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, NO.414 A 28-year-old woman was admitted to the hospital for a thyroidectomy.
Postoperatively she is taken to the postanesthesia care unit for several hours. In preparing for
the client's return to her room, which nursing measure best demonstrates the nurse's thorough
understanding of possible postthyroidectomy complications?
Advise the mother not to give her aspirin
NO.415 A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash.
The doctor diagnoses chickenpox. Her mother asks the nurse how many baby aspirins her
daughter can have for fever. The nurse should
Give antiemetics prior to the client receiving chemotherapy and continue on a regular basis
for at least 24-48 hours after chemotherapy
NO.416 A 50-year-old male client is to receive chemotherapy. The physician's orders include
antiemetics. When planning his care, the nurse should take into consideration that antiemetics
are best administered in the following way:
Nausea and vomiting
NO.417 The nurse practitioner determines that a client is approximately 9 weeks' gestation.
During the visit, the practitioner informs the client about symptoms of physical changes that
she will experience during her first trimester, such as:
Noise or bright lights may precipitate a convulsion.
NO.418 A client with severe PIH receiving MgS04 is placed in a quiet, darkened room. The
nurse bases this action on the following understanding:
Reduces the possibility of air embolism
NO.419 A client has consented to have a central venous catheter placed. The best position in
which to place the client is the Trendelenburg position. The reason is that the Trendelenburg
position:
Sternal and subcostal retractions
NO.420 A newborn infant is exhibiting signs of respiratory distress. Which of the following
would the nurse recognize as the earliest clinical sign of respiratory distress?
He will be able to deal with his feelings through participation in group therapy sessions.
NO.421 A 32-year-old male client is a marketing representative. His job requires him to have
a tremendous amount of energy during the day. He frequently uses cocaine to sustain his
, energy level. Lately he has increased his use of cocaine and even experimented with crack
cocaine. Realizing he can no longer continue this destructive behavior, he is seeking
treatment for addiction. In planning nursing care for the client's inpatient stay, which
expected outcome is most appropriate?
The medication should relieve his symptoms of depression
NO.422 The physician prescribes amitriptyline (Elavil) for a client. What does the patient
need to know about this medication?
State nursing practice act
NO.423 A registered nurse is trying to determine the appropriate care that she should provide
for her obstetrical clients. Which of the following documents is considered the legal standard
of practice?
Restlessness and apprehensiveness
Withhold lithium if experiencing diarrhea, vomiting, or diaphoresis.
NO.402 A female client has been recently diagnosed as bipolar. She has taken lithium for the
past several weeks to control mania. What must be included in client education regarding
lithium toxicity?
Encourage or direct client to attend activities that offer simple methods to attain success
NO.403 A 56-year-old psychiatric inpatient has had recurring episodes of depression and
chronic low self-esteem. She feels that her family does not want her around, experiences a
sense of helplessness, and has a negative view of herself. To assist the client in focusing on
her strengths and positive traits,
Explore with the client her perceptions of why she is unable to go to the hospital
NO.404 The physician recommends immediate hospital admission for a client with PIH. She
says to the nurse, "It's not so easy for me to just go right to the hospital like that." After
acknowled ging feelings, which of these approaches by the nurse would probably be best?
Drink a glass of water
NO.405 A male client has asthma and his physician has prescribed beclomethasone
(Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone,
the client should be instructed to:
Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor
NO.406 An obstructing stone in the renal pelvis or upper ureter causes: