The nurse is caring for a client scheduled for the removal of the pituitary gland. The
nurse should be particularly alert for: - nasal congestion
A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,
WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates
that the client is experiencing which of the following? - hypokalemia
A 24-year-old female client is scheduled for surgery in the morning. Which of the
following is the primary responsibility of the nurse? - taking the vital signs
The nurse is working in the emergency room when a client arrives with severe burns of
the left arm, hands, face, and neck . Which action should receive priority? - applying
oxygen
The nurse is visiting a home health client with osteoporosis. The
client has a new prescription for alendronate (Fosamax). Which
instruction should be given to the client? - take the medication with water only
The nurse is making initial rounds on a client with a C5 fracture
and crutchfield tongs. Which equipment should be kept at the
bedside? - a torque wrench
An infant weighs 7 pounds at birth. The expected weight by 1 year should be: - 21
pounds
A client is admitted with a Ewing's sarcoma. Which symptoms
would be expected due to this tumor's location? - bone pain
The nurse is caring for a client with epilepsy who is being treated
with carbamazepine (Tegretol). Which laboratory value might indicate
a serious side effect of this drug? - WBC 2,000 per cubic millimeter
A 6-month-old client is admitted with possible intussuception.
Which question during the nursing history is least helpful in
obtaining information regarding this diagnosis? - "describe his usual diet"
The nurse is assisting a client with diverticulosis to select appropriate
foods. Which food should be avoided? - cucumber salad
A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during
the post-op period? - facilitating perineal wound drainage