NURS 86 (NURS86)

1. A nurse is preparing to administer thrombolytic therapy to a client who has an ischemic stroke. Which of the following is an appropriate nursing action? A. Start the therapy within 8 hr B. Insert an indwelling urinary catheter after therapy begins C. Monitor blood pressure every 30 min during the infusion D. Elevate the head of the bed 25 degrees and 30 degrees 2. A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse ...

1. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutrition for the past 72 hr. Which of the following findings requires the nurse to intervene? 1. Right upper quadrant pain 2. WBC count 13,000/mm3 3. Crackles in bilateral lobes*this is main s/s of fluid excess from overfeeding* 4. Capillary blood glucose level 164mg/dL 2. A nurse Is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extr...

1. A Critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow Coma Scale scores should the nurse assign the client? 1. 2 2. 5 3. 10 4. 13 2. No question 3. No question 4. nurse is preparing to administer a unit of packed RBCs (Unable to read) a. Obtain the client’s first set of vital signs 1 hr. after b. Ini...