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The nurse has been made aware of the following client situations. The nurse should first assess the client: A) with diverticulitis who is reporting left lower quadrant (LLQ) pain B) with chronic obstructive pulmonary disease (COPD) who is reporting hemoptysis C) who had an evacuation of a subdura...

The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing, while transferring them from the bed to a chair. Upon entering the room, which response by the charge nurse is most appropriate? a. "Please speak more quietly so you don't disturb the other patients." b. "Let ...

Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher - Answer C The incidence of hypertension is greater among African-Ameri...

The parent of a preschooler with chickenpox asks the nurse about measures to make the child comfortable. The nurse instructs the parent to avoid administering aspirin or any other product that contains salicylates. When given to children with chickenpox, aspirin has been linked to which disorder? ...

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 o...

A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the nurse. Based on his injury, which type of pain is this patient most likely experiencing? 1) Phantom 2) Visceral 3) Deep somatic 4) Referred Answer - Answer: 3) Deep somatic Rationale...

A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse? 1Write down potential solutions to the problems today by shift's end 2Add this concern to th...

The nurse is assisting with the admission of a client who is scheduled for a colon resection. Which of the following statements made by the client would be most important for the nurse to clarify? - Answer I usually have a few glasses of wine in the evening. Enoxaprin - Answer comes in a pr...

An 18 month-old weighing 22 pounds is admitted to the pediatric unit with a diagnosis of dehydration. A replacement bolus of normal saline at 20 mL/kg is ordered to be administered intravenously over 40 minutes. In mL/hour, what will be the setting for the IV delivery system? - Answer 300 Using ...

the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly alert to: A. Nasal congestion B. Abdominal Tenderness C. Muscle Tetany D. Oliguria - Answer A. Nasal congestion why? removal of the pituitary g...

The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse should ask a staff member to first see the client in the 1. first stage of labor who has an oral temperature of 99.7° F (37.6° C) 2. first stage of labor whose contractions are occurring e...

Why do nurses need a license? - Answer To protect the public Where are specific nursing practice rules found? - Answer State nurse practice acts What establishes and provides authority to the state board of nursing? - Answer State government Advancing technology and increasing serv...

The nurse is caring for a pregnant woman who is diagnosed with pregnancy induced hypertension (PIH) and is receiving magnesium sulfate intravenously. During assessment of the client, the nurse notes that respirations are 12, pulse and blood pressure have dropped significantly, and the eight-hour uri...

A Native-American chief visits his newborn son and performs a traditional ceremony that involves feathers and chanting. The charge nurse tells a colleague, "I wonder if he has any idea how ridiculous he looks - he's a grown man!" This statement is an example of which non-therapeutic approach? ...