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The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take? ...

The nurse is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softner B. Administer prescribed PRN sleep medications. C. Encou...

When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? A. Securely grasp the client's arm and leg. B. Put bed rails up on the side of bed opposite from the nurse. C. Correctly position and use a turn sheet. D. Lower the head of the cl...

1. The nurse teaching a health awareness class identifies which situation as being the highest risk factor for the development of a deep vein thrombosis (DVT)? - correct answer Pregnancy 2. A client on hospice care is receiving palliative treatment. A palliative approach involves planning measure...

Impetdaiper Brain Natriuretic Peptide (BNP)correct answer Normal: <100 Elevated levels indicate CHF apixaban (Eliquis)correct answer used to treat pulmonary emboli Direct oral anticoagulant Causes of non-cardiogenic pulmonary edemacorrect answer IS NOT THE HEART I nhaled Toxins (Amm...

Urinary catheterization is prescribed for a postoperative female client who has been unable to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action will the nurse take next? A. Clamp the catheter and recheck it in 60 minutes. B. Pull the catheter back ...

A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed with meningitis. Which nursing assessment should be completed during the initial examination of this client? A) Level of consciousness. B) Gait characteristics. C) Presence of trauma. D) Bl...

1 Why should the registered nurse practicing nursing at the bedside be concerned about research for the delivery of quality nursing care? A. Research provides the nurse with the knowledge needed to make sound clinical decisions. B. One study can change nursing practice dramatically. C. The Joint...

A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. the child smells of chemicals on the hands, face, and on the front of the child's clothes. after ensuring the airway is patent, what action should the nurse imp...

Nursing Process - correct answer Assessment Diagnosis - problem, etiology, symptoms Planning - outcome and intervention Implementation(treatment) Evaluation ABC + V - correct answer airway Breathing Circulation Vitals Antidotes - correct answer Digoxin - Digiband Coumadin - Vita...

A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. The first action on the part of the nurse is: Calling the physician Inserting an oral airway Turning the client on her side Noting the time of the seizure - correct answer C If seizure activity occu...

While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm? A. The person, the environment or situation, and health B. Stress reduction, self-care, and a systems model C. Curative care, restor...

." "It will take time, but I promise you, you will get over this depression." "Every client who has this surgery feels the same way for about a month." -correct answer "Tell me more about what you're feeling." Rationale: The therapeutic response by the nurse is, "Tell me more about w...

Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? A) Aspirating gastric contents to assure a pH value of 4 or less. B) Hearing air pass in the stomach after injecting air into the tubing. C) Examining a chest x-ray obtained after t...

Abstain - correct answer To voluntarily refrain from something Access - correct answer A means to obtain entry or a means of approach Accountable - correct answer Responsible Adhere - correct answer To hold fast or stick together Adverse - correct answer Undesired,possibly harmful Aff...