In preparing a discharge plan for a 22-year-old male client diagnosed with Buerger's
disease (thromboangiitis obliterans), which referral is most important?
Smoking cessation program
An adult client who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should
further assess the client for which condition?
, Pulmonary embolism
The nurse is assisting a client out of bed for the first time after surgery. Which action
should the nurse do first?
Allow the client to sit with the bed in a high Fowler's position
The nurse formulates the nursing problem of urinary retention related to sensorimotor
deficit for a client with multiple sclerosis. Which nursing intervention should the nurse
implement?
Teach the client techniques of intermittent self-catheterization
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and
vecuronium bromide 0.04 mg/kg q12 hours IV is prescribed. Which is the priority nursing
diagnosis for this client?
impaired communication related to paralysis of skeletal muscles
,A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints?
Inability to get pregnant
A client who is sexually active with several partners requests an intrauterine device (IUD)
as a contraceptive method. Which information should the nurse provide?
Using an IUD offers no protection against sexually transmitted disease (STD),
which increase the risk for pelvic inflammatory disease (PID).
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain?
Give this one a try later!
An accurate menstrual cycle diary for the past 6 to 12 months
The nurse is planning to initiate a socialization group for older residents of a long-term
facility. Which information would be most useful to the nurse when planning activities for
, the group?
Give this one a try later!
The usual activity patterns of each member of the group
Which finding should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)?
Give this one a try later!
3+ bacteria in urine
A client presents with chronic venous insufficiency. Which assessment finding should the
nurse anticipate?
Give this one a try later!
Bilateral lower leg stasis dermatitis
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that apply).
Give this one a try later!
disease (thromboangiitis obliterans), which referral is most important?
Smoking cessation program
An adult client who is hospitalized after surgery reports sudden onset of chest pain and
dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should
further assess the client for which condition?
, Pulmonary embolism
The nurse is assisting a client out of bed for the first time after surgery. Which action
should the nurse do first?
Allow the client to sit with the bed in a high Fowler's position
The nurse formulates the nursing problem of urinary retention related to sensorimotor
deficit for a client with multiple sclerosis. Which nursing intervention should the nurse
implement?
Teach the client techniques of intermittent self-catheterization
A client is placed on a mechanical ventilator following a cerebral hemorrhage, and
vecuronium bromide 0.04 mg/kg q12 hours IV is prescribed. Which is the priority nursing
diagnosis for this client?
impaired communication related to paralysis of skeletal muscles
,A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints?
Inability to get pregnant
A client who is sexually active with several partners requests an intrauterine device (IUD)
as a contraceptive method. Which information should the nurse provide?
Using an IUD offers no protection against sexually transmitted disease (STD),
which increase the risk for pelvic inflammatory disease (PID).
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain?
Give this one a try later!
An accurate menstrual cycle diary for the past 6 to 12 months
The nurse is planning to initiate a socialization group for older residents of a long-term
facility. Which information would be most useful to the nurse when planning activities for
, the group?
Give this one a try later!
The usual activity patterns of each member of the group
Which finding should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)?
Give this one a try later!
3+ bacteria in urine
A client presents with chronic venous insufficiency. Which assessment finding should the
nurse anticipate?
Give this one a try later!
Bilateral lower leg stasis dermatitis
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that apply).
Give this one a try later!
