NURSING MISC (NURSING MISC)

Focus on Adult Health.Questions and Answers Plus Rationales ID: 4
A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply. A. Constipation B. Tall T waves Correct C. Hyporeflexia D. Shallow respirations E. Prolonged PR interval Correct F. Hyperactive bowel sounds Correct
Rationale: Spironolactone is a potassium-sparing diuretic. Potassium-sparing diuretics can cause hyperkale...

FOCUS ON CHILD HEALTH 1.ID: 5 An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the nurse prepares for which action? A. Ask the laboratory to perform virologic testing Correct B. Obtain blood from the umbilical cord to send to the laboratory C. Perform a heelstick to obtain a specimen for a Western blot assay D. Perform a fingerstick to obtain a specimen for an enzyme-linked immunosorbent assay (ELISA) Rationale: Traditional HIV antibody measureme...

Focus on Adult Health.Questions and Answers Plus Rationales ID: 4
A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply. A. Constipation B. Tall T waves Correct C. Hyporeflexia D. Shallow respirations E. Prolonged PR interval Correct F. Hyperactive bowel sounds Correct
Rationale: Spironolactone is a potassium-sparing diuretic. Potassium-sparing diuretics can cause hyperkale...

Focus on Adult Health.Questions and Answers Plus Rationales ID: 4
A nurse is monitoring a client who is taking spironolactone for the treatment of hypertension. Which findings denote adverse effects of the medication? Select all that apply. A. Constipation B. Tall T waves Correct C. Hyporeflexia D. Shallow respirations E. Prolonged PR interval Correct F. Hyperactive bowel sounds Correct
Rationale: Spironolactone is a potassium-sparing diuretic. Potassium-sparing diuretics can cau...

The nurse is teaching a client with newly diagnosed diabetes mellitus who has been prescribed NPH insulin how to recognize the signs of hypoglycemia. The client states that he must look for certain signs and symptoms in the late afternoon, indicating to the nurse that he has understood the instructions. What are these signs and symptoms? Select all that apply. A. Shakiness Correct B. Drowsiness C. Blurred vision Correct D. Increased thirst E. Feelings of hunger Correct F. Nausea and v...

A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A. A client admitted with pneumonia with a fever of 100° F (37.8°C) and some diaphoresis B. C. A client with congestive heart failure with clear lung sounds on the previous shift D. A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema Correct E. A client undergoing long-term corticosteroid therapy with mild bruisi...

FOCUS ON CHILD HEALTH 1.ID: 5 An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the nurse prepares for which action? A. Ask the laboratory to perform virologic testing Correct B. Obtain blood from the umbilical cord to send to the laboratory C. Perform a heelstick to obtain a specimen for a Western blot assay D. Perform a fingerstick to obtain a specimen for an enzyme-linked immunosorbent assay (ELISA) Rationale: Traditional HIV antibody measureme...

A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way” in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse immediately: Contacts the physician Documents the findings Places the client in a supine position with the legs flat Covers the abdominal wound with a sterile dressing moistened with sterile saline solution A client who just returned from the recovery room after a tonsill...