NURS 6401 (NURS6401)

A nurse is collecting data from a client who received ampicillin IM. The client reports a rash and tells the nurse. "I feel bumps in my mouth." Which of the following findings indicates the client is experiencing an allergic reaction? - Ringing of the ears A nurse is collecting data from a parent of a toddler prior to administering several immunizations. The parent tells the nurse that the toddler had swelling, redness, and pain at the injection site the last time she received an immuniza...

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 - a. Nasal congestion Why? Removal of the pituitary gland is usually done by transsphernoidal approach through the nose. Nasal congestion further interferes with the airway. A client with cancer is a, admitted to the oncology unit. Stat lab values revel hgb 12.6...

The nurse is caring for a client scheduled for removal of the pituitary gland. The nurse should be particularly alert for: A. Nasal congestion B. Abdominal tenderness C. Muscle tetany D. Oliguria - Answer A is correct. Removal of the pituitary gland is usually done by a transphenoidal approach, through the nose. Nasal congestion further interferes with the airway. Answers B, C, and D are not correct because they are not directly associated with the pituitary gland. A 24-year-old fe...

A nurse is caring for a male client who has peripheral vascular disease and is taking dietary supplements and has a new prescription for warfarin (coumadin). The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (select all that apply) A. Saw palmetto B. Echinacea C. Glucosamine D. Black cohosh E. Gingko biloba - A. Saw Palmetto C. Glucosamine E. Gingko bilboa A nurse is providing discharge instructions to a client who develope...

A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority? A. Assess fluid intake every 24 hours B. Ambulate three times a day C. Assist with deep breathing and coughing D. Monitor the incision site for findings of infection - C A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? A. I have experi...

A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meals E. Protein foods can be substituted for carb foods A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2 DM. Which of th...

A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meals E. Protein foods can be substituted for carb foods - A, C, D Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia Not E-carbs can be exchanged but not ...

A nurse is evaluating a newly licensed nurse who is administering a vitamin K injection to a newborn. Which of the following actions by the newly licensed nurse indicates understanding of the teaching? (SATA) a. Applies gentle pressure at the site after injection b. Aspirates the syringe for blood return after needle insertion c. Selects the dorsogluteal site to administer the injection d. Inserts the needle at a 45° angle - IM should be 90 e. Cleans the injection site with alcohol - a....

A nurse is caring for a client who is receiving intravenous therapy and observes redness and inflammation along the vein. The nurse would identify this finding as which of the following complications of IV therapy? A. Phlebitis b. Infiltration c. Venous spasm d. Extravasation - Phlebitis . A nurse is reviewing the plan of care with a client who has a new prescription for lovastatin. Which of the following statements by the client should indicate to the nurse a need for further assessment? ...

A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meals E. Protein foods can be substituted for carb foods - A, C, D Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia Not E-carbs can be exchanged but not ...