RN ADULT MEDICAL SURGICAL 2019 VERIFIED Q&A (Latest Update )

RN ADULT MEDICAL SURGICAL 2019 VERIFIED Q&A (Latest Update 2022/2023) 1. Ainurseiisiassessingiaiclientiwhoihasiaidiagnosisionicolonicanceriwhichiofitheifollowingishouldithe inurseiexpect? a. Steatorrhea b. Elevatedihemoglobin ic. iHematochezia d. i Weightigain 2. Ainurseiisiassessingiaiclientiadmittediwithiperipheralivascularidisease.iWhichiofitheifollowingifindings indicates iaivenous ivascularidisorder? a. Aniulceriatitheitipiofiaitoe b. Hairilossidistalitoitheiclient’sicalves c. Legipainiatirest d. Edemaiofitheiankle 3. Ainurseiisiassessingiaiclientiwhoihasipericarditis.iIniwhichiofitheifollowingiareasiofitheiclient’sichest ishoulditheinurseiplaceitheistethoscopeitoibestiheariaipericardialifrictionirub? i (selectiHOTispot) Answer:iD 4. Ainurseiisicaringiforiaiclientiwhoihasiaichestitube.iTheiclientiasksiwhyitheifluidiinitheiwater-seal ichamberirisesiandifalls.iWhichiofitheifollowingistatementsishoulditheinurseimake? a. “Thisimeansiyourilungiisifullyiexpandedi“ b. “Thisiindicatesiaipossibleileak” c. “Suctionipressureithatiis itooihighicauses ithis” id. i“Youribreathingipattern icauses ithis”i–ipagei111 5. Aicommunityihealthinurseiisireviewingihomeicareiinstructionsiwithianiolderiadulticlientiwhoihasiainew idiagnosis iofiheartifailure.iWhichiofitheifollowingiisitheipriorityitopic iforitheinurseitoireviewiwithithe iclient? a. Dailyisodiumirestriction b. Dailyiexerciseiroutine c. Changesiiniweight d. Fluidiintakeirecord 6. Ainurseiisiteachingiaiclientiaboutitheiuseiofitranscutaneousielectricalinerveistimulationi(TENS)iunit. iWhichiofitheifollowingistatements ishoulditheinurseiinclude? a. “Applyilotionitoitheisiteiprioritoiattachingitheielectrodes” b. “Thisideviceirequiresiaccessitoiai220-voltioutlet” c. “Thisideviceideliversiheativiaielectrodesithatiareiattacheditoitheiaffectediarea” id.i“Adjustitheidial iuntil iyouifeel iai‘pins iand ineedles’ isensation”i–ipage i648 7. Ainurseiisiprovidingiteachingitoiaiclientiwhoiisipostoperativeifollowingiaitotalihipiarthroplasty.iWhichiof itheifollowingistatements ishoulditheinurseimake? a. “Useiraiseditoiletiseat itoimaintain iyourihips iaboveitheiknees”i–ipagei455 b. “Twistiatitheiwaistiwhenistandingifromiaiseatediposition” c. “Moveiyouristrongerilegifirstiwheniusingiaiwalker” d. “Applyiaiheatingipaditoitheioperativeihipitoidecreaseipain” 8. Ainurseifindsiaiclientiinibed,iunresponsiveiandibreathing.iWhichiofitheifollowingiactionishouldithe inurseitakeifirst? a. EstablishiIViaccess b. Applyibloodipressureicuff c. Palpateiforitheiclient’sicarotidipulse d. Initiateicardiacimonitoringiforitheiclient 9. Ainurseiisicaringiwhoiisiexperiencingiaihypertensiveicrisis.iWhichiofitheifollowingiactionsishouldithe inurseitake? a. InitiateiIVidopamineiinfusion b. Performineurologicaliassessments c. Placeitheiclientisupine d. BeginianiIVibolusiofilactatediringer’s 10. Ainurseiisiprovidingidischargeiteachingiaboutibloodisugarimonitoringiforiaiclientiwhoihasiainew idiagnosisiofitypei2idiabetesimellitus.iTheinurseishouldiinstructitheiclientitoiobtainiwhichiofithe ifollowingisupplies? a. Sterileilancets b. Compressionistockings c. Handimirror d. Toenailiclippers 11. Ainurseiisicompletingidischargeiteachingiwhoihasiaiperipherallyiinsertedicentralicatheteri(PICC)ilineiin itheileftiarm.iWhichiofitheifollowingiinstructionsishoulditheinurseiincludeiinitheiteaching? a. Doinotielevateitheiarmiaboveitheileveliofitheiheart b. Changeitheicatheteridressingidaily c. Use i10-mLisyringe ito iflush iline i– ipage i176 d. Cleanitheiinsertionisiteiusingi20-imLiofihydrogeniperoxide 12. Ainurseiisipreparinginaloxonei10imcg/kgiviaiIVibolusitoiaiclientiwhoiweightsi220ilbs.iTheiamount iavailableiisi0.4img/mL.iHowimanyimLishoulditheinurseiadminister?i(rounditoitheinearestitenth) 2.5imL 13. Ainurseiisicaringiforiaiclientiwhoihasiaisealediradiationiimplant.iWhichiofitheifollowingiactionsishould itheinurseitake? a. Removeisoiledilinensifromitheiroomiafterieachichange b. Giveitheidosimeteribadgeitoitheioncominginurseiatitheiendiofitheishift c. Applyiaisecondipairiofiglovesibeforeitouchingitheiclient’siimplantiifiitidislodges id. i Limitifamily imemberivisits itoi30iminiperiday iPagei605 14. Ainurseiisiprovidingiteachingitoiaiclientiandihisipartneriaboutiperformingiperitonealidialysisiatihome. iWhenidiscussingiperitonitis,iwhichiofitheifollowingimanifestationsishoulditheinurseiidentifyiasithe iearliestiindicationiof ithis icomplication? a. Generalizediabdominalipain ib. iCloudyieffluenti–ipagei381 c. Increasediheartirate d. Fever 15. Ainurseiis icaringiforiaiclientiwhoiis ireceiving iaiblood itransfusion.iTheinurse iobserves ithat itheiclientihas iboundingiperipheralipulses,ihypertension,iandidistendedijugulariveins.iTheinurseishouldianticipate iadministeringiwhichiofitheifollowingiprescribedimedications? a. Pantoprazole b. Acetaminophen ic. iFurosemide d. i Diphenhydramine 16. Ainurseiisiplanningicareiforiaiclientiwhoihasiupperigastrointestinalibleedingidueitoiaipepticiulcer. iWhichiofitheifollowingiactions ishoulditheinurseiplanitoitake? a. Provideiketorolaciforiabdominalipain b. AdministerinitroprussideiIVibasedionitheiclient’siweight ic. i Insertiailargeiboreinasogastricitubei–ipagei330 d. i Ensureithatitheiclientihasiai22-gaugeiIVilineiiniplace 17. AinurseiisicaringiforiaiclientiwhoihasibladdericanceriandiaiWBCicountiofi900/mm3.iWhichiofithe ifollowingiactions ishould itheinurseitake? a. Instructiclient itoiavoid ieating irawifruit i–ipage i615 b. Moveitheiclientitoiainegativeipressureiroom c. Useicontactiisolationiwhileiprovidingicare d. Applyipressureitoivenipunctureisitesifori10imin 18. Ainurseiisicaringiforiaipatientiwhoihasihypotension,icooliandiclammyiskin,itachycardiaianditachypnea. iWhichiofitheifollowingipositions ishoulditheinurseiplaceitheiclient? a. ReverseiTrendelenburg i– ipage i397 b. Feetielevated c. Sideilying d. High-fowler’s 19. Ainurseiisicaringiforiaiclientiwhoiweightsi190ilbiandiisireceivingiTotaliParenteraliNutrition.iIfitheiRDA iProteiniisi0.8g/kgiofibodyiweight,ihowimanyigramsiofiproteinishoulditheiclientireceiveidailyi(Roundithe iansweritoitheinearestiwholeinumber.iUseiaileadingizeroiifiitiapplies.iDoinotiuseiaitrailingizero) Answer:i69igrams 20. Ainurseiisiplanningicareiforiaiclientiwhoihasiaicentralivenousiaccessideviceiforiintermittentiinfusions. iWhichiofitheifollowingiactions ishould itheinurseiincludeiinitheiplanioficare? a. Flushiaicatheteriusingiai10imLisyringe b. Useicleanitechniqueiwhenichangingitheidressing c. CleanseitheisiteiwithiProvoidineiiodine d. Changeitheidressingieveryi24ihours 21. Ainurseiisireviewingitheimedicalirecordiofiaiclientiwhoiisitoiundergoiopeniheartisurgery.iWhichiofithe ifollowingifindingsishoulditheinurseireportitoitheiprovideriasiaicontradictionitoireceivingiheparin? a. Thalassemia b. Rheumatoidiarthritis c. COPD d. Thrombocytopenia 22. Ainurseiisicaringiforianiolderiadulticlientiwhoihasidementia.iWhichiofitheifollowingiquestionishouldithe inurseiask itoiassess itheiclient's iabstractithinking? a. Whatiisimeantibyisayingi“don'tibeatiarounditheibush?” b. Whatidoiyouiunderstandiaboutiyouricondition? c. Caniyouicountibackwardsifromi100iiniintervalsiofi7? d. Caniyouistateiwhereiyouiwereiborn? 