Ignatavicius Study guides, Class notes & Summaries

A nurse caring for a client with sickle cell disease (SCD) reviews the client's laboratory test results. Which finding would the nurse report to the primary health care provider? A. Creatinine: 2.9 mg/dL B. Hematocrit: 30% C. Sodium: 146 mEq/L D. White blood cell count: 12,000 mm^3 - correct answer A. An elevated creatinine indicates kidney damage, which occurs in SCD. The rest are expected findings in SCD. The nurse is assessing a client in sickle cell disease crisis. What PRIORITY clie...

Ignatavicius: Medical-Surgical Nursing, 6th Edition questions with 100% verified answers A client has a wound on his left trochanter that is 4 inches in diameter, with black tissue at the perimeter, and bone is exposed. Which is the nurse's best action? a. Document as a stage I pressure ulcer and apply a transparent dressing. b. Document as a stage II pressure ulcer and start wet to dry gauze treatments. c. Document as a stage III pressure ulcer and start antibiotic therapy. d. Document ...

TEST BANK IGNATAVICIUS MEDICAL SURGICAL 9TH EDITION TEST BANK IGNATAVICIUS MEDICAL SURGICAL 9TH EDITION TEST BANK IGNATAVICIUS MEDICAL SURGICAL 9TH EDITION

A client is admitted with Guillain-Barré syndrome (GBS). What assessment takes priority? a. Bladder control b. Cognitive perception c. Respiratory system d. Sensory functions Answer ANS: C Clients with GBS have muscle weakness, possibly to the point of paralysis. If respiratory muscles are paralyzed, the client may need mechanical ventilation, so the respiratory system is the priority. The nurse will complete urinary, cognitive, and sensory assessments as part of a thorough evaluation. ...

A client diagnosed with exacerbation of systemic sclerosis (SSc) asks the nurse why a foot board and a bed cradle have been placed on the bed. The nurse explains that they are used for what purpose? A. Inspect skin for lesions or changes B. Promote comfort from Raynaud's phenomenon C. Prevent foot drop and contractures D. Decrease chilling of the extremities Answer B. Promote comfort from Raynaud's phenomenon Acute pain occurs during Raynaud's phenomenon (the first symptom that occur...

A 32-year-oldclient is recovering from a sickle cell crisis. The client's discomfort is controlled with pain medications and discharge planning has been initiated. What medication will the nurse anticipate to be prescribed before discharge? A. Heparin (Heparin) B. Warfarin (Coumadin) C. Hydroxyurea (Droxia) D. Tissue plasminogen activator (t-PA) Answer C. Hydroxyurea (Droxia) The nurse anticipates Hydroxyurea to be prescribed for pain for a sickle cell disease client who is being disch...

A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker. Which statement should the nurse include in this client's teaching? a. "Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache." b. "Take this drug as ordered, even when feeling well, to prevent vascular changes associated with migraine headaches." c. "This drug will relieve the pain during the aura phase soon after a headache has started." d....

The nurse is caring for a client with end-stage ovarian cancer who needs clarification on the purpose of palliative surgery. Which outcome should the nurse teach the client is the goal of palliative surgery? a. Cure of the cancer b. Relief of symptoms or improved quality of life c. Allowing other therapies to be more effective d. Prolonging the client's survival time Answer b.Relief of symptoms or improved quality of life Which statement made by a client allows the nurse to recog...

ANS: B A T-score from a bone density scan at or lower than -2.5 indicates osteoporosis. The nurse would plan to teach about medications used to treat this disease, such as the bisphosphonates. A food diary is helpful to determine if the client gets adequate calcium and vitamin D, but at this point, dietary changes will not prevent the disease. Simply scheduling another scan will not help treat the disease either. Answer A client has a bone density score of -2.8. What intervention would the nurs...