• Thenurseiscaringforaclientinatrialfibrillation.Theatrialheartrateis250and the ventricular rate is controlled at 75. Which of the following findings iscausefor the mostconcern? A) Diminishedbowelsounds B) Lossofappetite C) Acold,palelower leg D) Tachypnea - A-Fibcancausefluidbuildupinthelowerextremities.Itcausesbloodtopoolupintheatria. • Theclientwithinfectiveendocarditismustbeassessedfrequentlybythehome health nurse. Which finding suggests that antibiotic therapy is noteffecti...

A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem. The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (L...

1. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops 2. A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green co...

The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with A. A potassium of 4.5 mEq/L has Kayexalate (sodium polystyrene) prescribed B. Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions C. Sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) D. Sensitivity to Penicillin is prescribed Zithromax (azithromycin) ACADEMICMASTER The n...

• The nurse is has just admitted a client with severe depression. From which focusshould the nurse identify a priority nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety The correct answer is D: Safety • While explaining an illness to a 10 year-old, what should the nurse keep in mind about thecognitive development at this age? A) They are able to make simple association of ideas B) They are able to think logically in organizing facts C) In...

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? • Report the client's serum lithium level to the HCP. • Encourage the client to suck on hard candy to relieve the symptoms.C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not...

An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain? a. Assess the patient’s body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mm Hg, and ...