23. Ainurseiisicompletingianiassessmentiofianiolderiadulticlientiandinotesireddenediareasioveritheibony iprominences,ibutitheiclient'siskiniisiintact.iWhichiofitheifollowingiinterventionsishoulditheinurseiinclude initheiplaniof icare? a. Applyianiocclusiveidressing b. Turniandirepositionitheiclientieveryi4ihours ic. iSupportibonyiprominences iwithipillows d. i MassageiTouretteiiniareasithreeitimesidaily 24. Ainurseiisireviewingiaicardiacirhythmistripiofiaiclientiwhoihasiatrialiflutter.iWhichiofitheifollowing ifindings ishoulditheinurseiexpect? a. ProgressivelyilongeriPRidurations b. Undetectableipiwaves c. AbsentiPRiintervalsiwithiventricularirateiofi40itoi60i/iminutesid) id. i Sawtoothipatterniwithiatrial irateiofi252itoi400i/iminutes 25. Ainurseiisicaringiforiaiclientiwhoiisischedulediforianiabdominaliparacentesis.iTheinurseishouldiplanito itakeiwhichiofitheifollowingiactions? a. Administeriaistoolisoftenerifollowingitheiprocedure b. Ask itheiclient itoiempty ihis ibladderiprioritoithe iprocedure i–iPage i311 c. Instructitheiclientitoitakeideepibreathsiandiholdithemiduringitheiprocedure d. Assistitheiclientiintoitheileftilateralipositioniduringitheiprocedure 26. Ainurseiisiassessingiaiclientifollowingitheiinsertioniofiaicentralivenousicatheter.iWhichiofitheifollowing ifindings iindicates iaipneumothorax? a. Diminishedibreathisounds b. Itchingioveritheiincision c. Distendedineckiveins d. Irregulariheartirate 27. Ainurseiisiprovidingiteachingitoiaiclientiwhoiisireceivingiopioidsiforipainimanagement.iWhichiofithe ifollowingiinformationishoulditheinurseiinclude iinitheiteaching? a. Monitoriurinaryioutputiforiretention b. avoiditakingiantiiemeticsiwithitheimedication c. restrictifluidiintakeiIfiyouiexperienceiconstipation d. itchingiIndicatesiyouiareihavingianiallergicireactionitoitheimedication 28. Ainurse iis iproviding idischarge iteaching ifor ia iclient iwho ihas iasthma iand ia inew iprescription iforia imetered idose iinhaler. iWhich iof ithe ifollowing iclient istatements iindicates ian iunderstanding iof ithe iteaching? a. Iishouldicleanitheicapiofitheiinhalerionceiperiweek ib. i IishouldishakeitheiinhaleribeforeiIiuseiit c. IiShouldiwaiti15isecondsibetweenipuffs d. Iishouldiinhaleitheimedicationiquickly 29. Ainurseiisiprovidingipreoperativeiteachingiforiaiclientiwhoiisihavingileft-sidedicardiacicatheterization. iWhichiofitheifollowingiinformationishoulditheinurseiincludeiinitheiteaching? a. Youishouldiplanitoiremainiinibedifori18ihoursiafteritheiprocedure b. youiwill ihaveibloodipressureimeasurementieveryi5iminutesiforitheifirstitwoihoursiafterithe iprocedure c. Youiwillireceiveiaigeneralianestheticiduringitheiprocedure d. Youishouldiexpectiwarmisensationiafteritheiinjectioniofitheicontrastidyeiduringitheiprocedurei– iPagei172 30. Ainurseiisicaringiforiaiclientiwhoihasianemia.iWhichiofitheifollowingiassessmentifindingsishouldithe inurseianticipateiwithitheiclient'sicondition? a. Bradycardia b. Headachei–ipagei265 c. Heatiintolerance d. Flushediskinicolor 31. AinurseiisiteachingiaiclientiwhoihasiainewiprescriptioniforiWarfariniaboutifoodsithatiaffectitheiINR. iTheinurseishouldiincludeiinitheiteachingithatiwhichiofitheifollowingiFoodsiinteractiwithithis imedication? a. Kalei–ipagei151 b. Beefistew c. Yogurt d. Orangeijuice 32. Ainurseiisimonitoringianiolderiadulticlientiwhoihasianiextrapolationiofichronicilymphocyticileukemia. iTheinurseinotesipetechiaionitheiclient'siskiniwhichiofitheifollowingiactionsishoulditheinurseitake? a. Determineitheiclient'siblooditype b. AvoidiadministeringiIVipainimedication c. Implementiairborneiprecautions id. i Instituteibleedingiprecautions 33. Ainurseiisiprovidingidischargeiteachingiforiaiclientiwhoiisireceivingitreatmentiforigenitaliherpes.iWhich iofitheifollowingistatementsibyitheiclientiindicates ieffectivenessiofitheiteaching? a. Iishouldiexpectitoitakeimyimedicationiforithreeiweeks b. Iishould iapply iantibiotic iointment itoitheilesions i–ipage i490 c. Iishouldiexpectimyilesionsitoiresolveiini6iweeks d. Iishouldiuseinaturaliskinicondomsiduringisexualiintercourse 34. Ainurseiinianiemergencyidepartmentiisipreparingiaiclientiforiemergencyisurgery.iTheiclient'siblood ialcoholileveliis i180imgi/iDL,iwhichiofitheifollowingiactioniis itheinurse’sipriority? a. InsertianiNGiTube b. Obtainiconsentiforisurgery c. Applyianti-embolicistockings d. Insertianiindwellingiurinaryicatheter 35. Ainurseisuspectsithatiaiclientiwhoihasidiabetesimellitusiisiexperiencingihypoglycemia.iWhichiofithe ifollowingiassessmentifindings isupportsithis isuspicion? a. Cool,iclammyiskin b. Kussmaulirespirations c. Acetoneibreath d. Increasediurineioutput 36. Ainurseiisicaringiforiaiclientiwhoiisireceivingiradiation.iTheiclientireportsinauseaisinceitheitherapyiwas initiated.iWhichiofitheifollowingiconsiderationsishoulditheinurseiincludeiwhenifindingitheiclientsimeals? a. Offerihotibeveragesiwithimeals b. Offeriaisnackiprioritoiradiationitherapy c. Offerihighlyiseasonedifoods d. Offerifrequent ihigh icarbohydrateimeals i–ipage i366 37. Aichargeinurseireceivesiaicallifromitheihouseisupervisorirequestingiroomiassignmentsiforifourinew iclients.iBasedionitheiinformationidiagnosisiwhichiofitheifollowingiclientsirequiresiaiprivateiroom? a. Aiclientiwhoireportsihavingifever,inightisweats,iandicoughifori2idays b. Aniolderiadulticlientiwhoiwasiadmittediwithiaspirationipneumonia c. Aiclientiwhoihasidiabetesimellitusiandiisipresentingiwithiacuteiketoacidosis d. Aiclientiwhoihasiaicompoundifractureiofitheirightifemur 38. Ainurseiinianiemergencyidepartmentiisiassessingiaiclientiwhoihasidiabeticiketoacidosis.iWhichiofithe ifollowingifindings ishoulditheinurseiexpect?i(selectiall itheiapply) a. Tremors b. Reportsiofinauseaiandivomiting ic. iSerumiglucosei380img/dL d. SerumipHi7.6 e. Fruityismellingibreath 39. AinurseiisiplanningiaistaffieducationisessioniaboutihepatitisiA.iWhichiofitheifollowingiinformation ishoulditheinurseiinclude? a. ImmunizationiforiHepatitisiAisirecommendediprioritoitravelitoihigh-riskiareas b. TheiincubationiofihepatitisiAisi5itoi10idays c. HepatitisiAisitransmittediisithroughiblood-to-bloodiexposure d. ClientsiwhoihaveiHepatitisiAirequireiaibroad-spectrumiantibiotic 40. Ainurseiisicaringiforiaiclientiwhoihasiadvancediliveridisease.iWhichiofitheifollowingilaboratoryiresults ishoulditheinurseimonitoriwheniassessingithis iclient? a. Phosphateilevel b. glucoseilevel c. serumitroponin d. Serumiammonia 41. Ainurseiisiplanningicareiforiaiclientiwhoihasistatusiepilepticus.iWhichiofitheifollowingiinterventionsiis itheinurse’s ipriority itoiinclude? a. AdministeriphenytoiniIVibolusitoitheiclient b. Provideitheiclientioxygeniati6iLi/iminiusingiainasalicannula ic.iTurnitheiclientitoitheilateralipositioniduringiseizureiactivity d. i Administeridiazepamiintravenouslyitoitheiclient 42. Ainurseiisicaringiforiaiclientiwhoihadiaitotalihipiarthroplasty.iWhichiofitheifollowingiactionsishouldithe inurseitakeitoipreventihipidislocation? a. Elevateitheikneesihigherithanitheihipsiwhenisitting b. Removeitheiwedgeideviceiwheniturning c. Encourage itheiclient ito ilean iforward iwhen iattempting ito istand id. i Placeitwoibedipillows ibetweenitheilegsiwheniinibedi-iPagei455 43. AinurseiisicaringiforiaiclientiwhoiisireceivingiTotal iparenteraliNutritioni(TPN)iTheicraneiinfusioniis ialmosticompleteianditheinewisolutioniisinotiavailableiwhichiofitheifollowingiactionsishoulditheinurse itake? a. Infuseidextrosei10%iiniwater b. decreaseithatiTPNiinfusionirate c. disconnectiandiflushitheiIViaccessiline d. administerilactatediringersithroughitheiperipheraliIVisite 44. Ainurseiisicaringiforiaiclientiwhoiisi6ihoursipostoperativeifollowingiapplicationiofianiexternalifixatoriforia itibial ifracture.iWhichiofitheifollowingiactions ishoulditheinurseitake? a. Adjustitheiclampsionitheifixatoriframe b. Maintainitheiaffectediextremityiiniaidependentiposition ic. iPalpateitheidorsalis ipedis ipulse d. i Wrapisterileigauzeionitheisharpipointiofitheipins 45. Ainurseiisicaringiforiaiclientiinitheiemergencyidepartmentiwhoiexperiencediaifullithicknessiburniinjury itoitheiloweritorsoi1ihouriago.iWhichiofitheifollowingifindings ishoulditheinurseiexpect? a. Hypotensioni–iPagei500 b. Bradycardia c. Decreaseirespiratoryirate d. Urinaryidiuresis 46. AinurseiisiplanningicareiforianiolderiadulticlientiwhoihasiMeniere'sidisease.iWhichiofitheifollowing interventions ishoulditheinurseiinclude iin itheiplan? a. Performirangeiofimotioniexercisesitoitheiclient'sineckieveryi4ihours b. Limitediclient’sifluidiintakeitoi1500imli/iday c. Administeriaspiriniifitheiclientireportsiaiheadache d. Encourageitheiclient itoichange iposition islowly i– ipage i73 47. Was inotiable itoitake iphotoiofiquestion… iBut iI irememberichoosingitheisecond