D. Transient ischemic assaults (TIAs) which impair mental activity - ANS-C. Osteoporosis as a
consequence of hormonal modifications
A 75-yr-antique male customer with Alzheimer's Disease (AD) is admitted to an extended care
facility. What
intervention should the nurse consist of into his customer's Nursing care plan?
A. Describe the sports available to the residents and encourage him to pick those he prefers
B. Introduce the customer to the Nursing staff and the citizens as soon as viable
C. Plan to have the same Nursing body of workers offer take care of the consumer whenever
viable
D. Encourage the client to stay on the unit for 3 weeks till he's oriented to his new surroundings
- ANS-C. Plan to have the equal Nursing workforce offer care for the patron on every occasion
viable
A child with Chronic Asthma is scheduled for Chest Physiotherapy. When have to the nurse
administer the meter-dosed inhalar (MDI) puff of bronchodilator relative to postural drainage
remedies?
A. Before postural drainage
B. During postural drainage
C. After postural drainage
D. Between treatements - ANS-C. After postural drainage
A purchaser asks the nurse to give an explanation for the place of the prostate gland. What is
the first-rate response?
A. Close the rectal wall the prostate gland sits at the back of the symphysis pubis extending
around the
beginning of the urethra
B. At the bottom of the scrotal sac, the prostate gland rests beneath the testes, held in vicinity
by means of the
spermatic fascia
C. Attach to the the front and aspects of the pubic arch, the prostate is a large number of
cavernous tissue held
together by way of fibrous tissue
D. Located at the lateral edge of the posterior segment of the testes, the prostate creates a
bulge
non-stop with the vas deferens - ANS-A. Close the rectal wall the prostate gland sits in the back
of the symphysis pubis extending across the
beginning of the urethra
A patron at 28 weeks gestation is admitted to the antepartum unit and is being handled for
preterm exertions. She has a prescription for brethine (Terbutaline) 250 micrograms
, subcutaneously q4h. The remedy is available for injection in 1 mg in line with ML vials. How
many mL ought to the nurse administer?
A. Zero.1/2
B. 0.0025
C. 0.25
D. 25.0 - ANS-C. Zero.25
A consumer begins an antidepressant drug throughout the second one day of hospitalization.
Which assessment is most critical for the nurse to include on this customer's plan of care whilst
the purchaser is taking the antidepressant?
A. Appetite
B. Mood
C. Withdrawl
D. Energy level - ANS-B. Mood
A consumer comes to the antepartal health facility and tells the nurse that she is 6 weeks
pregnant. Which sign is she maximum in all likelihood to record?
A. Decreased sexual libido
B. Amenorrhea
C. Quickening
D. Nocturia - ANS-B Amenorrhea
A purchaser complains of kidney pain. The nurse is aware that the kidneys are positioned in
which?
A. On the retroperitoneal posterior abdominal wall at the costovertebral perspective
B. Within the curve of the duodenum, posterior to the spleen
C. Lateral to the stomach in the hypochondriac region
D. Superior issue of the bladder in proper and left iliac vicinity - ANS-A. On the retroperitoneal
posterior abdominal wall at the costovertebral perspective
A consumer has a prescription for a Transcutaneous Electrical Nerve Stimulator (TENS) unit for
ache management for the duration of the postoperative length following a lumber Laminectomy.
What statistics should the nurse support about the motion of this adjuvant ache modality?
A. Mild electric stimulus on the skin surface closes the gates of nerve conduction for sever ache
B. Pain perception within the cerebral cortex is dulled by way of the unit's discharge of an
electrical stimulus
C. An infusion of medicine inside the spinal canal will block pain perception
D. The discharge of power will distract the customer's recognition on the ache - ANS-B. Pain
belief within the cerebral cortex is dulled through the unit's discharge of an electrical stimulus
A client has a prescription for enteric-lined (EC) aspirin 325mg PO daily. The medication drawer
contains one 325mg aspirin. What action must the nurse take?
A. Contact the pharmacy and request the prescribed form of aspirin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ashley96. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
