RETAKE
A nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
Hgb 8.2 g/dl
A nurse is caring for a client who has diabetes insipidus. Which of the
following medications should the nurse plan to administer?
Desmopressin
A nurse is admitting a client who has arthritic pain and reports taking
ibuprofen several times daily for 3 years. Which of the following test should
the nurse monitor?
Stool for occult blood - GI bleed
A nurse in the emergency department is assessing a client. Which of the
following actions should the nurse take first (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain
separate categories of data.)
Initiate airborne precautions
,A nurse is contacting the provider for a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions should
the nurse anticipate?
Transmucosal fentanyl
A nurse is admitting a client who reports chest pain and has been placed on
a telemetry monitor. Which of the following should the nurse analyze to
determine whether the client is experiencing a myocardial infarction?
ST segment
A nurse is teaching a client who has ovarian cancer about skin care following
radiation treatment. Which of the following instructions should the nurse
include?
Pat the skin on the radiation site to dry it
A nurse is caring for a client who is receiving a blood transfusion. The nurse
observes that the client has bounding peripheral pulses, hypertension, and
distended jugular veins. The nurse should anticipate administering which of
the following prescribed medications?
Furosemide
A nurse is assessing a client who is receiving magnesium sulfate IV for the
treatment of hypomagnesemia. Which of the following findings indicates
effectiveness of the medication?
Apical pulse 82/min
,A nurse is reviewing a client's ABG results pH 7.42, PaC02 30 mm Hg, and
HCO3 21 mEq/L. The nurse should recognize these findings as indication of
which of the following conditions?
Compensated respiratory alkalosis
A nurse is caring for a client who has a deep partial thickness burns over
15% of her body which of the following labs should the nurse expect during
the first 24 hours
Hypoalbuminemia (Low due to fluid loss)
A nurse is caring for a client who has dumping syndrome following a
gastrectomy, which of the following actions should the nurse takes?
Have the client lie down for 30 minutes after meals (Lying down after a meal
slows the movement of food within the intestines)
A nurse is preparing to administer fresh frozen plasma to a client. Which of
the following actions should the nurse take?
Administer the plasma immediately after thawing
A nurse is assessing a client who reports numbness and tingling of his toes
and exhibits a positive TROUSSEAU. Which of the following electrolyte
imbalance should the nurse suspect?
Hypocalcemia
, A home health nurse is teaching a client how to care for a peripherally
central catheter in his right arm. Which of the following statements should
the nurse include in the teaching?
Use a 10-milliliter syringe when flushing the catheter
A nurse is caring for a client who has a central venous access device. Which
of the following assessment findings should the nurse report to the provider?
WBC count of 16,000/ mm
A nurse is providing dietary teaching to a client who has chronic kidney
disease and a decreased glomerular filtration rate. Which of the following
statements by the client indicates an understanding of the teaching?
I will spread my protein allowances over the entire day
A nurse is caring for a client who has a peripherally inserted central catheter.
The client is receiving an antibiotic via intermittent IV bolus. Which of the
following actions should the nurse take?
Verify the placement with an x-ray prior to the initial dose
A nurse is teaching a client using a metered dose rescue inhaler. Which of
the following statements should the nurse include in the teaching?
Exhale fully before bringing the inhaler to your lips