ioption... Ainurseiisipreparingitoiperformigastricilavageiforiaiclientiwhoihasibleedingigastriciulcer.iWhichiofithe ifollowingiequipmentishoulditheinurseiplanitoiuseiforithis iprocedure? ***iIithinkithisiquestionigoesiwithithisipicture,ibutinotiforisure*** 48. Ainurseiisicaringiforiaiclientiadmittediwithiaiskullifracture.iWhichiofitheifollowingiassessmentifindings ishouldibeiofigreatesticoncernitoitheinurse? a. Pulseipressureichangesifromi30itoi20immhg b. bilateralipupilidiameterichangesifromi4itoi2imm c. WBCicountichangesifromi9,000itoi16,000i/immi3 d. GlasgowiComaiScaleiscoreichangesifromi14itoi9 49. Ainurseiisicaringiforiaiclientiwhoihasianiindwellingiurinaryicatheter.iWhichiofitheifollowingiactions ishoulditheinurseitakeiwheniperformingiaicloseiintermittentiirrigation? a. Useiai3mlisyringeitoiperformitheicatheteriirrigation ib. i Clampitheicatheteriaboveitheispecimeniport c. PlaceitheiclientiiniTrendelenburgiposition d. Injectitheiirrigationisolutionislowlyiintoitheicatheter 50. AinurseiisicompletingidischargeiteachingiwithiaiclientiwhoihasiainewidiagnosisiofiAIDS.iWhichiofithe ifollowingistatementsibyitheiclientiindicates ianiunderstandingiofitheiteaching? a. Iiwillineeditoitakeimyiclothesitoitheidryicleanersitoisterilizeithem b. Iiwilliwipeiupiareasisoilediwithibodyifluidsiwithialcoholiandiimmediatelyidisposediofitheitrash i(shouldibeicleanediwithibleachinot ialcohol) c. IiwillibeisureitoiweariglovesiandiwashimyihandsiwheniIichangeimyicat'silitteribox d. IiwilliincreaseitheiamountiofifreshifruitsiandivegetablesiIiconsume 51. Ainurseiisicaringiforiaiclientiwhoiisipost-operativeifollowingianiendoscopyiwithimoderatei(conscious) isedation.iWhichiofitheifollowingiassessmentifindings iis itheinurse’s ipriority? a. Leveliofipain b. Gagireflexi–ipagei323 c. Warmthiofiextremities d. Temperature 52. Nurseiisicaringiforianiolderiadulticlientiwhoiisisuspectediofihavingisepticemia.iWhichiofitheifollowing iactions iis itheinurses ipriority? a. Obtainiaihistoryitoidetermineirecentiinjuries b. Obtainiaibroad-spectrumiantibioticiforiRapidiAdministration c. ObtainiaiWBCicountiwithidifferential d. Obtainiaibloodispecimeniforicultureiandisensitivityitesting 53. Ainurseiisicaringiforiaiclientiwhoihasijustiundergoneiaitotalilaryngectomy.iWhichiofitheifollowing ifindings iis itheinurse’s ipriorityiforiimmediateiintervention? a. Blood-tingedisecretions ib. i Tachypnea c. Fever d. IViinfiltration 54. Ainurseiisiadmittingiaiclientitoitheiemergencyidepartmentiafteriaigunshotiwounditoitheiabdomen. iWhichiofitheifollowingiactionsishoulditheinurseitakeitoihelpipreventitheionsetiofiacuteikidneyifailure? a. AdministeriIVifluidsitoitheiclient b. insertiaiurinaryicatheter c. initiateibeta-blockeritherapy d. prepareitheiclientiforianiintravenousipyelogram 55. Ainurseiisicaringiforiaiclientiwhoihasijustireturnedifromisurgeryiwithianiexternalifixatoritoitheileftitibia. iWhichiofitheifollowingiassessmentifindingirequiresiimmediateiinterventioniby itheinurse? a. Aiclientihasi100imlibloodiinitheiclosedisuctionidrain ib. i Theiclient'sicapillaryirefilliinitheileftitoeiisi6iseconds c. Theiclientihasianioralitemperatureiofi38.3iCi(100.9iFahrenheit) d. Theiclient ireportsiaipainilevel iofi7ioniaiscaleifromi0itoi10iatitheioperativeisite 56. Ainurseiisianiemergencyidepartmentiisireviewingiaiclient'siECGireading.iWhichiofitheifollowing ifindingsishoulditheinurseiidentifyiasianiindicationithatitheiclientihasiaifirst-degreeiheartiblock? a. MoreiPiwavesithaniQRSicomplexes ib.i iProlongediPRiintervals c. MonidiscernibleiPiwaves d. NoicorrelationibetweeniPiandiQRSiwaves 57. Ainurseiisireviewingitheimedicationilistiofiaiclientiwhoiisibeingiadmittediwithidiabetesiinsipidus.iWhich iofitheifollowingimedicationiplacesitheiclientiatianiincreasediriskiforidevelopingidiabetesiinsipidus? a. Ranitidine b. Atorvastatin c. Propranolol d. Lithium-ipagei521 58. Ainurseiisiplanningicareiforiaiclientiwhoihasileft-sidedihemiplegiaifollowingiaistrokeiwhichiofithe ifollowingiactions ishould itheinurseiincludeiinitheiplanioficare? a. Placeiaiplateiguardionitheiclient’simealitray b. Positionitheibedsideitableionitheiclient'sileftiside c. Reminditheiclientitoiuseiaicaneionihisileftisideiwhileiambulating d. Provideitheiclientiwithiaishort-handledireacher 59. AinurseiisiadministeringipotassiumichlorideiviaiIViinfusionitoiaiclientiwhoihasisevereihypokalemia. iWhichiofitheifollowingiactions ishoulditheinurseitake? a. Startitheiinfusioniat i30 imEq/hri–imax irateiis i10 imEq/hr b. AssessitheiclientiforiaipositiveiChvostek'sisign c. Monitoritheiclient iforiadequate iurineioutputi–ipagei286 d. Checkiinfusionisiteiatileastieveryi4ihours 60. AinurseiinitheiPACUiisicaringiforiaiclient.iWhichiofitheifollowingiassessmentiisitheinurse’sipriority? a. Surgicalisite b. Levelioficonsciousness c. Respiratoryistatusi–ipagei666 d. Painilevel 61. Ainurse iis ireviewing ithe imedical irecord iof ia iclient iwho iis ischeduled iforia iCT iscan iwith icontrast imedia. iWhich iof ithe ifollowing imedication ishould ithe inurse iinstruct ithe iclient ito iwithhold ifor i48 ihours ifollowing itheiprocedure? a. Carvedilol b. Furosemide c. Metformin d. Clopidogrel 62. Nurseiisicaringiforiaiclientiwhoihasipancreatitisiandihasibeenireceivingitotaliparenteralinutrition.iWhich iofitheifollowingiLaboratoryitestishoulditheinurseimonitoriforioverallinutritionalistatus? a. Creatinine b. Prealbumini–ipagei309 c. Lipase d. C-reactiveiprotein 63. Ainurseiisiteachingiaiclientiwhoihasiendometriosisiaboutitheiadverseieffectsiofileuprolide.iWhichiofithe ifollowingimanifestations ishoulditheinurseiincludeiinitheiteaching? a. Pallor b. Increasediappetite c. Boneiloss d. Hypoglycemia 64. A inurse iis icaring ifor ia iclient iwho ihad ian iarterial irevascularization iof ithe iright ilower iextremity iwhich iof ithe ifollowing iis ithe ipriority iaction ithe inurse ishould iplan ito itake iafter icontacting ithe iprovider? i(Click ion ithei“exhibit”ibuttoniforiadditional iinformationiaboutitheiclient) a. IncreaseitheiHepariniinfusionirateiperiprotocol b. Increaseitheiinsuliniinfusionirateiperiprotocol c. StartianiIVifluidibolusiofi0.9%isodiumichloridei500imlitoiinfuseioveri1ihour d. ChangeitheiPCAitimingiofitheipatienticontrolibolusieveryi15iminutes 65. Ainurseiisiplanningitheidischargeiofiaiclientiwhoihadianiischemicistroke.iTheinurseishouldiensureithat itheiclientiis idischargediwithiwhichiofitheifollowingitypesiofipharmacologic itherapy? a. Opioidianalgesic b. Anticonvulsant c. Anti-thrombotic d. Diuretic 66. Ainurseiisicaringiforiaiclientiwhoihasiainewicolostomyitheinurseinotesithatitheiclientiappears iwithdrawniandilooksiawayiduringiostomyicare.iWhichiofitheifollowingiactionsishoulditheinurseitake? a. Askitheiclientihowitheyifeeliaboutitheistoma b. Makeiaireferraliforitheiclientitoiseeianiostomyinurse c. Includeitheiclient’sipartneriinistomaicareieducation d. Wducateitheiclientiaboutiexpectedistomaiappearance 67. Ainurseiisipreparingitoiperformioculariirrigationiforiaiclientifollowingiaichemicalisplashitoitheieye. iWhichiofitheifollowingiactions ishould itheinurseiplanitoitakeifirst? a. Administeriproparacaineieyeidropsiintoitheiaffectedieye b. PlacesistripiofipHipaperionitoitheicul-de-saciofitheiaffectedieye c. Collectiinformationiaboutitheiirritantithaticausedianiinjuryi(assessifirst) d. Instilli0.9%isodiumichlorideisolutioniintoitheiaffectedieye 68. AinurseiisiteachingiaiclientiwhoihasiAIDSiandiwishesitoicontinueiself-careiatihomeidespiteiliving ialone.iWhichiofitheifollowingiactionsiby itheinurseidemonstratesiclientiadvocacy? a. Reminditheiclientiofitheiimportanceiofitheimedicationiadherence ib. i Initiateiaireferraliforitheiclientitoiaihomeihealthiagency c. Instructitheiclientitoiavoidieatingirawivegetables d. Tellitheiclientitoiavoidiplacesiwhereithereiareilargeicrowdsiofipeople 69. Ainurseiisiassessingiaiclientiwhoihasicirrhosis.iWhichiofitheifollowingifindingsiisitheipriorityiforithe inurseitoireport? a. Alkalineiphosphatei125iunitsi/L b. Clay-coloredistools c. Plateletsi70,000i/imm3 d. Distendediabdomen 