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A nurse is assisting with the care of a client who is postoperative following
abdominal surgery.
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
A nurse is reviewing the laboratory reports of a client who reports chest pain.
Which of the following laboratory results indicates the client is experiencing a
myocardial infarction?
Elevated Troponin
For each finding, click to specify if the finding is consistent with emphysema,
asthma, or pneumonia. Each finding may support more than 1 disease process.
Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia
A nurse is assisting with the care for a client who is suspected of having a
myocardial infarction. Which of the following actions should the nurse take to
prepare the client for an ECG?
Cleanse the client's skin prior to electrode placement.
Drag 1 condition and 1 client finding to fill in each blank in the following
sentence.
The client is experiencing manifestations of peritonitis due to the client's
abdominal x-ray results.
A nurse is assisting in the care of a client who is experiencing withdrawal from
heroin. Which of the following medications should the nurse expect the provider
to prescribe?
, Methadone
A nurse is preparing to remove a client's NG tube. Which of the following
interventions should the nurse take to decrease the risk for aspiration?
Pinch the NG tube.
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. Which of the following foods
should the nurse recommend?
Lemon Juice
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The
client is receiving antibiotic therapy and albuterol nebulizer treatments daily.
Which of the following findings should indicate to the nurse that the client's
therapeutic regimen is effective?
Decrease in exertion dyspnea.
A nurse is assisting with the care for a client who is postoperative and has an
epidural infusion. Which of the following findings should the nurse recognize as
the priority?
Dyspnea
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium Difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.)
"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room"
"Clean contaminated surfaces with a bleach solution"
A nurse is contributing to the plan of care for a client who has just transferred to
the medical-surgical unit from the PACU following a right total knee arthroplasty.
Which of the following interventions should the nurse include in the plan?
Assist the client to change positions at least every 2 hr.
A nurse is preparing to administer scheduled medications to the client. Which of
the following prescriptions should the nurse verify with the provider? (Click on
the exhibit tabs for additional information about the client. There are three tabs
that contain separate categories of data.)