While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure? A. Place the patient on a non-rebreather mask will the oxygen at 15 L/minute. B. Administer lorazepam (Ativan) 1 mg IV. C.… Read More »
Marco falls off his bicycle and injures his ankle. Which of the following actions shows the initial response to the injury in the extrinsic pathway? A. Release of Calcium B. Release of tissue thromboplastin C. Conversion of factors XII to factor XIIa D. Conversion of factor VIII to factor VIIIa … Read More »
Nurse Lilly has been assigned to a client with Raynaud’s disease. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by: A. Episodic vasospastic disorder of capillaries B. Episodic vasospastic disorder of small veins C. Episodic vasospastic disorder of the aorta D. Episodic vasospastic disorder… Read More »
A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long do red blood cells live in my body? The correct response is: A. The life span of RBC is 45 days B. The life span of RBC is 60 days C. The life… Read More »
A client with asthma has low pitched wheezes present in the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client: A. Has increased airway obstruction. B. Has improved airway obstruction. C. Needs to be… Read More »
Katrina has an abnormal result on a Papanicolaou test. After admitting that she read her chart while the nurse was out of the room, Katrina asks what dysplasia means. Which definition should the nurse provide? A. Presence of completely undifferentiated tumor cells that don’t resemble cells of the tissues of their origin. B.… Read More »
Hemoptysis may be present in the client with a pulmonary embolism because of which of the following reasons? A. Alveolar damage in the infarcted area. B. Involvement of major blood vessels in the occluded area. C. Loss of lung parenchyma. D. Loss of lung tissue. Correct Answer:… Read More »
A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response? A. Warn the patient to stay very still because the smallest movement will increase her pain. B. Encourage the family to stay in the room for… Read More »
The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor? A. Pain beneath the cast B. Warm toes B. Warm toes C. Pedal pulses weak and rapid D. Paresthesia of the toes Correct Answer: D. Paresthesia… Read More »
A child is admitted to the hospital with suspected rheumatic fever. Which of the following observations is not confirming the diagnosis? A. A reddened rash visible over the trunk and extremities. B. A history of sore throat that was self-limited in the past month. C. A negative antistreptolysin O titer. D.… Read More »