70. Aihomeihealthinurseiisiprovidinginutritionieducationiforiaiclientiwhoihasitrigeminalineuralgia.iWhichiof itheifollowingifoods ishoulditheinurseirecommend? a. Grahamicrackers b. Icedicoffee c. Vanillaipudding d. Vegetableisoup 71. Ainurseiisiteachingiaboutifoodichoicesitoiaiclientiwhoihasichronicikidneyidiseaseiandimustilimit ipotassiumiintake.iWhichiofitheifollowingichoicesishoulditheinurseirecommendiasicontainingitheileast ipotassium? a. Halficupinon-fatiyogurt b. Twoitablespoonsiofipeanutibutter ic. i1iCupiwhiteirice d. i Oneimediumibakedipotatoiwithiskin 72. Ainurseiisiplanningicareiforiaiclientiwhoihasiaifull-thicknessiburnsionitheiloweriextremities.iWhichiof itheifollowingiinterventions ishoulditheinurseiinclude? a. Limitivisitationitimeiforiclient’sichildrenitoi40iminutesiperiday b. Cleanitheiequipmentiinitheiclient'siroomionceiperiweek c. Provideiaidietiofifreshifruitsiandivegetableiforitheiclient d. Applyinewiglovesiwhenialternatingibetweeniwoundicareisites 73. Ainurseiisicaringiforiaiclientiwhoihasicancer.iTheiclientitellsitheinurse,i“Iiwouldipreferitoitryivitamins iandimineralsiinsteadiofichemotherapy”iwhichiofitheifollowingiresponsesishoulditheinurseimake? a. Iihaveineveriheardiofianyiholisticitreatmentithatiisieffective b. Youishouldiaskiyouriprovideriaboutiyouriplan c. Theibestiwayitoitreatiyouricanceriisichemotherapy d. Tellimeiwhatiyouiknowiaboutichemotherapy 74. Ainurseiisiplanningitoiteachiaiclientiwhoseiproviderihasiprescribediailowipurineidiet.iTheinurseishould iplanitoiinstructitheiclientithatiheicaniincludeiwhichiofitheifollowingifoodsiinihisidieti(selectiall ithatiapply) a. Sardines ib.iNuts c. Apricots d. Liver e. Scallops 75. Nurseiisicaringiforiaiclientifollowingiaitotalikneeiarthroplasty.iTheiclientireportsiaipainileveliofi6ionia ipaintiscaleiofi0itoi10.iWhichiofitheifollowingiinterventions ishoulditheinurseitake? a. Placeipillowsiunderitheiclient’siknee b. Gentlyimassageitheiareaiarounditheiclient’siincision ic. i Applyianiceipackitoitheiclient’sikneei–iPagei454 d. i Performirangeiofimotioniexercisesitoitheiclient’siknee 76. Ainurseiisicaringiforiaiclientiwhoihasiloweriextremityifractureiandiaiprescriptioniforicrutches.iWhichiof itheifollowingiclientistatementsiindicates ithatitheiclientiisiadaptingitoitheiriroleichange? a. Iiwillineeditoihaveimyipartneritakeioverishoppingiforigroceriesiandicookingitheimealsiforius b. It'sigoingitoibeidifficultitoitellimyiparentsiIican'titakeithemitoitheiriappointmentsianymore c. IifeelibadithatiIihaveitoiaskimyipartneritoikeepitheihouseiclean d. Theseicrutchesiwillimakeiitiimpossibleitoicareiforimyichild 77. Ainurseiisiassessingiaiclientiwhoiisipreoperativeiandireportsianiallergyitoibananas.iTheinurseishould irecognizeithatitheiclientiisiatiriskiforianiallergicicross-reactivityitoiwhichiofitheifollowingisubstances? a. Adhesiveitape b. Latexi–ipagei659 c. Anesthetics d. Povidoneiiodine 78. Ainurseioniaimedicaliunitiisiplanningicareiforiaigroupioficlients.iWhichiofitheifollowingiclientsishould itheinurseiattenditoifirst? a. Aiclientiwhoihasichroniciobstructiveipulmonaryidiseaseiinioxygenisaturationiofi89% b. Aiclientiwhoihasileft-sidediparalysisiandislurredispeechifromiaiprioristroke ic. iAiclientiwhoihas ithrombocytopeniaiandireportsiainosebleed d. i Aiclientiwhoihasimultipleisclerosisiandireportsiataxiaiandivertigo 79. AinurseiisimonitoringiaiclientiwhoiisireceivingitwoiunitsipackediRBC's.iWhichiofitheifollowing imanifestationiindicates iaihemolytic itransfusionireaction? a. Backipain b. Hypertension c. Chillsi–ipagei260 d. Bradycardia 80. Ainurseiisiteachingiaiclientiwhoihasidiabetesimellitusiaboutifooticare.iWhichiofitheifollowingiinstruction ishoulditheinurseiinclude? a. Useiaiheatingipaditoikeepiyourifeetiwarmiatinight b. Weariloose-fittingislippersiarounditheihouse c. Where icotton iratherithan inylon isocks i– ipage i551 d. Washiyourifaceitwiceiperidayiwithiantibacterialisoapiandihotiwater 81. Ainurseiisiprovidingiteachingitoiaiclientiwhoihasiaideepiveinithrombosisi(DVT).iWhichiofitheifollowing ifindings ishoulditheinurseiidentify iasiairiskifactoriforitheidevelopmentiofitheiDVTs? a. NSAIDiuse b. Hypertension c. Oralicontraceptiveiuse d. Cirrhosis 82. Ainurseiisiadministeringifurosemidei80imgiPOitwice-dailyitoiaiclientiwhoihasipulmonary iedema.iWhich iofitheifollowingiassessmentifindingsiindicatesitoitheinurseithatitheimedicationiis ieffective? a. Respiratoryirateiofi24/min b. Adventitiousibreathisounds c. Weightilossiofi1.8ikgi(4ilb)iinitheipasti24ihours d. Elevationiinibloodipressure 83. Ainurseiisipreparingitoiadministerifurosemideitoiaiclientiwhoihasiacuteiheartifailure.iWhichiofithe ifollowingilaboratoryiresultsishoulditheinurseiidentifyiasiaicontradictioniforireceivingitheimedication? a. Creatininei0.8img/dL b. Sodiumi136 i mEq/L ic. iPotassiumi3.2imEq/L d. i BUNi18img/dL 84. Ainurseionianioncologyiunitiisicaringiforiaiclientiwhoiisireceivingiinternaliradiationitherapy.iWhichiof itheifollowingiactions ishoulditheinurseitake? a. Placeitheidosimeterifilmibadgeioniaiclient'sidoor b. Weariailead iapron iwhen iprovidingiclient icare i–iPagei606 c. Leaveitheidooritoitheiclient’siroomiopen d. Allowivisitorsitoiholditheiclientsihand 85. Ainurseiisicaringiforiaiclientiwhoihasidiabetesimellitusiandihasibeenifollowingiaitreatmentiplanifori3 imonthsiwhichiofitheifollowingiresultsishoulditheinurseimonitoritoidetermineilong-termiglycemic icontrol? a. Glycosylatedihemoglobinilevel b. fastingibloodiglucoseilevel c. oraliglucoseitoleranceitestiresults d. post-prandialibloodiglucoseilevel 86. Ainurseiisireviewingitheiplanioficareiforiaiclientiwhoihasiaiseizureidisorder.iWhichiofitheifollowing iinterventionsishoulditheinurseianticipateiincludingiinitheiplan?i(clickionitheiexhibitibuttoniforiadditional informationiaboutitheiclient) a. Placeitheiclientiiniaiprivateiroom b. Hold itheiclient’s iphenytoin i–itherapeutic irange iis i10-20 imcg/mL c. Checkitheiclient’sistooliforioccultiblood d. Administeriregulariinsulinitoitheiclient 87. AinurseiisipreparingitoiadministeritwoiunitsiofipackediRBCsitoiaiclient.iWhichiofitheifollowingiactions ishoulditheinurseitake? a. Transfuseieachiunitiofibloodioverifiveihours b. ChangeitheiIVitubingiafterieachiunitiofibloodiisitransfused c. Administeritheibloodithroughiai22-gaugeiintravenousicatheter id. iPrimeitheitubingiwithi0.9%isodiumichloridei–iPagei260 88. Ainurseiisicaringiforiaiclientiwhoihasichronicirenalifailure.iTheiclientidisplaysitheifollowingiABGiresults: ipH:i7.24ipaCO2:i44immiHg,ipaO2:i84immHg,iHCO3i:i18imEq/iLibaseiexcessi-i2iandiO2isaturation i95%iTheinurseishouldiincludeithatitheiclientihasiwhichiofitheifollowingiacid-baseibalancesi? a. Metabolicialkalosis b. Respiratoryiacidosis c. Respiratoryialkalosis id. i Metaboliciacidosis 89. Ainurseiiniaiprovider'siofficeiisiteachingiaiclientiaboutitheiself-managementiofiGERDiwhichiofithe ifollowingiinstructionishoulditheinurseiinclude? a. Lieidowni30iminutesiafterieachimeal b. Sleepiwithitheiheadiofiyouribedielevatedi6iinches c. Increaseiyouricaloriciintakeibyi250icaloriesiperiday d. EatiAilightimeali1ihouribeforeibedtime 90. Ainurseiisimonitoringiaiclient'siheartirhythmifollowingiinsertioniofiaipermanentipacemakeriwhichiofithe ifollowingiimages ishould itheinurseiexpect? Answer:iD 91. Ainurseiisiassessingiaiclientiwhoihasiheartifailureiwhichiofitheifollowingiclientistatementsishould indicateitoitheinurseithatitheiclientineeds iaireferral iforicardiac irehabilitation? a. IihateihowiIifeel iallitheitime b. Iiamitooitireditoibrushimyiteeth c. IiWilliWeightimyselfidaily d. Iineeditoistartieatingiailowisodiumidiet 92. Ainurseiisicaringiforiaiclientiwhoiisireceivingicontinuousibladderiirrigationifollowingiaitransurethral iresectioniofitheiprostate.iTheiclientireportsibladderispasmsianditheinurseiobservesidecreasediurinary ioutput.iWhichiofitheifollowingiactions ishoulditheinurseitake? a. Removeitheiindwellingiurinaryicatheter b. Decreaseitransactioniofitheicatheter c. Flushitheicatheterimanuallyiwithi0.9%isodiumichloride