The nurse is changing the ties of the client with a tracheostomy. The safest method of changing the tracheostomy ties is to: A. Apply the new tie before removing the old one. B. Have a helper present. C. Hold the tracheostomy with the nondominant hand while removing the old tie. D.… Read More »
A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan? A. Monitor for fever every 4 hours. B. Require… Read More »
A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that: A. Overnight stays by family members is against hospital policy. B. There is no need for him to stay because… Read More »
Jose is in danger of respiratory arrest following the administration of a narcotic analgesic. An arterial blood gas value is obtained. Nurse Oliver would expect the paco2 to be which of the following values? A. 15 mm Hg B. 30 mm Hg C. 40 mm Hg D. 80 mm Hg … Read More »
A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias? A. Heparin-associated thrombosis and thrombocytopenia (HATT) B. Idiopathic thrombocytopenic purpura (ITP) C. Thrombocytopenia D. Disseminated intravascular coagulation (DIC) Correct Answer: D.… Read More »
Which of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiography test? A. Client must be NPO before the examination B. Enema to be administered prior to the examination C. Medicate client with furosemide 20 mg IV 30 minutes prior to the examination … Read More »
Exceeding which of the following serum cholesterol levels significantly increases the risk of coronary artery disease? A. 100 mg/dl B. 150 mg/dl C. 175 mg/dl D. 200 mg/dl Correct Answer: D. 200 mg/dl Cholesterol levels above 200 mg/dl are considered excessive. They require dietary restriction and perhaps… Read More »
Timothy’s arterial blood gas (ABG) results are as follows; pH 7.16; Paco2 80 mm Hg; Pao2 46 mm Hg; HCO3- 24 mEq/L; Sao2 81%. This ABG result represents which of the following conditions? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis Correct Answer:… Read More »
Mr. Marquez with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include: A. Weight gain. B. Fine motor tremors. C. Respiratory acidosis. D. Bilateral hearing loss. Correct Answer:… Read More »
After gastroscopy, an adaptation that indicates major complication would be: A. Nausea and vomiting B. Abdominal distention C. Increased GI motility D. Difficulty in swallowing Correct Answer: B. Abdominal distention Abdominal distension may be associated with pain, may indicate perforation, a complication that could lead to peritonitis.… Read More »