A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and shortness of
breath. Which action should the nurse take next?
Give this one a try later!
Obtain a 12- lead electrocardiogram and begin continuous cardiac
monitoring
A female college student comes to the school's health clinic complaining of urinary
frequency and burning with right lower back pain. Which intervention should the
nurse implement first?
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, Measure her temperature and pulse rate
A client with draining skin lesions of the lover extremity is admitted with possible
Methicillin-Resistant Staphylococcus Aureus (MRSA). Which nursing interventions
should the nurse include in the plan of care? (Select all that apply.)
A. Explain the purpose of a low bacteria diet. B. Monitor the client's white blood cell
count. C. Send wound drainage for culture and sensitivity.
D. Use standard precautions and wear a mask. E. Institute contact precautions for staff
and visitors.
Give this one a try later!
B. Monitor the client's white blood cell count.
C. Send wound drainage for culture and sensitivity.
E. Institute contact precautions for staff and visitors.
* The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and
legs, and massive ascites. Which mechanism contributes to edema and ascites in
clients with cirrhosis?
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Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules
* The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates
, that the client has been overexposed to the treatment?
Give this one a try later!
Tenderness upon palpation and generalized erythema
* A client with a history of asthma reports having episodes of bronchoconstriction and
increased mucous production while exercising. Which action should the nurse
implement?
Give this one a try later!
Determine if the client is using an inhaler before exercising
A client with eczema is applying 10% urea cream onto the affected skin areas. Which
finding reflects the expected therapeutic response?
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Hydration of affected dry skin areas
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs
a neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse?
Give this one a try later!
emergency department reporting a sudden onset of chest pressure and shortness of
breath. Which action should the nurse take next?
Give this one a try later!
Obtain a 12- lead electrocardiogram and begin continuous cardiac
monitoring
A female college student comes to the school's health clinic complaining of urinary
frequency and burning with right lower back pain. Which intervention should the
nurse implement first?
Give this one a try later!
, Measure her temperature and pulse rate
A client with draining skin lesions of the lover extremity is admitted with possible
Methicillin-Resistant Staphylococcus Aureus (MRSA). Which nursing interventions
should the nurse include in the plan of care? (Select all that apply.)
A. Explain the purpose of a low bacteria diet. B. Monitor the client's white blood cell
count. C. Send wound drainage for culture and sensitivity.
D. Use standard precautions and wear a mask. E. Institute contact precautions for staff
and visitors.
Give this one a try later!
B. Monitor the client's white blood cell count.
C. Send wound drainage for culture and sensitivity.
E. Institute contact precautions for staff and visitors.
* The nurse assesses a client with cirrhosis and finds 4+ pitting edema of the feet and
legs, and massive ascites. Which mechanism contributes to edema and ascites in
clients with cirrhosis?
Give this one a try later!
Hyperaldosteronism causing an increased sodium reabsorption in renal
tubules
* The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates
, that the client has been overexposed to the treatment?
Give this one a try later!
Tenderness upon palpation and generalized erythema
* A client with a history of asthma reports having episodes of bronchoconstriction and
increased mucous production while exercising. Which action should the nurse
implement?
Give this one a try later!
Determine if the client is using an inhaler before exercising
A client with eczema is applying 10% urea cream onto the affected skin areas. Which
finding reflects the expected therapeutic response?
Give this one a try later!
Hydration of affected dry skin areas
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs
a neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse?
Give this one a try later!