d. Administeriibuprofeni400imgiforipainirelief 93. AinurseiisidiscussinginutritionioptionsiwithiaiclientiwhoihasiainewidiagnosisiofiCOPD.iWhichiofithe ifollowingistatementsishoulditheinurseitake? a. Planitoiincludeihighiproteinifoodsiinieachiofiyourimeals b. Increaseiyouriintakeiofivegetablesisuchiasibroccoliiandibrusselsisprouts c. Drink iaiglassiofimilkiwithieachimeal d. Consumeithreeilargeimealsithroughoutitheiday 94. Ainurseiisiteachingiaiclientiwhoihasiasthmaiaboutitheiuseiofiaipeakiflowimeter.iAfterisettingitheimeterito itheizeroibaseline,iwhatiisitheisequenceiofistepsitheinurseishouldiinstructitheiclientitoitake?iRentithe iSeas imoveitheistepsiintoitheiboxiofitheirightiplacingithemiinitheiselectediorderiofiperformance.iUseiall isteps) 1) Standiupright 2) Filliyourilungsiwithiaideepibreath 3) Sealiyourilipsiarounditheimouthpiece i4) i Exhaleiforcefully iandiquickly 5) i Recorditheihighestiofithreeiconsecutiveireadings 95. Ainurseiisicaringiforiaiclientiwhoihasiboundingipulses,icracklesioniauscultation,iandipinkifrothy isecretionsiwhenireceivingisuction.iTheinurseishouldirecognizeitheseiassessmentifindingsiusiindicating iwhichiofitheifollowing? a. Aspiration b. Increasedicardiacioutput c. Pleuralieffusion d. Fluidivolumeiexcessi–ipagei210 96. Ainurseiiniaiclinic iisiprovidingiforipreventiveiteachingitoianioldericlientiduringiaiWelliVisit.iTheinurse ishouldiinstructitheiclientithatiwhichiofitheifollowingiimmunizationsiareirecommendediforihealthyiadults iafteriagei60i(selectiall ithatiapply) a. Humanipapillomavirus b. Pneumococcalipolysaccharide c. Meningococcal id. i Influenza e. i Herpesizoster 97. A inurse iis icaring ifor ia iclient iwho ihas ia itraumatic ibrain iinjury. iThe iclient, iwho ihas ibeen iquiet iand icooperative, ibecomes iagitated iand irestless. iWhich iof ithe ifollowing iassessment ishould ithe inurse iperformifirst? a. Bloodipressure b. Bloodiglucose c. Urinaryioutput d. Motoriresponses 98. Ainurseiisipreparingitoiadministeripiperacillini3.375igramsibyiintermittentiIVibolusieveryi6ihours. iAvailableiisipiperacillini3.375igramsiinidextrosei5%iiniwateri100imlitoiinfuseioveri30iminutes.iThe inurseishouldisetitheiIVipumpitoideliverihowimanyimli/hr?i(rounditheiansweritoitheinearestiwhole inumber.iUseiaileadingizeroiifiitiapplies.iDoinotiuseiaitrailing izero.) Answer:i200iml/hr 99. Nurseiinitheiemergencyidepartmentiisicaringiforiaiclientiwhoiwasiinvolvediinianiexplosion.iWhichiof itheifollowingiactionsishoulditheinurseiplanitoitakeifirstiquestioni(click ionitheiexhibitibuttonifor iadditionaliinformationiaboutitheiclient) a. InitiateiperipheraliIViaccess b. ObtainianiECG c. Notifyitheirapidiresponseiteam d. Calculateitheiextentiofiburnsiusingitheiruleiofinines 100. Ainurseiisiassessingiaiclientiwhoihasiright-sidediheartifailure.iWhichiofitheifollowing iassessmentifindings ishoulditheinurseiexpectitoifind? a. Oliguria b. Pooriskiniturgor ic. iPittingiedema d. i S3i-iS4iGallopingiheartisounds Ainurseiisicaringiforiaiclientiwhoiisireceivingichemotherapyiandirequestsiinformationiaboutiacupunctureito hiofitheifollowingifindingsishoulditheinurseiidentifyiasiaicontraindication itoireceivingithis ialternativeitherapy? Lymphedema AinurseiisipreparingitoiadministerilactatediRinger'siviaicontinuosiIViinfusioniati200iml/hr.iTheiIVitubingihasia idropifactoriofi10idrops/mL.iHowimany igtt/minishoulditheinurseisetitheiIViumpitoiadminister? 33 Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoihasiainewiprescriptioniforisublingualinitroglycerin. iWhichiofitheifollowingiclientistatementsiindicatesianiunderstandingiofitheiteaching? IishouldilieidowniwheniIitakeithisimedication Ainurseiisiprovidingidischargeiteachingitoianiolderiadulticlientifollowingitotalihipiarthroplasty.iWhichiofithe ifollowingiinstructions ishoulditheinurseiincludeiinitheiteaching. Installiairaiseditoiletiseatiiniyouribathroom Ahiofitheifollowingiactionsishould itheinurseitake. Maintainitheiclient'siaffectediextremityiiniextension Ahiof itheifollowingiinformationishoulditheinurseiincludeiinitheiteaching? Changeiyouripet'silitteriboxidaily ainurseiisicaringiforiaiclientiwhoihasiaicontusioniandireportsithirst.iTheiclient'siurinaryioutputiwasi4,000iml nurseishouldianticipateiaiprescriptioniforiwhichiofitheifollowingiIVimedications? Desmopressin AinurseiiniaiclinicireceivesiaiphoneicallifromiaiclientiwhoirecentlyistarteditherapyiwithianiACEiinhibitoriand ireportsinaggingidry icough.iWhichiofitheifollowingiresponses ibyithe nurseiisiappropriate? Suckingioniailozengeimayireduceitheifrequencyiofiyouricough AinurseiisitakingianiadmissionihistoryifromiaiclientiwhoireportsiRaynaud'sidisease.iWhichiofitheifollowing iassessmentifindingsishoulditheinurseiidentifyiasiaiparenteralitriggeriforiexacerbationiofiRaynaud's? Usinginicotineitransdermalipatch A iclientidevelopsidyspneaianditachycardia.iWhichiofitheifollowingiactionsishoulditheinurseitakeifirst? ... Ainurseiisicompletingianiassessmentiofianioldericlientiandinotesireddenediareasioveritheibonyiprominences,ibut itheiclient'hiofitheifollowingiinterventionsishoulditheinurseiincludeiinitheiplanioficare?iSupport ibony iprominences iwithipillows Aihomeihealthinurseiisimakingianiinitialivisititoiaiclientiwhoihasimultipleisclerosis.iWhichiofitheifollowing iactions iis itheipriority iforitheinurseitoitake? ... Ahiofitheifollowingiactionsishoulditheinurse takeifirst?i(clickionirhei"exhibit"ibuttoniforiadditionaliinformationiaboutitheiclient iInitiateiairborneiprecautions Ainurseiisireviewingitheimedicalirecordiofiaiclientitoiidentifyifactorsiforicolorectalicancer.iTheinurseishould identifyiwhichiofitheifollowingifindings ias iincreasingitheiclient'sirisk? HistoryofiCrohn'sidisease Ainurseiisicaringiforiaiclientiwhoiisischedulediforiaimastectomy.iTheiclientitellsitheinurse,i"I'minotisureiIiwantito ihaveiaimastectomy."iWhichiofitheifollowingistatementsishoulditheinurseimake? Iicanigiveiyouiadditionaliinformationiaboutitheiprocedure AinurseiisipreparingitoiadministeriaiunitiofipackediRBCsitoiaiclientiwhoiisianemic.iIdentifyitheisequenceiofisteps itheinurseishouldifollow. 1. obtainivenousiaccessiusingiai19-gaugeineedle 2. ObtainitheiunitiofiaipackediRBCsifromibloodibank 3. verifyibloodicompatibilityiwithianotherinurse 4. InitiateitraensfuntioniofitheiunitiofipackediRBCs 5. Remainiwithitheiclientiforitheifirsti15itoi30iminutes Ainurseiisiprovidingidischargeiteachingitoiaiclientifollowingiaimodifiedileftiradicalimastectomy iwithibreast iexpander.iWhichiofitheifollowingistatementsibyitheiclientiindicatesianiunderstandingiofitheiteaching. Iishouldiexpectilessithani25imliofisecretionsiperidayiinitheidrainageidevices Aicriticalicareinurseiisiassessingiaiclientiwhoihasiaisevereiheadiinjury.iIniresponseitoipainfulistimuli,itheiclient idoesinotiopeniherieyes,hiofithe ifollowingiglasgowiComaiscaleiscores ishoulditheinurseiassignitheiclient? 