NURS MISC (NURSMISC)

Question 1 See full question When assessing a client who is incontinent for risk for developing a pressure ulcer, the nurse should note which factor that can most alter tissue tolerance and lead to the development of a pressure ulcer? You Selected:  exposure to moisture Correct response:  exposure to moisture Explanation: Remediation: Question 2 See full question The nurse is assessing a hospitalized older client for the presence of pressure ulcers. The nurse notes that the clie...

A well-known client suffers a psychotic break and is admitted to the psychiatric unit. A large group of reporters with cameras is camped out in the hospital parking lot. As a nurse walks to the employee parking after her shift, a reporter asks if she knows anything about the client's conditio Question 1 See full question A client with schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse is appropriate? You Selected:  "Your behavior...

Question 1 See full question A nurse is caring for a client with mild active bleeding from placenta previa. Which assessment factor indicates that an emergency cesarean birth may be necessary? You Selected:  Maternal heart rate of 65 beats/minute Correct response:  Fetal heart rate of 80 beats/minute Explanation: Remediation: Question 2 See full question A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery...

Question 1 See full question A client gives birth to a stillborn neonate at 36 weeks' gestation. When caring for this client, which strategy by the nurse would be most helpful? You Selected: • Provide information about possible causes of the stillbirth only if the client requests it. Correct response: • Encourage the client to see, touch, and hold the dead neonate. Explanation: Remediation: Question 2 See full question During the postpartum period, a nurse should assess for si...

Question 1 See full question A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determines the client needs further teaching when she makes which statement? You Selected:  "I will need more frequent appointments during the remainder of the pregnancy." Correct response:  “I will need to take an iron supplement even if my laboratory values are normal.” Explanation: Remediation: Question 2 See full question ...

Question 1 See full question A neonate weighing 3 lb, 5 oz (1,503 g) is born at 32 weeks' gestation. During an assessment 12 hours after birth, a nurse notices these signs and symptoms: hyperactivity, a persistent shrill cry, frequent yawning and sneezing, and jitteriness. These symptoms indicate: You Selected:  hypoglycemia. Correct response:  drug dependence. Explanation: Remediation: Question 2 See full question Just after delivery, a nurse measures a neonate's axillary te...

A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingooophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? You Selected:  Shallow breathing and increasing lethargy Correct response:  Shallow breathing and increasing lethargy

Question 1 See full question A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What do these manifestations indicate? You Selected:  Increased intracranial pressure (ICP) Correct res...

A well-known client suffers a psychotic break and is admitted to the psychiatric unit. A large group of reporters with cameras is camped out in the hospital parking lot. As a nurse walks to the employee parking after her shift, a reporter asks if she knows anything about the client's conditio Question 1 See full question A client with schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse is appropriate? You Selected:  "Your behavior...