A female client is experiencing a painful and rigid abdomen and is diagnosed with a perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted. The nurse should place the client before surgery in A. Sims position B. Supine position C. Semi-fowlers position D. Dorsal recumbent position… Read More »
In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school-age child for evaluation? A. Polyphagia B. Dehydration C. Bedwetting D. Weight loss Correct Answer: C. Bedwetting One of the first symptoms of type… Read More »
The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent of urine and stool. What is your best first action at this time? A. Administer an acetaminophen suppository B. Notify… Read More »
Mario comes to the clinic complaining of fever, drenching night sweats, and unexplained weight loss over the past 3 months. Physical examination reveals a single enlarged supraclavicular lymph node. Which of the following is the most probable diagnosis? A. Influenza B. Sickle cell anemia C. Leukemia D. Hodgkin’s disease … Read More »
Which nursing intervention ensures adequate ventilating exchange after surgery? A. Remove the airway only when the client is fully conscious B. Assess for hypoventilation by auscultating the lungs C. Position client laterally with the neck extended D. Maintain humidified oxygen via nasal cannula Correct Answer: C. Position… Read More »
A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection? A. Trichomoniasis B. Chlamydia C. Staphylococcus D. Streptococcus Correct Answer: B. Chlamydia Option B: Chlamydial infections are one of the most frequent causes of… Read More »
A male client with a gunshot wound requires an emergency blood transfusion. His blood type is AB negative. Which blood type would be the safest for him to receive? A. AB Rh-positive B. A Rh-positive C. A Rh-negative D. O Rh-positive Correct Answer: C. A Rh-negative Human… Read More »
The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions? A. Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction. B. Duration is measured by timing from the end of one contraction… Read More »
A patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit? A. Slow, deep respirations B. Stridor C. Bradycardia D. Air hunger Correct Answer: D. Air hunger Patients with pulmonary edema experience… Read More »
What is the priority nursing diagnosis for a patient experiencing a migraine headache? A. Acute pain related to biologic and chemical factors B. Anxiety related to change in or threat to health status C. Hopelessness related to deteriorating physiological condition D. Risk for Side effects related to medical therapy … Read More »