5 Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoihasiheartifailureiandiinstructsihimitoilimitisodiumiintakeito i2igiperiday.iWhichiofitheifollowingistatementsibyitheiclientiindicatesianiunderstandingiofitheiteaching? Iicanihaveiaifrozenifruitijuiceibariforidessert Ainurseiisipreparingitoiperformioculariirrigationiforiaiclientifollowingiaichemicalisplashitoitheieye.iWhichiofithe ifollowingiactions ishould itheinurseiplanitoitakeifirst? instilli0.9%isodiumichlorideisolutioniintoitheiaffectedieye Ahichiofitheifollowingifindingsishouldithe inurseiinterveneiimmediately? Stridor Ainurseiisireviewingitheilaboratoryireportsiofiaiclientiwhoihasiacuteipancreatitis.iWhichiofitheifollowing ifindings ishoulditheinurseiexpect? Elevatedibloodiglucose Ainurseiisireviewingitheimedicalirecordiofiaiclientiwhoihasidiabetesiinsipidus.iWhichiofitheifollowingifindings ishoulditheinurseiexpect? Urineispecificigravityi1.001 Ahiofitheifollowingiinterventions ishoulditheinurseiinclude? InitiateiaicontinuosiIVihepariniinfusion hiofitheifollowing iinstructions ishoulditheinurseiinclude? Avoidiextremelyihotioricolditemperatures Ainurseiinitheiemergencyidepartmentiisicaringiforiaiclientiwhoiisiinihypovolemicishock.iWhich iofitheifollowingiacions ishoulditheinurseitakeifirst? Insertiailarge-boreiIVicatheter Ainurseiisicaringiforiaiclientiwhoihasianiarteriovenousigrafti.iWhichiofitheifollowingifindingsiindicates iadequateicirculationioniofitheigraft? Palpableithrill Ainurseiisiassessingiaiclientiwhoihasiheartifailureiandiisireceivingiailoopidiureic.iWhichiofitheifollowinginding indicates ihypokalemia? Muscleiweakness Ainurseiisicaringiforiaiclientiinidiabeticiketoacidosisi(DKA)iWhichiofitheifollowingiisitheipriorityiinterventioniby itheinurse? Infusei0.9%inormalisaline Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoihasianiileostomy.iWhichiofitheifollowingiclient istatements iindicates ianiunderstandingiofitheiteaching? Iiwilliexpectimyistools itoibeiloss Ainurseiisicaringiforiaiclientiwhoiisireceivingitotaliparenteralinutriionithroughiaicentraliline.iTheicurrentibagiis inearlyiempty,iandiainewibagiisiunavailableifromitheipharmacy.iWhichiofitheifollowingiactionsishoulditheinurse itake? Switchitheiinfusionitoiai10%idextroseisolution Ainurseiisicaringiforiaiclientiwhoiisi6hripostoperaiveifollowingiaithyroidectomy.iTheiclientireportsitinglingiand inumbnessiinitheihands.iTheinurseishouldiidentify ithis iasiaisigniofiwhichiofitheifollowingielectrolyte iimbalance? Hypocalcemia Ainurseiiniaiprovideriofficeiisicaringiforiaiclientiwhoihasitotalivisionilossiandiisitheihandleriofiaiserviceidog. iwhichiofitheifollowingiactionsishoulditheinurseitakeitoishowiconsiderationiforitheiclientianditheiservice ianimal? Consultitheiclientibeforeiapproachingitheidog. Ahiofitheifollowing istatements iby itheiclientiindicates ianiunderestandingiofitheiteaching? Iishouldilieidownibeforeitakingiaidoseiofiisosorbideidinitrate Ainurseiinitheipostianesthesiaicareiunitiisiassessingiaiclientifollowingianiappendectomyiandifindsiai2icmi(3/4in) hiofitheifollowingiactionsishoulditheinurseitake? Applyipressure Ahiofitheifollowingiinterventionsishould itheinurseiimplement? ... Ainurseiisiplanningicareiforiaiclientiwhoihasifull-thicknessiburnsionitheiloweriextremities.iWhichiofithe ifollowingiinterventions ishoulditheinurseiinclude? Applyinewiglovesiwhenialternatingibetweeniwoundicareisites. Ainurseiisiprovidingiteachingiforiaiclientiwhoihasituberculosisiandiainewiprescriptioniforipyrazinamide.iThe inurseishouldiinstructitheiclientitoinotifyitheiprovideriifiwhichiofitheifollowingiadverseieffectsioccurs? Jaundice Ahiofitheifollowing actionsishoulditheinurseiincludeiinitheiplanioficare? iPositionitheiclient'sitableionitheileft iside Ainurseiisiperformingianieariirrigaioniforiaiclient.iWhichiofitheifollowingiacionsishoulditheinurseitake? iPointitheitypeiofitheisyringe itowarditheitopiofitheiearicanal Ainurseiisicaringiforiaiclientiwhoihasiaihistoryiofichemotherapy-inducedinauseaiandivomiing.iWhichiofithe ifollowingimedicaions ishould itheinurseiadministeriprioritoichemotherapy? Ondasteron Ainurseiisipreparingitoidischargeiaiclientiwhoihasiaihaloideviceiandiisireviewinginewiprescriptionionsifromithe iprovider.iTheinurseishouldiclarify iwhichiofitheifollowingiprescriptions ionsiwithitheiprovider? Mayioperateiaimotorivehicleiwheninoilongeritakingianalgesics Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoihasituberculosis.iWhichiofitheifollowingiinformation ishoulditheinurseiincludeiinitheiteaching? Youiwillitoireturniini2iweeksitoiprovideiaisputumispecimen. Ainurseiisiassessingiaiclientiwhoihasileft-sidediheartifailure.iWhichiofitheifollowingifindingsishoulditheinurse iexpect? Frothyisputum Ainurseiisiplanningicareiforiaiclientiwhoihasiosteoarthritisiofitheiknees.iWhichiofitheifollowingiinterventions ishoulditheinurseiincludeiinitheiplan? Placeiailargeipillowiunderitheiclient'sikneesiwheniresting. Ainurseiisicaringiforiaiclientiwhoiisireceivingicontinuousibladderiirrigationifollowingiaitransurethral iresectioniof itheiprostatei(TURP).iTheiclientireportsisharpiloweriabdominalipain.iWhichiofitheifollowingiactionsishouldithe inurseitakeifirst? Checkitheiclient'siurineioutput Ainurse iis iproviding iinstructions iabout ifoot icare iforia iclient iwho ihas ia iperipheral iarterial idisease. iThe inurse ishouldiidentifyithatiwhichiofitheifollowingistatementsibyitheiclientiindicationsiunderstandingiofitheiteachingi"I irestiinimy ireclineriwithimy ifeetielevatediforiaboutianihourieveryiafternoon" Ainurse iin ia iprovider's ioffice iis iteaching ia iclient iabout ithe iself-management iof iGERD. iWhich iof ithe ifollowing instructions ishoulditheinurseiinclude? Sleepiwithitheiheadiofitheibedielevatedi6iinches Ainurseiisicaringiforiaiclientiwhoiisipostoperativeifollowingiaipartialithyroidectomy.iWhichiofitheifollowing ifindings iis itheipriority iforitheinurseitoireportitoitheiprovider? High-pitchedisoundioniinspiration Ainurseiisicaringiforiaiclientiwhoiisi2idaysipostoperativeifollowingiaibelowitheikneeiamputationiandiasks iaboutitheipurposeiofimaintainingianielasticibandageiarounditheiresidualilimbiofitheiextremity.iWhichiofithe ifollowingiis ianiappropriateiresponseiby itheinurse. Whyidoiyouithinkiyourilifeiisiover? Ah iofitheifollowingiassessments ishould itheinurseiplanitoiperformifirst? Measureitheiclient'sicoreibodyitemperature Ainurseiisiprovidingiinstructionsionsitoiaiclientiwhoihasiprimary isyphilis.iWhichiofitheifollowingiinstructions ions ishoulditheinurseiincludeiinitheidischargeiplan? Youiwillineeditoibeimonitorifori15iminutesiafterireceivingieachimedicationiclose Ainurseiisicaringiforiaiclientiwhoihasihypotension,icooliandiclammyiskin,itachycardia,ianditachypnea.iIniwhichiof itheifollowingipositions ishoulditheinurseiplaceitheiclient? Feetielevated Ainurseiisiassessingiaiclientiwhoihasiaipressureiulcer.iWhichiofitheifollowingifindingsishoulditheinurseiexpect ias ianiindicationitheiwoundiis ihealing? Darkiredigranulationitissue Ainurseiisiprovidingidischargeiteachingiforiaiclientiwhoihasiainewitracheostomy.iWhichiofitheifollowingistatements ibyitheiclientiindicates ianiunderstandingiofitheiteaching? I'llicutiaislitiiniaicleanigauzeipaditoiuseiasiaistomaidressing Ainurseiisipreparingitoiadministerifurosemideitoiaiclientiwhoihasiacuteiheartifailure.iWhichiofitheifollowing ilaboratory iresultsishoulditheinurseiidentify iasiaicontraindicaioniforireceivingitheimedicaion? Potassiumi3.2imEq/L Ainurseiisiassessingiaiclientiwhoihasimyastheniaigravis.iWhichiofitheifollowingiclientistatementsishould indicateitoitheinurseithatitheiclientineedsiaireferraliforioccupational itherapy? Iihaveiaiharditimeiwithibrushingimyihair Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoiwillibeiself-administeringiinsuliniatihome.iWhichiofithe ifollowingiinformaionishoulditheinurseiincludeiregardingineedleidisposal? Youicanidiscardineedlesiinianiemptyibleachibottleiwithiailid Ainurseiisiassessingiaiclientiwhoihasianiarteriovenousi(AV)igraiinitheileiforearm.iWhichiofitheifollowing indings ishouldiindicateitoitheinurseiaicomplicaioniofivasculariaccess? a. Presenceiofiaipalpableithrill b. DilatediappearanceiofitheiAVisite c. 2+ileiradialipulse d. Absenceiofiaibruit d.iAbsenceiofiaibruit Aiclientiwhoiisiidealiandicommunicatesiusingisignilanguageiisibeingiadmittedibyiainurseiwhoidoesinotiknowisign ilanguage.iWhich iofitheifollowingiactions ishoulditheinurseitake? Requestianiinterpreteriduringitheiinitialiassessment Ahiofitheifollowingiinstructions ishoulditheinurseiincludeiinitheiteaching? Holdibreathsi3itoi5isecondsibeforeiexhaling Ahiofitheifollowing iactions ishoulditheinurseitake? Monitoriurineioutputihourly Ainurseiisiplanningicareiforiaiclientiwhoihasiaicentralivenousiaccessideviceiforiintermittentiinfusions.iWhichiofithe ifollowing actionsishoulditheinurseiincludeiinitheiplanioficare? a. Flushitheicatheteriusingiai10-mlisyringe b. Useicleanitechniqueiwhenichangingitheidressing C.iCleanseitheisiteiwithipovidone-iodine D.iChangeitheidressingieveryi24hr iFlushitheicatheteriusingiai10imlisyringe Ainurseiinitheiemergencyidepartmentiisicaringiforiaiclientiwhoihasiaigunshotiwounditoitheiabdomen.iWhichiof