The nurse is working in the emergency room B. Applying oxygen
when a client arrives with severe burns of the
left arm, hands, face, and neck. which action why?
should receive priority? the client with burns to the neck needs airway assessments and
supplemental oxygen, so applying oxygen is priority. the next action
A. starting an IV? should be to start an IV and medicate for pain.
B. Applying oxygen
C.Obtaining blood
gas
D. Medicating the client foe pain
The nurse is visiting a home health client with C. Take medication with water
osteoporosis. The client has a new prescription
for only why?
alendronate (Fosamax). Which instructions
should be given to the client Fosmax should be taken with water only. The client should also
remain upright for at least 30 mins after taking the medication.
A. rest in bed after taking the medication for at
least 30 mins
B. Avoid rapid movements after taking the
medication
C. Take medication with water only
D. Allow at least 1 hour between taking the
medicine and taking other medications
The nurse is making initial rounds on a client B. A torque wrench
with a C5 fracture and crutchfield thongs.
Which why?
equipment should be kept at the bedside?
A tourque wrench is kept at the bedside to tighten and loosen the
A. A pair of forceps screws of crutchfield tongs. This wrench controls the amount of
B. A torque wrench pressure that is placed on the screws.
C. A pair or wire cutters
D. A screwdriver
An infant weighs 7 pounds at birth. The D. 21
excpectd weight by 1 year should be:
pounds
A. 10 pounds
B.12 pounds why?
C. 18 pounds
D. 21 pounds A birth weight of 7 pounds would indicate 21 pounds in 1 year or
triple the his birth weight.
, A client is admitted with a Ewing's sacroma. D. Bone
which symptoms would be expected due to
this tumor's location? Pain why?
A. Hemiplegia Sacroma is a type of bone cancer, therefor, bone pain would be
B. Aphasia expected
C. Nausea
D. Bone Pain
The nurse is caring for a client with epilepsy C. WBC 2,000 per cubic
who is being treated with carbamazepine
(Tegretol). Which labatory value might be a millimeter why?
indicate a serious side effect of this drug?
Tegratol can suppress the bone marrow and decrease the white
A. Uric acid of 5mg/dL blood
B. Hematoccrit of 33% cells count; thus, a lab value of WBC 2,000 per cubic millimeter
C. WBC 2,000 per cubic millimeter indicates side effects of the drug.
D. Platelets 150,000 per cubic millimeter
The nurse if caring for a client with laryngeal C.
cancer.
Which finding ascertained in the health history Diarrhea
would not be common for this diagnosis?
why?
A. Foul breath
B. Dysphagia
Diarrhea is not common in clients with mouth and throat cancer
C. Diarrhea
D. Chronic hiccups
A removal of the left lower lobe of the lung is A. A closed chest
performed on a client with lung cancer. Which
post- operative measure would usually be drainage why?
included?
The client with a lung resection will have chest tubes and a drainage-
A. Closed chest drainage collection device. He probably will not have a tracheoostomy or
B. A tracheostomy mediastinal tube, and he will not have an order for percussion,
C. A mediastinal tube vibration, or drainage.
D. Percussion vibration and drainage
Six hours after birth, the infant is found to have A. A cephalohematoma
an areas of swelling over the right parietal
area that does not cross the suture line. The why?
nurse should
chart this finding as: The swelling over the right parietal area is a cephalohematoma, an
area of bleeding outside the cranium. This type of hematoma does
A. A cephalohematoma not cross the
B. Molding suture line because it's outside the cranium but beneath the
C. Subdural hematoma periosteum.
D. Caput succedaneum