A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would: A. Instruct the client to maintain a regular diet the day prior to the examination. B. Restrict the client’s fluid intake 4 hours prior to the examination. C. Administer a laxative… Read More »
A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe easily. Which of the following would be the best instruction for this patient? A. Deep breathing techniques to increase oxygen levels. B. Cough regularly… Read More »
A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Select all that apply. A. Hypertension B. Cushingoid features C. Hyponatremia D. Low serum albumin E. Mood swings … Read More »
The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates understanding of the possible side effects of magnesium sulfate? A. The nurse places a sign over the bed not to check blood pressure in the right arm. B. The nurse places a… Read More »
A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following? A. Observe for neurological changes B. Monitor for any signs of renal failure C. Check the food diary D. Observe for signs of bleeding … Read More »
To prevent a Valsalva maneuver in a client recovering from an acute myocardial infarction, the nurse would: A. Assist the client to use the bedside commode. B. Administer stool softeners every day as ordered. C. Administer antidysrhythmics prn as ordered. D. Maintain the client on strict bed rest. … Read More »
A female client is receiving IV Mannitol. An assessment specific to safe administration of the said drug is: A. Vital signs q4h B. Weighing daily C. Urine output hourly D. Level of consciousness q4h Correct Answer: C. Urine output hourly The osmotic diuretic mannitol is contraindicated in… Read More »
A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose? A. It is the correct dose.… Read More »
Honey, a 23-year old client complains of substernal chest pain and states that her heart feels like “it’s racing out of the chest”. She reports no history of cardiac disorders. The nurse attaches her to a cardiac monitor and notes sinus tachycardia with a rate of 136beats/minutes. Breath sounds are clear and the respiratory rate… Read More »
A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct? A. “Stop taking the nitroglycerin and see if the headaches improve.” B. “Go to the emergency department to be checked because nitroglycerin can… Read More »