itheifollowingiactionishoulditheinurseitakeifirst? a. Prepareitheiclientiforiperitonealilavage b. Checkitheicoloriofitheiclient'siskin c. Administerianiopioidianalgesic d. Removeialliofitheiclient'siclothing d.iRemoveialliofitheiclient'siclothing Ainurseiisicaringiforiaiclientifollowingiaibronchoscopy.iWhichiofitheifollowingiactionishoulditheinurseitake ifirst? a. Provideitheiclientiwithisipsiofiwater. b. Instructitheiclientitoireportibleeding. c. Informitheiclientitheyimightiexperienceiailow-gradeifever. d. Checkitheiclient'sigagireflex d.iCheckitheiclient'sigagireflex Ahiofitheifollowingistatements ishoulditheinurseiincludeiinitheiteaching? Exhaleifullyibeforeibringingitheiinhaleritoiyourilips Ainurseiisiinstrucingiaiclientiwhoihasiainewidiagnosisiofitypei1idiabetesimellitusiaboutitheisick-idayirules.iWhich iofitheifollowingistatementsibyitheiclientiindicates ianiunderstandingiofitheiteaching? a. "Iiwilliconsumei250gramsioficarbohydratesidailyiwhileiI'misick." b. "Iiwillimonitorimyibloodiglucoseieveryi8hours." c. "IiwillinotitakeimyidiabetesimedicaionsiwhileiIiamisick." d. Iiwillicheckimyiurineiforiketonesiifimyibloodiglucoseiisigreaterithani240img/dL d.iIiwillicheckimyiurineiforiketonesiifimyibloodiglucoseiisigreaterithani240img/dL AinurseiisireviewingiABGiresultsiforiaiclientiwhoihasiCOPD.iWhichiofitheifollowingindingsishoulditheinurse iexpect? a. HCO3-25imEq/L b. PaO2i85mmHg c. pHi7.38 d.PaCO2i48immiHg id.PaCO2i48immiHg Ainurseiisiadmiingiaiclientitoiaimedicaliunitifollowingiplacementiofiaipermanentipacemaker.iWhichiofithe ifollowingindings irequiresifurtheriassessmentibyitheinurse? a.Hiccups b. Sneezing c. PresenceiofiaisharpispikeiprioritoitheiQRSicomplexionitheiECG d. PresenceiofiintrinsiciPiwavesifollowingiaiQRSicomplexionitheiECG ia.Hiccups Ainurseiisipreparingitoiadministeridailyimedicationsitoiaiclientiwhoiisiundergoingiaiprocedureiati1000ithat irequiresiIVhiofitheifollowingiroutineimedicationsitoigiveiati0800ishoulditheinurseiwithhold? a. Metformin b. Metoprolol c. Valporiciacid d. Fluticasone iMetformin Ainurseiisiassessingiforicompartmentisyndromeiiniaiclientiwhoihasiaishortilegicast.iWhichiofitheifollowing ifindings ishoulditheinurseiidentify ias iaimanifestationiofithis icondition? Painithatiincreasesiwithipassiveimovement resultsifromiaidecreaseiinibloodiflowiinitheiextremityicausedibyiaidecreaseiinitheimuscleicompartmentisize idueitoiaicastithatiis itooitight. Notistudiedi(89) Youihaven'tistudieditheseitermsiyet! iSelectithesei89 AinurseiisiprovidingiteachingitoiaiclientiwhoihasiaisevereiformiofistageiIIiLymeidisease.iWhichiofitheifollowing istatementsimadeibyitheiclientireflects ianiunderstandingiofitheiteaching? MyijointsiacheibecauseiIihaveiLymeidisease Ainurseiisipreparingitoiadministeriphenytoini600imgiPOidailyitoiaiclient.iTheiamountiavailableiisioralisolution i125img/5imL.iHowimanyimLishoulditheinurseiadminister?i(Rounditheiansweritoitheinearestiwholeinumber. iUseiaileadingizeroiif iitiapplies. iDoinotiuseiaitrailingizero.) 24 Ainurseiisicaringiforiaiclientiwhoihasianiarterialiline.iWhichiofitheifollowingiactionsishoulditheinurseitake? iplaceiaipressureibagiarounditheiflushisolution becauseitheipressureifromianiarteryiisigreaterithanithatiofitheiline. Ainurseiisiupdatingitheiplanioficareiforiaiclientiwhoiisireceivingichemotherapy.iWhichiofitheifollowingifindings ishoulditheinurseiidentifyias itheipriority? Reportiofisoreithroat whichicouldibeiaimanifestationiofianiinfection.iTheiclientiisiatiriskiforineutropeniaidueitoimyelosuppression; itherefore, ianiinfectionicouldileaditoisepsis. Ainurseiisireviewingitheimedicalirecordiofiaiclientiwhoihasisystemicilupusierythematosusi(SLE).iWhichiofithe ifollowingifindings ishould itheinurseiexpect? Facialibutterflyirash Ainurseiisiplanningicareiforiaiclientiwhoiisipostoperativeifollowingiaiparathyroidectomy.iWhichiofitheifollowing iactions ishoulditheinurseiidentifyias itheipriority? Placeitachitrayiatitheibedside inicaseiofiairwayiobstruction Ainurseiisiassessingiaiclientiwhoihasidiabetesiinsipidus.iWhichiofitheifollowingifindingsishoulditheinurse iexpect? Lowiurineispecificigravity Decreasediwaterireabsorptionibyitheirenalitubulesiisicausedibyianialterationiiniantidiureticihormoneireleaseior itheikidneys' iresponsiveness itoitheihormone. AinurseiisiprovidingiteachingitoiaiclientiwhoihasistageiIIicervicalicanceriandiisischedulediforibrachytherapy. iWhichiofitheifollowingiinstructions ishoulditheinurseiinclude? Youiwillineeditoistayistilliinitheibediduringieachitreatmentisession. limitedimovementibecauseiexcessiveimovementicanicauseitheiradioactiveisourceitoibecomeidislodged. Ainurseiisiplanningicareiforiaiclientiwhoiisischedulediforiaithoracentesis.iWhichiofitheifollowingiinterventions ishoulditheinurseiincludeiinitheiplan? Encourageitheiclientitoitakeideepibreathsiafteritheiprocedure Ainurseiisicaringiforiaiclientiwhoiisireceivingiaiblooditransfusion.iTheiclientibecomesirestless,idyspneic,iand ihasicracklesinoteditoitheilungibases.iWhichiofitheifollowingiactionsishoulditheinurseianticipateitaking? Slowitheiinfusionirate circulatory ioverload. iThe inurse ishould islow ior istop ithe iinfusion ito iimprove ithe iclient's iability ito ibreathe, iplace ithe iclient iin ian iupright iposition, iand inotify ithe iprovider. iThe iprovider imight iprescribe ia idiuretic ito ialleviate ithe ifluidioverload. Ainurseiisiprovidingiteachingitoiaiclientiwhoihasiend-stageikidneyidiseaseiandiisiwaitingiforiaikidney itransplant.iWhichiofitheifollowingiinformationishoulditheinurseiprovide? Hemodialysiisisomethingirequiredifollowingisurgery Wheniaikidneyicomesifromiaideceasedidonor,iitimightinotifunctioniimmediately,irequiringitheirecipientitoicontinue ihemodialysis ipostoperatively. Ainurseiisicaringiforiaiclientiwhoihasihypothyroidism.iWhichiofitheifollowingimanifestations ishoulditheinurse iexpect? Constipation decreaseiinitheiclient'simetabolism,iresultingiinislowimotilityiofitheigastrointestinalitract. Ainurseiisiprovidingipreoperativeiteachingiforiaiclientiwhoiisischedulediforiaimastectomy.iWhichiofithe ifollowingistatementsishoulditheinurseimake? Iiwillireferiyouitoicommunityiresourcesithaticaniprovideisupport Ainurseiisicaringiforiaiclientiwhoihadiainephrostomyitubeiinsertedi12ihriago.iWhichiofitheifollowingifindings ishoulditheinurseireportitoitheiprovider? Clientireportsibackipain indicateithatitheinephrostomyitubeiisidislodgedioriclogged. AinurseiisiteachingiaifamilyiaboutitheicareiofiaiparentiwhoihasiainewidiagnosisiofiAlzheimer'sidisease.iWhichiof itheifollowingiinformationishoulditheinurseiincludeiinitheiteaching? Createicompleteioutfitsiandiallowitheiclientitoiselectioneieachiday Ainurseiis icaringiforiaiclientiwhoihasibreasticancerianditells itheinurseithatitheyiwouldilikeitoihaveiacupuncture ibecauseiitiprovidesigreaterireliefithanipainimedication.iWhichiofitheifollowingistatementsishoulditheinurse imake? "Iicanispeakitoitheiprovideriaboutiincorporatingiacupunctureiintoiyouritreatmentiplan." Ainurseiisicaringiforiaiclientifollowingiextubationiofianiendotrachealitubei10iminiago.iWhichiofitheifollowing ifindings ishoulditheinurseireportitoitheiprovideriimmediately? Stridor Ainurseiisireviewingitheilaboratoryifindingsiofiaiclientiwhoidevelopedichestipaini6ihriago.iTheinurseishould identifyiwhichiofitheifollowingifindingsias ianiindicationiofiaimyocardial iinfarctioni(MI)? TroponiniIi8ing/mL Ainurseiisipreparingitoiadministeriaiblooditransfusionitoiaiclientiwhoihasianemia.iWhichiofitheifollowing iactions ishoulditheinurseitakeifirst? Checkiforitheitypeiandinumberiofiunitsiofiblooditoiadminister Ainurseiisireviewingitheilaboratoryiresultsiofiaiclientiwhoihasiaplasticianemia.iWhichiofitheifollowingifindings indicates iaipotential icomplication? WBCicounti2,000 Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoiisipostoperativeifollowingiaimodifiediradical imastectomy.iWhichiofitheifollowingiinstructions ishoulditheinurseiinclude? Numbnessicanioccurialongitheiinsideiofitheiaffectediarm dueitoinerveiinjury Ainurseiisipreparingitoipresentiaiprogramiaboutipreventioniofiatherosclerosisiatiaihealthifair.iWhichiofithe ifollowingirecommendations ishoulditheinurseiplanitoiinclude?i(Selectiallithatiapply.) Followiaismokingicessationiprogram iMaintainianiappropriateiweight Eatiailow-fatidiet Ainurseiisicaringiforiaiclientiwhoihasihomonymousihemianopsiaiasiairesultiofiaistroke.iToireduceitheiriskiof ifalls iwheniambulating,itheinurseishouldiprovideiwhichiofitheifollowingiinstructionsitoitheiclient? Scanitheienvironmentibyiturningiyouriheadifromisideitoiside." Ainurseiisicaringiforiaiclientiwhoihasiaipneumothoraxiandiaiclosed-chestidrainageisystem.iWhichiofitheifollowing ifindings iis ianiindicationiofilungire-expansion? Bubblingiinitheiwaterisealichamberihasiceased. Bubblingiinitheiwaterisealichambericeasesiwhenitheilungire-expands. Ainurseiisiprovidingidischargeiteachingitoiaiclientiwhoiisitoiself-administeriheparinisubcutaneously.iWhichiof itheifollowingistatementsiby itheiclientiindicates ianiunderstandingiofitheiteaching? Iiwilliuseianielectricirazoritoishave Ainurseiisiprovidingifollow-upicareiforiaiclientiwhoisustainediaicompoundifracturei3iweeksiago.iTheinurseishould irecognizeithatianiunexpectedifindingiforiwhichiofitheifollowingilaboratoryivaluesiisiaimanifestationiof iosteomyelitis iandishouldibeireporteditoitheiprovider? Sedimentationirate anyitypeiofiinflammatoryiprocess,isuchiasiosteomyelitis. Ainurseiisiperformingiaipreoperativeiassessmentiforiaiclient.iTheinurseishouldiidentifyithatianiallergyitoiwhich iofitheifollowingifoods icaniindicateiailatex iallergy? Avocados Allergiesitoicertainifruits,isuchiasistrawberriesiandibananas,icanialsoiindicateilatexiallergyiorisensitivity. AinurseiisicaringiforiaiclientiwhoihasiDKA.iWhichiofitheifollowingifindingsishouldiindicateitoitheinurseithatithe iclient'siconditioniis iimproving? Glucosei272 lessithani300img/dLindicatesiimprovementiinitheiclient'sistatus. Ainurseiisicaringiforiaiclientiwhoihasidiabeticiketoacidosisi(DKA).iWhichiofitheifollowingishoulditheinurseiplanito iadminister? Regulariinsulini20iunitsiIV Ainurseiisievaluatingitheiplanioficareiforifouriclientsiafteri2idaysiofihospitalization.iTheinurseishouldiidentify itheineeditoireviseitheiplaniforiwhichiofitheifollowingiclients? Aiclientiwhoiisipostoperativeifollowingiabdominalisurgeryiandireportsifeelingithatisomethingi"popped"iwhen ithey icoughed Ainurseiisiprovidingiteachingitoiaiclientiwhoihasiainewiprescriptioniforipsyllium.iWhichiofitheifollowing informationishoulditheinurseiincludeiinitheiteaching? Drinki240imLi(8ioz)iofiwateriafteriadministration. Ainurseiisiassessingiaiclientiwhoiisiatiriskiforitheidevelopmentiofiperniciousianemiairesultingifromipepticiulcer disease.iWhichiofitheifollowingiimagesidepictsiaiconditionicausedibyiperniciousianemia? Thisiimageidepictsiglossitis,iwhichicaniindicateiperniciousianemia.iGlossitis,iaismoothireditongue,iisialsoia imanifestationiofideficiencies iinivitaminiB6,izinc,iniacin,iorifolic iacid. Ainurseiisiprovidingidischargeiinstructionsitoiaiclientiwhoihasilaryngealicanceriandiisireceivingiradiation itherapy.iWhichiofitheifollowingistatementsibyitheiclientiindicatesianiunderstandingiofitheiteaching? "Iiwilliavoididirectiexposureitoitheisun." Ainurseiisiadmittingiaiclientiwhoihasiactiveituberculosis.iWhichiofitheifollowingitypesiofitransmission iprecautions ishoulditheinurseiinitiate? Airborne tuberculosis,imeasles,ivaricella,iandidisseminatedivaricellaizoster. Ainurseiisireviewingitheimedicalirecordiofiaiclientiwhoihasiosteomyelitisiandiaiprescriptioniforigentamicin. iWhichiofitheifollowingifindingsifromitheiclient'simedical irecordishouldiindicateitoitheinurseitheineedito iwithholditheimedicationiandinotifyitheiprovider?i(Clickionithei"Exhibit"ibuttoniforiadditionaliinformationiabout itheiclient.iThereiareithreeitabs ithaticontainiseparateicategories iofidata.) Serumicreatinine Ainurseiisiprovidingiteachingitoiaiclientiwhoiis iperimenopausaliandihasiaiprescriptioniforihormoneireplacement itherapy.iForiwhichiofitheifollowingiadverseieffectsishoulditheinurseiinstructitheiclientitoinotifyitheiprovider? i(Selectiall ithatiapply.) Calfipain Numbnessiinitheiarms iIntenseiheadache Ainurseiisiplanningidischargeiteachingiforiaiclientiwhoihasianiexternalifixationideviceiforiaifractureiofitheilower iextremity.iWhichiofitheifollowingiinstructionsishoulditheinurseiincludeiinitheiplanioficare? Useicrutchesiwithirubberitips. Ainurseiisiteachingiaigroupiofinewlyilicensedinursesiaboutipainimanagementiforiolderiadulticlients.iWhichiof itheifollowingistatementsibyiainewlyilicensedinurseiindicatesianiunderstandingiofitheiteaching? Ibuprofenicanicauseigastrointestinalibleedingiiniolderiadulticlients. Ainurseiisicaringiforiaiclientiwhoihasiaicervicalispinalicordiinjuryisustainedi1imonthiago.iWhichiofitheifollowing imanifestationsiindicatesithatitheiclientiisiexperiencingiautonomic idysreflexiai(AD)? Heartiratei52/min williexhibitimultipleimanifestations,iincludingibradycardia,isevereiheadache,iandiflushing. Ainurseiisiassessingiaiclientiwhoihasiadvancedilungicanceriandiisireceivingipalliativeicare.iTheiclientihasijust iundergoneithoracentesis.iTheinurseishouldiexpectiaireductioniiniwhichiofitheifollowingicommon imanifestations iofiadvancedicancer? Dyspnea Thoracentesis,itheiremovaliofipleuralifluid,icanitemporarilyirelieveihypoxiaiandithusieaseitheiclient'sibreathing iandiimproveicomfort. Ainurseiisiprovidingiteachingitoiaiclientiwhoitakesiginkgoibilobaiasianiherbalisupplement.iWhichiofithe ifollowingistatementsishoulditheinurseimake? "Ginkgoibilobaicanicauseianiincreasediriskiforibleeding." Ainurse ion ia imedical-surgical iunit iis ireviewing ithe imedical irecord iof ian iolderiadult iclient iwho iis ireceiving iIV ifluid itherapy. iWhich iof ithe ifollowing iclient iinformation ishould iindicate ito ithe inurse ithat ithe iclient irequires ireievaluationiofitheiIVitherapyiprescription?i(Clickionithei"Exhibit"ibuttoniforiadditionaliinformationiaboutithe client.iThereiareithreeitabsithaticontainiseparateicategoriesiofidata.) iEXHIBIT BUN AinurseiisireceivingireportioniaiclientiwhoiisipostoperativeifollowingianiopenirepairiofiZenker'sidiverticulum. iTheinurseishouldianticipateitheisurgicaliincisionitoibeiiniwhichiofitheifollowingilocations?i(Youiwillifindihot ispotsitoiselectiinitheiartworkibelow.iSelectionly itheihotispotithaticorrespondsitoiyourianswer.) Neck Zenker'sidiverticulum,ioripharyngealipouch,iisiaiherniationiofitheiesophagusioccurringithroughithe icricopharyngealimuscleiinitheimidlineiofitheineck.iRepairiofitheidiverticulumiisiaccomplishedithroughianiopen incisioniin itheiclient's ineck. Ainurseiisiobtainingiaimedicationihistoryifromiaiclientiwhoiisischeduleditoiundergoicataractisurgery.iTheinurse ishouldirecognizeithatiwhichiofitheifollowingiclientimedicationsiisiaicontraindicationiforitheisurgeryiandinotifyithe iprovider? Warfarin Ainurseiisiassessingiaiclientiwhoihasiperipheraliarterialidisease.iWhichiofitheifollowingifindingsishouldithe inurseiexpect? Hairilossionitheilowerilegs airesultiofiimpairediarterialicirculationiaffectingifollicularigrowth. Aihomeihealthinurseiisiprovidingiteachingitoiaiclientiwhoihasiaistagei1ipressureiinjuryionitheigreater itrochanteriofihisileftihip.iWhichiofitheifollowingiinstructionsishoulditheinurseiincludeiinitheiteaching? iChangeipositionieveryihour. Ainurseiisiassessingiaiclientiwhoihasiaidiagnosisiofirheumatoidiarthritis.iWhichiofitheifollowing inonpharmacologicaliinterventions ishoulditheinurseisuggestitoitheiclientitoireduceipain? Alternateiapplicationiofiheatiandicolditoitheiaffectedijoints. Ainurseiisiassessingiaiclientifollowingitheicompletioniofihemodialysis.iWhichiofitheifollowingifindings iisithe inurse's ipriority itoireportitoitheiprovider? Restlessness Disequilibriumisyndromeiisicausedibyitheirapidiremovaliofielectrolytesifromitheiclient'sibloodiandicanileadito idysrhythmiasioriseizures.iOtherimanifestations iincludeinausea,i